Exam 3 NSG 526
Norms - ANSare considered the "right" patterns of behavior for a society
Event interpretation - ANSshould be included for problem-solving therapy for a child with
conduct disorder.
Family therapy - ANScan promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANSdescribes a family's progression through the
lifecycle.
Establishing a therapeutic alliance - ANSis important because acceptance and trust convey a
feeling of security in an adolescent.
Most children will adopt the same world view - ANSas 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 - ANSuses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - ANSit is
important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANSbecause it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - ANSis a child feels self-blame regarding their
parent's divorce.
Objective observations - ANShelp the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANSIndividual 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 - ANSto
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, -
ANSit is mostly the patient's best effort to cope.
,Self-mutilation is mainly due to - ANSfear of abandonment or the increase of independence
BPD is often characterized by - ANSan inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANSthe PMHNP can reflect back to the client an
understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANSthe developmental stage of
separation-individuation.
Paranoid Personality Disorder - ANSdo not trust others easily, and it's best to use a respectful
neutral approach.
Paranoid Personality Disorder are - ANScritical of others because they project blame for their
own shortcomings onto others.
Self-mutilation occurs because - ANSa 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 - ANSreplace irrational thoughts.
Respecting a client's boundaries - ANSimportant in establishing a therapeutic relationship with a
patient with BPD
providing a safe environment - ANSis the priority for any client who is a victim of a serious
crime/assault
MCI Expectant category - ANSInjuries 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 - ANSUnresponsive 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 - ANSThe 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 - ANSfoster 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 - ANSdevelop at different rates
Most psychiatric disorders in children are - ANSmultifactorial.
Paranoid Personality Disorder characteristics - ANSCharacteristics: 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 - ANSCharacteristics: 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 - ANSBPD A major defense is splitting (alternating between idealizing and devaluing).
client schemas - ANScognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANSstored bodies of knowledge that interact with incoming information to influence
selective attention and memory search
Bibliotherapy def - ANSis 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 - ANSthey unconsciously identify with the characters and
experience a catharsis of feelings. The books selected by the PMH-APRN 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.
Norms - ANSare considered the "right" patterns of behavior for a society
Event interpretation - ANSshould be included for problem-solving therapy for a child with
conduct disorder.
Family therapy - ANScan promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANSdescribes a family's progression through the
lifecycle.
Establishing a therapeutic alliance - ANSis important because acceptance and trust convey a
feeling of security in an adolescent.
Most children will adopt the same world view - ANSas 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 - ANSuses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - ANSit is
important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANSbecause it allows the child to play out their fears and
frustrations.
Therapeutic drawing is a helpful technique - ANSis a child feels self-blame regarding their
parent's divorce.
Objective observations - ANShelp the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANSIndividual 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 - ANSto
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, -
ANSit is mostly the patient's best effort to cope.
,Self-mutilation is mainly due to - ANSfear of abandonment or the increase of independence
BPD is often characterized by - ANSan inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANSthe PMHNP can reflect back to the client an
understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANSthe developmental stage of
separation-individuation.
Paranoid Personality Disorder - ANSdo not trust others easily, and it's best to use a respectful
neutral approach.
Paranoid Personality Disorder are - ANScritical of others because they project blame for their
own shortcomings onto others.
Self-mutilation occurs because - ANSa 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 - ANSreplace irrational thoughts.
Respecting a client's boundaries - ANSimportant in establishing a therapeutic relationship with a
patient with BPD
providing a safe environment - ANSis the priority for any client who is a victim of a serious
crime/assault
MCI Expectant category - ANSInjuries 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 - ANSUnresponsive 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 - ANSThe 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 - ANSfoster 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 - ANSdevelop at different rates
Most psychiatric disorders in children are - ANSmultifactorial.
Paranoid Personality Disorder characteristics - ANSCharacteristics: 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 - ANSCharacteristics: 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 - ANSBPD A major defense is splitting (alternating between idealizing and devaluing).
client schemas - ANScognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANSstored bodies of knowledge that interact with incoming information to influence
selective attention and memory search
Bibliotherapy def - ANSis 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 - ANSthey unconsciously identify with the characters and
experience a catharsis of feelings. The books selected by the PMH-APRN 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.
