Regis NU-629 Exam 3 Questions with Verified Answers

How does sleep disruption destabilize the college student? - Answer- Increase likelihood of stimulant or alcohol abuse; insomnia worsening due to depression and anxiety; depression and anxiety worsening the insomnia;worsen mood instability or trigger latent bipolar disorder How does a poor diet destabilize the college student? - Answer- Weight gain s/t no parent guidance; cafeteria's food choices; late night studying w/ junk food; lack of exercise; & overindulgence in calorie-laden alcoholic beverages. How does lack of exercise destabilize the college student? - Answer- Lead to significant weight gain as well as affect mental health. How does Alcohol, Tobacco, and Other Drug Use destabilize the college student? - Answer- ETOH use to as a rite of passage for students; marijuana to cope with stress, anxiety or depression which wears off and decreases IQ by 8pts How does Self-management of Mental Health Disorders destabilize the college student? - Answer- adolescents with chronic conditions are at higher risk in for worsening of their condition s/t to not managing their medications How does the Development of Academic Competencies destabilize the college student? - Answer- The structure of college education is vastly different from secondary education, and students must adapt to the increased flexibility and need for personal accountability. How does the Alterations in the Structure of Social Support destabilize the college student? - Answer- The college student may feel separated from previous support systems, and although surrounded by people, feel isolated and alone. How does stress management destabilize the college student? - Answer- Not being able to cope leads to adverse reactions and/or mental health crisis. College emotional preparedness - Answer- to take care of oneself on campus, to build healthy relationships, to control negative behaviors and feelings, and to adapt to new environments Accessibility and Quality of Counseling Services - Answer- varies based upon the size of the college or university Accessibility and Expertise of Health Center Providers - Answer- the size of the university, funding, and location may impact the services provided in a college health center University policies related to accommodations for mental health disorders - Answer- post-secondary institution is required to make adjustments for students with disabilities as long as it does not cause significant changes in requirements for the student's program of study or create a burden for the university University Housing - Answer- Policies governing university housing vary across institutions and are dependent on many factors such as size of the student body, public vs. private status, and institution traditions. Roommate Compatibility - Answer- Protocols for room selection and roommate assignment vary by institution. Some institutions follow the guidance of Lapidus, Green, and Baruh (1985) and match students according to living habits, such as study and sleeping habits, smoking, and cleanliness preferences. Consider options that are available to replace some clinical hours. What are these? - Answer- simulations virtual; practice; safe - Answer- Part of the goal of simulation is to provide a. ________________ experience for students b. An opportunity to ______________ in a __________ environment. Simulation: Your patient has elderly parents moving into their home? - Answer- Role play as to things elders do and how to react Simulation: A student has never been exposed to a certain vulnerable population, yet they plan on working in this area once they graduate as an APRN? - Answer- Expose the student to the vulnerable population and provide different scenarios of interaction. Simulation: As an APRN, you have not had the opportunity to perform a certain skill and you are interested in learning? - Answer- Practice those skills until that are perfected How does MI work? - Answer- A collaborative conversation style for strengthening a person's own motivation and commitment to change. Are patients all truly unmotivated individuals? - Answer- No they are ambivalent about making a change. Guiding principles - RULE: - Answer- Resist the righting reflex; Understand the patient's own motivations; Listen with empathy; and Empower the patient. 3 Communications Styles - Answer- directing, guiding, and following; guiding is most effective for building motivation and eliciting behavior change Mix-Match of Styles - Answer- When you use more than one communication style to elicit change in a patient's behavior Why is directing overused in most scenarios - especially in the clinic settings? - Answer- Due to lack of time to get things done. 3 core communication skills - Answer- Asking Listening Informing A Good guide for MI will be to have - Answer- 1. an engaged understanding of the client's internal frame of reference 2. a clear change focus & 3. evoking of the client's own motivations for change. If appropriate it may also include a collaborative planning process. ambivalence - Answer- the state of having contradictory or conflicting emotional attitudes Listening for Change Talk - Answer- moments when a client is ready for change as indicated by self-motivational statements Ingredients of Change: DARNACT - Answer- Desire for Change (I want to) Ability for Change (I can) Reasons for Change (3 obj) Need for Change (personal) Commitment to Change (I will) Activation (By...) Taking Steps (I got started on...) Diagnostic decision trees - Answer- requires that you ask the right questions in order to make the right decisions and recommendations Closed Questions - Answer- questions that ask for specific information and elicit a short, one- or two- word answer, a "yes" or "no," or a forced choice Open Questions - Answer- questions that allow for a variety of extended responses Asking is not listening - Answer- two different communication tools; were the question is the roadblock to listening silence - Answer- the absence of sound