Nurs 661 Exam 1 questions with verified answers
2.Conscious incompetency: Ans✓✓✓ Advanced beginner recognizes aspects of
situations and makes
3.Conscious competency: Ans✓✓✓ Competency/Proficiency 2 to 5 years'
experience, coordinates complex care and sees situations as wholes, and long-
term solutions
4U.nconscious competency Ans✓✓✓ Expert flexible, efficient, and uses intuition.
8 phase protocol of EMDR: 270 Ans✓✓✓ One: Patient History and Treatment
Planning—assessment of stability and current life constraints; evaluation of
clinical symptoms (affect tolerance and dissociation); screening for use of EMDR;
identification of targets including small traumas and big traumas; developing a
treatment plan
Two: Preparation—establish therapeutic alliance; educate the person about
adaptive information processing (AIP) and EMDR; evaluate secondary gains;
practice relaxation and safe place; resource development if needed
Three: Assessment—identify components of the target (see Figure 6.1); patient
identifies: an image that represents the experience or worst part of it; a negative
cognition (NC) associated with the incident or image and a positive cognition (PC)
that represents what the person would like to feel about himself or herself now;
the patient then rates the PC on a 1 to 7 validity of cognition (VOC) scale that
represents how true the PC feels now; then the emotions associated with the
event are identified with a SUD on a 0 to 10 rated scale; finally, the person is
asked where they feel this in their body
Four: Desensitization—begin sets of bilateral stimulation with eye movements,
sound, and/or tapping and continue until the SUD is 0 or 1
Five: Installation—install PC with bilateral stimulation
,Six: Body Scan—note tension and sensations in body for any residual
Seven: Closure—instruct about keeping a log and educate about disturbances that
may occur possession
o Eight: Re-evaluation—reassess and review targets that were processed at the
beginning of the next session EMDR works best if the person is in the therapeutic
window of arousal so that the skillful APPN needs to assess whether the person is
avoiding the material, is dissociating, and has too little activation; or is
hyperaroused with too much activation. Some patients may ne
Acetylcholine Ans✓✓✓ this neurotransmitter occurs in cholinergic tracts
extending from the limbic structures to the cortex, and a decrease in
concentration is associated with memory and cognitive impairments. An increase
is associated with Alzheimer's disease.
Acting Out: Ans✓✓✓ avoiding conscious experience of the emotion through
impulsive action (e.g., instead of feeling sad, a person gets drunk). Impulsive to
undesired feeling. Dysfunctional.
Anal: 18 months-3 years: Ans✓✓✓ independency and control: if not met: OCD
Attunement Ans✓✓✓ describes how reactive a person is to another's emotional
needs and moods. A person who is well attuned will respond with appropriate
language and behaviors based on another person's emotional state. Are you able
to read social cues? Verbal or non-verbal, whether to engage with it or not
Avoidant personality disorder: Ans✓✓✓ a personality style characterized by
feeling uncomfortable when psychologically close to others, fearing potential
rejection, and not engaging in peer relationships. A person with an avoidant
, personality would likely avoid intimate relations with others, due to feelings of
discomfort when intimate with others.
Be able to explain what Socratic dialogue is and why it is used Ans✓✓✓ The
Socratic dialogue (SD) is a technique described as "mutual discovery in which the
therapist guides the patient through a series of questions and answers to elicit
automatic thoughts and assumptions, and examine the logic and evidence that
relates to them". Series of patient to help self-discovery. Not telling them what
exactly happening but leading them to discover themselves.
Borderline personality disorder: Ans✓✓✓ a chronic pattern of personality
instability. More of a disorder than not, it manifests through symptoms such as
mood shifts, sudden temper outbursts, intense but unstable relationships, and
self-defeating behavior. People with Borderline Personality Disorder exhibit self-
defeating and damaging behavior through overeating, overspending, and
gambling, among others." Chronic emptiness, seeks attention, afraid of
abandonment, SIB (self-injury behaviors), high risk for substance abuse, very
volatile. Maintain boundaries is a must. Do great with DBT.
Classic: Psychodynamic psychotherapy. Ans✓✓✓ is derived from psychoanalysis
and is based on a number of key analytical concepts. These include Freud's ideas
about psychosexual development, defense mechanisms, free association as the
method of recall, and the therapeutic techniques of interpretation, including that
of transference, defenses and dreams Psychodynamic psychotherapy is classically
indicated in the treatment of unresolved conflicts in early life. the motivation is
sex and aggression. The change agent is insight
Close-ended question: Ans✓✓✓ How many drinks did you have? Yes or no
questions.
2.Conscious incompetency: Ans✓✓✓ Advanced beginner recognizes aspects of
situations and makes
3.Conscious competency: Ans✓✓✓ Competency/Proficiency 2 to 5 years'
experience, coordinates complex care and sees situations as wholes, and long-
term solutions
4U.nconscious competency Ans✓✓✓ Expert flexible, efficient, and uses intuition.
8 phase protocol of EMDR: 270 Ans✓✓✓ One: Patient History and Treatment
Planning—assessment of stability and current life constraints; evaluation of
clinical symptoms (affect tolerance and dissociation); screening for use of EMDR;
identification of targets including small traumas and big traumas; developing a
treatment plan
Two: Preparation—establish therapeutic alliance; educate the person about
adaptive information processing (AIP) and EMDR; evaluate secondary gains;
practice relaxation and safe place; resource development if needed
Three: Assessment—identify components of the target (see Figure 6.1); patient
identifies: an image that represents the experience or worst part of it; a negative
cognition (NC) associated with the incident or image and a positive cognition (PC)
that represents what the person would like to feel about himself or herself now;
the patient then rates the PC on a 1 to 7 validity of cognition (VOC) scale that
represents how true the PC feels now; then the emotions associated with the
event are identified with a SUD on a 0 to 10 rated scale; finally, the person is
asked where they feel this in their body
Four: Desensitization—begin sets of bilateral stimulation with eye movements,
sound, and/or tapping and continue until the SUD is 0 or 1
Five: Installation—install PC with bilateral stimulation
,Six: Body Scan—note tension and sensations in body for any residual
Seven: Closure—instruct about keeping a log and educate about disturbances that
may occur possession
o Eight: Re-evaluation—reassess and review targets that were processed at the
beginning of the next session EMDR works best if the person is in the therapeutic
window of arousal so that the skillful APPN needs to assess whether the person is
avoiding the material, is dissociating, and has too little activation; or is
hyperaroused with too much activation. Some patients may ne
Acetylcholine Ans✓✓✓ this neurotransmitter occurs in cholinergic tracts
extending from the limbic structures to the cortex, and a decrease in
concentration is associated with memory and cognitive impairments. An increase
is associated with Alzheimer's disease.
Acting Out: Ans✓✓✓ avoiding conscious experience of the emotion through
impulsive action (e.g., instead of feeling sad, a person gets drunk). Impulsive to
undesired feeling. Dysfunctional.
Anal: 18 months-3 years: Ans✓✓✓ independency and control: if not met: OCD
Attunement Ans✓✓✓ describes how reactive a person is to another's emotional
needs and moods. A person who is well attuned will respond with appropriate
language and behaviors based on another person's emotional state. Are you able
to read social cues? Verbal or non-verbal, whether to engage with it or not
Avoidant personality disorder: Ans✓✓✓ a personality style characterized by
feeling uncomfortable when psychologically close to others, fearing potential
rejection, and not engaging in peer relationships. A person with an avoidant
, personality would likely avoid intimate relations with others, due to feelings of
discomfort when intimate with others.
Be able to explain what Socratic dialogue is and why it is used Ans✓✓✓ The
Socratic dialogue (SD) is a technique described as "mutual discovery in which the
therapist guides the patient through a series of questions and answers to elicit
automatic thoughts and assumptions, and examine the logic and evidence that
relates to them". Series of patient to help self-discovery. Not telling them what
exactly happening but leading them to discover themselves.
Borderline personality disorder: Ans✓✓✓ a chronic pattern of personality
instability. More of a disorder than not, it manifests through symptoms such as
mood shifts, sudden temper outbursts, intense but unstable relationships, and
self-defeating behavior. People with Borderline Personality Disorder exhibit self-
defeating and damaging behavior through overeating, overspending, and
gambling, among others." Chronic emptiness, seeks attention, afraid of
abandonment, SIB (self-injury behaviors), high risk for substance abuse, very
volatile. Maintain boundaries is a must. Do great with DBT.
Classic: Psychodynamic psychotherapy. Ans✓✓✓ is derived from psychoanalysis
and is based on a number of key analytical concepts. These include Freud's ideas
about psychosexual development, defense mechanisms, free association as the
method of recall, and the therapeutic techniques of interpretation, including that
of transference, defenses and dreams Psychodynamic psychotherapy is classically
indicated in the treatment of unresolved conflicts in early life. the motivation is
sex and aggression. The change agent is insight
Close-ended question: Ans✓✓✓ How many drinks did you have? Yes or no
questions.
