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Exam (elaborations)

NSG 526 EXAM 3 WITH QUESTIONS AND ANSWERS

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NSG 526 EXAM 3 WITH QUESTIONS AND ANSWERS

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Exam 3 NSG 526



1. Norms: are considered the "right" patterns of behavior for a society

2. Event interpretation: should be included for problem-solving therapy
for a child with conduct disorder.

3. Family therapy: can promote the greatest change in an adolescent's
behavior.

4. The Developmental Theoretical approach: describes a family's
progression through the lifecycle.

5. Establishing a therapeutic alliance: is important because
acceptance and trust convey a feeling of security in an adolescent.

6. Most children will adopt the same world view: 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.

7. Bibliotherapy: uses books and a librarian as resources.

8. When conducting a counseling session for a group of at risk
adolescents on drug use: it is important to have their peers involved in
teaching some prob- lem-solving skills.

9. Play therapy is important: because it allows the child to play out their
fears and frustrations.


,10.Therapeutic drawing is a helpful technique: is a child feels self-
blame regarding their parent's divorce.

11.Objective observations: help the most in evaluating outcomes of
child thera- py.

12.Schizoid personality disorder: Individual psychotherapy is the
appropriate modality to use with this disorder.

13.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: to assist the client to identify an
appropriate coping strategy.

14.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,: it is mostly the patient's
best effort to cope.

15.Self-mutilation is mainly due to: fear of abandonment or the
increase of independence

16.BPD is often characterized by: an inability to tolerate perceived
rejection.






,17.Patients will respond better to limit setting if: the PMHNP can reflect
back to the client an understanding and validation of their emotional
distress.

18.Clients with BPD have not successfully achieved: the developmental
stage of separation-individuation.

19.Paranoid Personality Disorder: do not trust others easily, and it's
best to use a respectful neutral approach.

20.Paranoid Personality Disorder are: critical of others because they
project blame for their own shortcomings onto others.

21.Self-mutilation occurs because: 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.

22.DBT helps to: replace irrational thoughts.

23.Respecting a client's boundaries: important in establishing a
therapeutic relationship with a patient with BPD

24.providing a safe environment: is the priority for any client who is a
victim of a serious crime/assault

25.MCI Expectant category: 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

26.Black MCI CATEGORY: 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.

27.Mindfulness: 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.

28.The psych NP needs to: foster a child's healthy characteristics and
existing environmental supports no matter how negative (ex a child
lives in a homeless shelter).
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