WILKES NSG 526 exam 3 QUESTIONS WITH SOLUTIONS

WILKES NSG 526 exam 3 QUESTIONS WITH SOLUTIONS .--------- instability (rapid and extreme shift in mood) is a core characteristic of BORDERLINE-BPD and is evidenced by erratic emotional responses to situations and intense sensitivity to criticism or perceived slights. For example, a person may greet a casual acquaintance with intense affection, yet later, be ---------- with the same acquaintance. Persons with BPD also have difficulty recognizing negative facial affects of others and experiencing negative emotions, particularly sadness, a------- and d----------- - ANSWER-Affective aloof sadness, anger, disgust .----------- Crisis According to Erikson; are a normal part of growth and development, and that successfully resolving a crisis at one stage allows the child to move to the next. The child develops positive characteristics after experiencing a crisis. If he or she develops less desirable traits, the crisis is not resolved. This concept of ------------- crisis assumes that psychosocial development progresses by an easily identifiable, orderly process. A ------------- crisis occurs whenever a specific stressful event threatens a person's biopsychosocial integrity and results in some degree of psychological disequilibrium. The event can be an internal one, such as a disease process or any number of external threats. A MOVE to another city, a job PROMOTION, or graduation from high school can initiate a crisis even though they are positive events. ------------- crisis is like a natural disaster - ANSWER-Maturational Maturational situational adventitious .----------- identification- BPD is a defense mechanism by which people with BPD protect their fragile self-image. For example, when overwhelmed by anxiety or anger at being disregarded by another, they defend against the intensity of these feelings by unconsciously blaming others for what happens to them. - ANSWER-Projective .----------- Personality Disorder are critical of others because they project ----------- for their own shortcomings onto others. - ANSWER-paranoid/blame .------------ behavior is deliberate self-injury with intent to harm oneself - ANSWER-parasuicidal .------------ is mainly due to fear of abandonment or the increase of independence - ANSWER-Self-mutilation .------------ is the "pioneer" of music therapy. They also were one of the first to use pet therapy. - ANSWER-Florence Nightingale (during Crimean War) .------------ personality disorder Individual psychotherapy is the appropriate modality to use with this disorder. - ANSWER-Schizoid .------------- crisis is initiated by unexpected unusual events that can affect an individual or a multitude of people. In such situations, people face overwhelmingly hazardous events that may entail injury, trauma, destruction, or sacrifice. Such an event involves a physically aggressive and forced act by a person, a group, or an environment. National disasters (e.g., racial persecutions, kidnappings, riots, war); violent crimes (e.g., rape, murder, and assault and battery); and natural disasters (e.g., earthquakes, floods, forest fires, hurricanes) are examples of events that precipitate this type of crisis (Hazelwood & Burgess, 2001). 9/11 is an example of an -------------- crisis. - ANSWER-adventitious adventitious .------------- is a term first introduced by early behavior therapists in relation to the treatment of anxiety by immediate and prolonged exposure to feared stimuli - ANSWER-Flooding .------------- observations help the most in evaluating outcomes of child therapy. - ANSWER-Objective .--------------- 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 ----------- 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. - ANSWER-MCI Expectant Black MCI CATEGORY .2. Music Therapy - Music is fundamental to the body, mind, and spirit. It is far more than what meets the ear or makes us dance, smile, or cry. It speaks to our inner beings and souls. It transcends time and provides us with energy, while stirring up our feelings. Music is holistic and provides us with entertainment as well as sedative, hypnotic, analgesic, and tranquilizing effects. The evolution of music as a therapy has been based on the healing practices of many cultures. In recent times, however, music therapy was first used in the 1940s with clients in psychiatric hospitals. The American ------------ Association (AMTA) founded in 1998 for the purpose of developing music therapy for use in rehabilitation, special education, and community healthcare settings. For generations and in every culture, music has been referred to as "medicine for the soul." However, music therapy can be defined in different ways that - ANSWER-Music Therapy mental illness .A board game appropriate for latency-age children (6 to 12 years) is --------- Talking, Feeling, and Doing Game (1986). The player throws -------- to advance his or her playing piece along a pathway of different colored squares. Depending on the color landed upon, the player draws a talking, feeling, or ------- card, which gives instructions or asks a question. A reward chip is given when the player responds appropriately. For example, a feeling card might read, "All the girls in the class were invited to a birthday party except one. How did she feel?" If this game is played with more than one child, the PMH-APRN can elicit additional responses and engage the whole group in the therapeutic interchange. The PMH-APRN may -------------- to make sure that cards relating to the child's problems will be selected. - ANSWER-Gardner's dice talking/feeling/DOING stack the deck .A crisis is generally regarded as time limited, lasting no more than ----- to 6 weeks. There is no such thing as a --------- crisis. People who live in constant turmoil are not in crisis but in chaos. - ANSWER-4-6 no such thing as CHRONIC crisis .A helpful technique for managing feelings is known as the COMMUNICATION TRIAD. The triad provides a specific syntax and order for clients to identify and express their feelings and seek relief. The sentence" consists of three parts: An ------------ statement to identify the prevailing feeling A nonjudgmental statement of the --------------- What the client would like ------------- or what would restore comfort to the situation - ANSWER-"I" emotional trigger differently .A person with BPD has not achieved the normal and healthy developmental stage of separation-individuation, during which a child develops a sense of s--------, a permanent sense of s----------others (object constancy), and integration of seeing both bad and good components of self (Jorgensen, 2006). Those with BPD lack the ability to separate from the primary caregiver and develop a separate and distinct personality or self------------- Psychoanalytic theory suggests that these separation difficulties occur because the primary caregivers' behaviors have been in--------- or insensitive to the needs of the child - ANSWER-self significant others identity inconsistent .A personality disorder is defined as "an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's ------------, is pervasive and -----------, has an onset in adolescence or early adulthood, is stable with time, and leads to distress or impairment" - ANSWER-culture inflexible .ABCs of psychological first aid A (ar-----------), B (be-------), and C (co--------) - ANSWER-ABCs of psychological first aid A (arousal), B (behavior), and C (cognition) .Abstraction Children ages ----- or younger not expected to have abstractive thought abilities (young children have concrete thinking) - ANSWER-12 .Antipsychotic therapy is widely used to treat behavioral disturbances in older adults with dementia, however, the ------------against the use of atypical antipsychotic drugs in persons with dementia warrant the need for non-pharmacological interventions aimed at managing behavior. This Unit will examine various therapeutic modalities, such as v----------- therapy, r-------------- therapy, r------- orientation, s-------- enhancement, and alternative therapies (i.e., animal-assisted therapy and music therapy) for treating geriatric clients with cognitive disorders. - ANSWER-BLACK BOX warning states no antipsychotics with dementia patients -validation therapy -reminiscence therapy -reality orientation -socialization .antisocial, borderline, histrionic, and narcissistic personality disorders are Cluster --------- which aligns with which one?------------------- 1. (Anxious, Fearful) 2. (Odd or Eccentric) 3. (Dramatic, Emotional, Erratic) - ANSWER-B Dramatic, Emotional, Erratic .Attachment Theory - Attachment theory builds on the psychodynamic concepts of psychic ---------- and the impact of --------- processes. As in object-relations theory, -----------s are viewed as the organizing principle for the development of psychological well-being in the child. However, the concept of ---------- within the relationship is the main focus of attachment theory. Attachment theory was originally described by ---------- and later extended by Ainsworth and others (Hankin & Abela, 2005). - ANSWER-determinism unconscious relationships security Bowlby/Ainsworth .Attachment Theory: