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Exam (elaborations)

NSG 526 Exam 3 UPDATED ACTUAL Exam Questions and CORRECT Answers

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NSG 526 Exam 3 UPDATED ACTUAL Exam Questions and CORRECT Answers

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NSG 526 Exam 3
UPDATED ACTUAL Exam Questions and CORRECT Answers

Question 1.
Event interpretation .

Answer: should be included for problem-solving therapy for a child with
conduct disorder.


Question 2.
Family therapy .

Answer: can promote the greatest change in an adolescent's behavior.


Question 3.
The Developmental Theoretical approach .

Answer: describes a family's progression through the lifecycle.


Question 4.
Establishing a therapeutic alliance .

Answer: is important because acceptance and trust convey a feeling of
security in an adolescent.


Question 5.
Most children will adopt the same world view .

Answer: 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.


Question 6.
Bibliotherapy .

Answer: uses books and a librarian as resources.


Question 7.
When conducting a counseling session for a group of at risk adolescents on drug use .

Answer: it is important to have their peers involved in teaching some
problem-solving skills.

,Question 8.
Play therapy is important .

Answer: because it allows the child to play out their fears and frustrations.


Question 9.
Therapeutic drawing is a helpful technique .

Answer: is a child feels self-blame regarding their parent's divorce.
• Objective observations . Answer: help the most in evaluating outcomes of
child therapy.


Question 10.
Schizoid personality disorder .

Answer: Individual psychotherapy is the appropriate modality to use with this
disorder.


Question 11.
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
.

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


Question 12.
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, .

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


Question 13.
Self-mutilation is mainly due to .

Answer: fear of abandonment or the increase of independence


Question 14.
BPD is often characterized by .

Answer: an inability to tolerate perceived rejection.


Question 15.
Patients will respond better to limit setting if .

,Answer: the PMHNP can reflect back to the client an understanding and
validation of their emotional distress.


Question 16.
Clients with BPD have not successfully achieved .

Answer: the developmental stage of separation-individuation.


Question 17.
Paranoid Personality Disorder .

Answer: do not trust others easily, and it's best to use a respectful neutral
approach.


Question 18.
Paranoid Personality Disorder are .

Answer: critical of others because they project blame for their own
shortcomings onto others.
• Self-mutilation occurs because . Answer: 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.


Question 19.
DBT helps to .

Answer: replace irrational thoughts.


Question 20.
Respecting a client's boundaries .

Answer: important in establishing a therapeutic relationship with a patient
with BPD


Question 21.
providing a safe environment .

Answer: is the priority for any client who is a victim of a serious crime/assault


Question 22.
MCI Expectant category .

Answer: 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


Question 23.
Black MCI CATEGORY .

Answer: 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.


Question 24.
Mindfulness .

Answer: 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 . Answer: foster a child's healthy characteristics and
existing environmental supports no matter how negative (ex a child lives in a
homeless shelter).


Question 25.
children from different cultures .

Answer: develop at different rates


Question 26.
Most psychiatric disorders in children are .

Answer: multifactorial.


Question 27.
Paranoid Personality Disorder characteristics .

Answer: 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

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