Clinical Modalities Exam 3
rahe-holmes - ANSWhat is the scale that rates stressful events in a person's life?
dissociative symptoms - ANSAcute Stress Disorder is associated with presence of
_____________________________ symptoms.
maturational crisis - ANSName a type of crisis that arises internally; follow different stages of
growth that humans experience; happens each time a person enters a new stage of life, they
realize their old coping skills are inadequate.
pre-crisis level of functioning - ANSThe most reliable outcome for crisis intervention with regard
to post-crisis level of functioning is to determine that the patient is at their
___________________
how they handled crisis in the past - ANSThe best was to assess a patients coping skills is to
inquire about _______________________________________
place the trauma in the larger perspectives of their lives. - ANSPrimary goal of PTSD treatment
is to help them what?
Phase 1 = problem arises that increases anxiety levels. You would most likely observe anxiety.
Phase 2= Usual problem solving techniques don't work, anxiety rises. Trial and error attempts
are made to restore balance.
Phase 3= Trial and error attempts fail and anxiety rises to severe or panic levels.
Phase 4= when these measures don't reduce anxiety, the anxiety overwhelms the person and
leads to serious disorganization. This signals the patient is in crisis. - ANSWhat are Caplan's 4
stages of crisis?
Psychological first aid - ANSWhat is a set of procedures called that help facilitate survivors'
adaptive coping in a disaster?
asking if a supportive person can be with them the next few days - ANSThe PMHNP can best
help a person who receives devastating news by ___________________________________
disequilibrium - ANSIt is important for the PMHNP to understand that when a patient is in crisis
they are in a state of ________________________
individual psychotherapy - ANSWhat is the most appropriate modality to use with schizoid
personality disorder?
,assist the client in identifying appropriate coping strategies - ANSThe best response by PMHNP
when speaking with a client with BPD and wants to cut themselves is
to_____________________________
dysfunctional behavior but mostly the patient's best effort to cope - ANSIf a BPD client who has
been making progress has an anxiety producing event arise and cuts again this is
__________________________________________ ?
splitting - ANSA client with borderline personality disorder dramatically expresses feelings about
each nurse on the staff, stating that only one nurse is understanding and trustworthy — the
nurse the client is talking to at the time. This client is demonstrating which behavior?
self mutilation - ANS___________________________ is mainly due to fear of abandonment or
the increase of independence?
perceived rejections - ANSBPD is often characterized by an inability to tolerate
__________________________?
their emotional distress - ANSPatients will respond better to limit setting if the PMHNP can
reflect back to the client an understanding and validation of ______________________ ?
separation-individualization - ANSClient's with BPD have not successfully achieved the
developmental stage of ________________________ ?
paranoid personality disorder - ANSName the personality disorder described below: A pervasive
distrust and suspiciousness of others such that their motives are interpreted as malevolent,
beginning by early adulthood and present in a variety of contexts. A person who has a
longstanding feeling of mistrust or suspicion, no hallucinations, no delusions, and no antisocial
behavior?
paranoid personality disorder - ANSClients with which disorder do not trust easily and its best to
use a respectful neutral approach?
project blame for their own shortcomings on others - ANSClients with paranoid personality
disorder are critical of others because they _____________________ ?
narcissitic personality disorder - ANScharacterized by inflated or grandiose sense of themselves
and an extreme need for admiration (expect others to notice their special qualities, even when
their accomplishments are ordinary, and they enjoy basking in the light of adulation;
self-absorbed, lack empathy for others; strong sense of entitlement; tend to be preoccupied with
fantasies of success and power, ideal love, or recognition for brilliance or beauty)
schemas - ANSConceptual frameworks a person uses to make sense of the world is
__________________________ ?
, cognitive therapy - ANSWhat is the modality that prioritizes a client's schema?
mindfulness - ANSBeing alert, mentally present, and cognitively flexible while going through
life's everyday activities and tasks.
pain is better than not feeling anything at all - ANSSelf-mutilation occurs because a client may
feel that ___________________________________
abandonment - ANSSelf mutilation results from feelings of ________________________
manipulative - ANSSelf mutilation can be a _______________________gesture?
safety plan - ANSSelf mutilation can occur after a ______________ _______________ is put in
place?
DBT - ANSWhich modality helps replace irrational thoughts?
Dialectal behavioral therapy - ANSWhat is the only psychotherapy to demonstrate any efficacy
in treatment of ANY PDs?
boundaries - ANSRespecting a patients ______________________ is important in establishing
a therapeutic relationship with a patient with BPB.
Dependent personality disorder - ANSName the personality disorders described below: A
person who gets others to assume responsibility, has difficulty expressing disagreement, and
often has an abusive spouse?
A personality disorder characterized by a pattern of clinging and obedience, fear of separation,
and an ongoing need to be taken care of.
dichotomous thinking - ANSView a situation in only two categories instead of on a continuum (all
or none; black or white)
MCI expectant category - ANS
Gerald Caplan - ANSpioneer in the crisis intervention movement; popularized classifications of
groups as primary, secondary, and tertiary
Crisis Phase 1 - ANSA problem arises that contributes to increase in anxiety levels. The anxiety
stimulates the implementation of usual problem-solving techniques of the person. This is crisis
phase _______ ?
rahe-holmes - ANSWhat is the scale that rates stressful events in a person's life?
dissociative symptoms - ANSAcute Stress Disorder is associated with presence of
_____________________________ symptoms.
maturational crisis - ANSName a type of crisis that arises internally; follow different stages of
growth that humans experience; happens each time a person enters a new stage of life, they
realize their old coping skills are inadequate.
pre-crisis level of functioning - ANSThe most reliable outcome for crisis intervention with regard
to post-crisis level of functioning is to determine that the patient is at their
___________________
how they handled crisis in the past - ANSThe best was to assess a patients coping skills is to
inquire about _______________________________________
place the trauma in the larger perspectives of their lives. - ANSPrimary goal of PTSD treatment
is to help them what?
Phase 1 = problem arises that increases anxiety levels. You would most likely observe anxiety.
Phase 2= Usual problem solving techniques don't work, anxiety rises. Trial and error attempts
are made to restore balance.
Phase 3= Trial and error attempts fail and anxiety rises to severe or panic levels.
Phase 4= when these measures don't reduce anxiety, the anxiety overwhelms the person and
leads to serious disorganization. This signals the patient is in crisis. - ANSWhat are Caplan's 4
stages of crisis?
Psychological first aid - ANSWhat is a set of procedures called that help facilitate survivors'
adaptive coping in a disaster?
asking if a supportive person can be with them the next few days - ANSThe PMHNP can best
help a person who receives devastating news by ___________________________________
disequilibrium - ANSIt is important for the PMHNP to understand that when a patient is in crisis
they are in a state of ________________________
individual psychotherapy - ANSWhat is the most appropriate modality to use with schizoid
personality disorder?
,assist the client in identifying appropriate coping strategies - ANSThe best response by PMHNP
when speaking with a client with BPD and wants to cut themselves is
to_____________________________
dysfunctional behavior but mostly the patient's best effort to cope - ANSIf a BPD client who has
been making progress has an anxiety producing event arise and cuts again this is
__________________________________________ ?
splitting - ANSA client with borderline personality disorder dramatically expresses feelings about
each nurse on the staff, stating that only one nurse is understanding and trustworthy — the
nurse the client is talking to at the time. This client is demonstrating which behavior?
self mutilation - ANS___________________________ is mainly due to fear of abandonment or
the increase of independence?
perceived rejections - ANSBPD is often characterized by an inability to tolerate
__________________________?
their emotional distress - ANSPatients will respond better to limit setting if the PMHNP can
reflect back to the client an understanding and validation of ______________________ ?
separation-individualization - ANSClient's with BPD have not successfully achieved the
developmental stage of ________________________ ?
paranoid personality disorder - ANSName the personality disorder described below: A pervasive
distrust and suspiciousness of others such that their motives are interpreted as malevolent,
beginning by early adulthood and present in a variety of contexts. A person who has a
longstanding feeling of mistrust or suspicion, no hallucinations, no delusions, and no antisocial
behavior?
paranoid personality disorder - ANSClients with which disorder do not trust easily and its best to
use a respectful neutral approach?
project blame for their own shortcomings on others - ANSClients with paranoid personality
disorder are critical of others because they _____________________ ?
narcissitic personality disorder - ANScharacterized by inflated or grandiose sense of themselves
and an extreme need for admiration (expect others to notice their special qualities, even when
their accomplishments are ordinary, and they enjoy basking in the light of adulation;
self-absorbed, lack empathy for others; strong sense of entitlement; tend to be preoccupied with
fantasies of success and power, ideal love, or recognition for brilliance or beauty)
schemas - ANSConceptual frameworks a person uses to make sense of the world is
__________________________ ?
, cognitive therapy - ANSWhat is the modality that prioritizes a client's schema?
mindfulness - ANSBeing alert, mentally present, and cognitively flexible while going through
life's everyday activities and tasks.
pain is better than not feeling anything at all - ANSSelf-mutilation occurs because a client may
feel that ___________________________________
abandonment - ANSSelf mutilation results from feelings of ________________________
manipulative - ANSSelf mutilation can be a _______________________gesture?
safety plan - ANSSelf mutilation can occur after a ______________ _______________ is put in
place?
DBT - ANSWhich modality helps replace irrational thoughts?
Dialectal behavioral therapy - ANSWhat is the only psychotherapy to demonstrate any efficacy
in treatment of ANY PDs?
boundaries - ANSRespecting a patients ______________________ is important in establishing
a therapeutic relationship with a patient with BPB.
Dependent personality disorder - ANSName the personality disorders described below: A
person who gets others to assume responsibility, has difficulty expressing disagreement, and
often has an abusive spouse?
A personality disorder characterized by a pattern of clinging and obedience, fear of separation,
and an ongoing need to be taken care of.
dichotomous thinking - ANSView a situation in only two categories instead of on a continuum (all
or none; black or white)
MCI expectant category - ANS
Gerald Caplan - ANSpioneer in the crisis intervention movement; popularized classifications of
groups as primary, secondary, and tertiary
Crisis Phase 1 - ANSA problem arises that contributes to increase in anxiety levels. The anxiety
stimulates the implementation of usual problem-solving techniques of the person. This is crisis
phase _______ ?
