NSG 526 Exam 3 With Questions and Answers.

NSG 526 Exam 3 With Questions and Answers. Norms - Answer are considered the "right" patterns of behavior for a society Event interpretation - Answer should be included for problem-solving therapy for a child with conduct disorder. Family therapy - Answer can promote the greatest change in an adolescent's behavior. The Developmental Theoretical approach - Answer describes a family's progression through the lifecycle. Establishing a therapeutic alliance - Answer is important because acceptance and trust convey a feeling of security in an adolescent. Most children will adopt the same world view - Answer as their parents (ex. If a child was brought up by parents who thought the world was hostile they would most likely adopt this view as they grow older. Bibliotherapy - Answer uses books and a librarian as resources. When conducting a counseling session for a group of at risk adolescents on drug use - Answer it is important to have their peers involved in teaching some problem-solving skills. Play therapy is important - Answer because it allows the child to play out their fears and frustrations. Therapeutic drawing is a helpful technique - Answer is a child feels self-blame regarding their parent's divorce. Objective observations - Answer help the most in evaluating outcomes of child therapy. Schizoid personality disorder - Answer Individual psychotherapy is the appropriate modality to use with this disorder. The best response by the PMHNP when speaking with a client with BPD who has been in counseling for management of self-harm behaviors who now wants to cut themselves is - Answer to assist the client to identify an appropriate coping strategy. Understand that if a client with BPD who was making progress but recently had an anxiety producing situation arise and now cut herself is that even though this behavior is dysfunctional, - Answer it is mostly the patient's best effort to cope. Self-mutilation is mainly due to - Answer fear of abandonment or the increase of independence BPD is often characterized by - Answer an inability to tolerate perceived rejection. Patients will respond better to limit setting if - Answer the PMHNP can reflect back to the client an understanding and validation of their emotional distress. Clients with BPD have not successfully achieved - Answer the developmental stage of separation-individuation. Paranoid Personality Disorder - Answer do not trust others easily, and it's best to use a respectful neutral approach. Paranoid Personality Disorder are - Answer critical of others because they project blame for their own shortcomings onto others. Self-mutilation occurs because - Answer a client may feel that pain is better than not feeling anything, it also results from feelings of abandonment, it can be a manipulative gesture, and it is also happens when a safety plan has been put in place. DBT helps to - Answer replace irrational thoughts. Respecting a client's boundaries - Answer important in establishing a therapeutic relationship with a patient with BPD providing a safe environment - Answer is the priority for any client who is a victim of a serious crime/assault MCI Expectant category - Answer Injuries are extensive and chances of survival are unlikely even with definitive care. Persons in this group should be separated from other casualties, but not abandoned. Comfort measures should be provided when possible Black MCI CATEGORY - Answer Unresponsive patients with penetrating head wounds, high spinal cord injuries, wounds involving multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting within 24 hr after radiation exposure, profound shock with multiple injuries, agonal respirations; no pulse, no BP, pupils fixed and dilated. Mindfulness - Answer The essential part of all skills taught in skills group are the core mindfulness skills. Mindfulness is the capacity to pay attention, non-judgmentally to the present moment. It is derived from teachings of the Buddha, the Zen tradition being perhaps one of its most well-known proponents. Mindfulness is all about living in the moment, experiencing your emotions and all your senses and being aware of them. The psych NP needs to - Answer foster a child's healthy characteristics and existing environmental supports no matter how negative (ex a child lives in a homeless shelter). children from different cultures - Answer develop at different rates Most psychiatric disorders in children are - Answer multifactorial. Paranoid Personality Disorder characteristics - Answer Characteristics: suspicious of others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear personal information will be used against them); misread compliments as manipulation; hypervigilant; prone to counterattack; hostile; and aloof. Psychotic episodes may occur in times of stress. Nurses should give straightforward explanations of tests, history taking, and procedures, side effects of drugs, changes in treatment plan, and possible further procedures, to counteract client fear Narcissistic Personality Disorder - Answer Characteristics: grandiosity, fantasies of power or brilliance, need to be admired, sense of entitlement, arrogant, patronizing, rude, overestimates self and underestimates others. This behavior covers a fragile ego. In health care setting demand the best of everything. When client is corrected, when boundaries are defined, or when limits are set on client's behavior, client feels humiliated, degraded, and empty. To lower anxiety the client may launch a counterattack. The nurse should gently help the client identify attempts to seek and become perfect, exhibit grandiose behavior, and sense of entitlement splitting - Answer BPD A major defense is splitting (alternating between idealizing and devaluing). client schemas - Answer cognitive therapy is the modality that prioritizes a client's schema. Schemas - Answer stored bodies of knowledge that interact with incoming information to influence selective attention and memory search Bibliotherapy def - Answer is an expressive therapy which involves using child and adolescent literature to help the child express feelings in a supportive environment, gain insight into feelings and behavior, and learn new ways to cope with difficult situations. as the process of using books to teach those receiving medical care about their conditions is believed to be one cost-effective and versatile option for the treatment of several mental health issues. When children listen to or read a story - Answer they unconsciously identify with the characters and experience a catharsis of feelings. The books selected by the PMHAPRN should reflect the situations or feelings the child is experiencing. theoretical model based on the premise that people are greatly influenced by the characters they identify with in stories.