Exam 3 NSG 526
Norms - ANS-are considered the "right" patterns of behavior for a society
Event interpretation - ANS-should be included for problem-solving therapy for a child
with conduct disorder.
Family therapy - ANS-can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANS-describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - ANS-is important because acceptance and trust
convey a feeling of security in an adolescent.
Most children will adopt the same world view - ANS-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 - ANS-uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use -
ANS-it is important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANS-because it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - ANS-is a child feels self-blame regarding
their parent's divorce.
Objective observations - ANS-help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANS-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 - ANS-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, - ANS-it is mostly the patient's best effort to cope.
Self-mutilation is mainly due to - ANS-fear of abandonment or the increase of
independence
BPD is often characterized by - ANS-an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANS-the PMHNP can reflect back to the
client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANS-the developmental stage of
separation-individuation.
Paranoid Personality Disorder - ANS-do not trust others easily, and it's best to use a
respectful neutral approach.
Paranoid Personality Disorder are - ANS-critical of others because they project blame
for their own shortcomings onto others.
Self-mutilation occurs because - ANS-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 - ANS-replace irrational thoughts.
Respecting a client's boundaries - ANS-important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - ANS-is the priority for any client who is a victim of a
serious crime/assault
MCI Expectant category - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-develop at different rates
Most psychiatric disorders in children are - ANS-multifactorial.
Paranoid Personality Disorder characteristics - ANS-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 - ANS-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 - ANS-BPD A major defense is splitting (alternating between idealizing and
devaluing).
client schemas - ANS-cognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANS-stored bodies of knowledge that interact with incoming information to
influence selective attention and memory search
Norms - ANS-are considered the "right" patterns of behavior for a society
Event interpretation - ANS-should be included for problem-solving therapy for a child
with conduct disorder.
Family therapy - ANS-can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANS-describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - ANS-is important because acceptance and trust
convey a feeling of security in an adolescent.
Most children will adopt the same world view - ANS-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 - ANS-uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use -
ANS-it is important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANS-because it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - ANS-is a child feels self-blame regarding
their parent's divorce.
Objective observations - ANS-help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANS-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 - ANS-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, - ANS-it is mostly the patient's best effort to cope.
Self-mutilation is mainly due to - ANS-fear of abandonment or the increase of
independence
BPD is often characterized by - ANS-an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANS-the PMHNP can reflect back to the
client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANS-the developmental stage of
separation-individuation.
Paranoid Personality Disorder - ANS-do not trust others easily, and it's best to use a
respectful neutral approach.
Paranoid Personality Disorder are - ANS-critical of others because they project blame
for their own shortcomings onto others.
Self-mutilation occurs because - ANS-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 - ANS-replace irrational thoughts.
Respecting a client's boundaries - ANS-important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - ANS-is the priority for any client who is a victim of a
serious crime/assault
MCI Expectant category - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-develop at different rates
Most psychiatric disorders in children are - ANS-multifactorial.
Paranoid Personality Disorder characteristics - ANS-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 - ANS-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 - ANS-BPD A major defense is splitting (alternating between idealizing and
devaluing).
client schemas - ANS-cognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANS-stored bodies of knowledge that interact with incoming information to
influence selective attention and memory search
