NSG 526 / NSG526 Exam with |! |! |! |! |! |!
accurate solutions |!
Hildegard Peplau - Correct answer ✔Theory of Interpersonal
|! |! |! |! |! |! |! |!
Relations. |!
Earliest modern nursing theory
|! |! |!
Enabled nursing to establish the groundwork for Advanced
|! |! |! |! |! |! |! |!
Practice Nursing. |!
Therapeutic communication. |!
Psychotherapy - Correct answer ✔Holistic treatment that relies |! |! |! |! |! |! |! |!
on the nurse's processing of what the patient is experiencing
|! |! |! |! |! |! |! |! |!
During the psychotherapy process the Psych APN: - Correct
|! |! |! |! |! |! |! |! |!
answer ✔Addresses individual and family problems with the
|! |! |! |! |! |! |! |!
patient
Assesses identified problems during the orientation phase of the
|! |! |! |! |! |! |! |! |!
therapeutic relationship |!
Determines the underlying healthcare issues with the patient
|! |! |! |! |! |! |!
Collects psychiatric data
|! |!
Establishes a trusting relationship |! |! |!
Interpersonal Therapy Goals - Correct answer ✔Focus on |! |! |! |! |! |! |! |!
difficulties patients are experiencing in current relationships and
|! |! |! |! |! |! |! |!
the ways relationships can be handled
|! |! |! |! |!
,Change pattern of communication |! |! |!
To alter expectations within relationships
|! |! |! |!
To use social supports to help patients deal with stressors and
|! |! |! |! |! |! |! |! |! |! |!
improve their environment |! |! |!
To relieve symptoms
|! |! |!
To build social skills
|! |! |!
Interpersonal Therapy Indications - Correct answer ✔Complicated |! |! |! |! |! |!
bereavement/grief
|!
Marital and interpersonal conflicts such as role disputes
|! |! |! |! |! |! |!
Life events such as role transitions
|! |! |! |! |!
Isolation, lack of support, interpersonal deficits
|! |! |! |! |!
Early Phase of Interpersonal Therapy - Correct answer
|! |! |! |! |! |! |! |!
✔Therapist identifies depressive symptoms, evaluates patient,
|! |! |! |! |! |!
generates a diagnosis, takes an interpersonal inventory|! |! |! |! |! |!
-nature of interactions with others
|! |! |! |!
-identification of reciprocal relationships and determination if |! |! |! |! |! |! |!
needs were satisfied|! |! |!
-Discussion of satisfying and dissatisfying aspects of the |! |! |! |! |! |! |! |!
relationship
-recent changes in key relationships
|! |! |! |!
-changes patient desires in relationships |! |! |! |!
Middle Phase of Interpersonal Therapy - Correct answer ✔Patient
|! |! |! |! |! |! |! |! |!
and therapist derive more specific strategies to deal with
|! |! |! |! |! |! |! |! |!
stressors
,Termination Phase Interpersonal Therapy - Correct answer |! |! |! |! |! |! |!
✔Consolidate gains |!
Foster independence in the person |! |! |! |!
Review risk of relapse and reappearance of depressive
|! |! |! |! |! |! |! |!
symptoms
To contract again for continuation of treatment as needed
|! |! |! |! |! |! |! |!
Group Therapy - Correct answer ✔The primary purpose of group
|! |! |! |! |! |! |! |! |! |!
therapy is to facilitate changes by the patient in order to
|! |! |! |! |! |! |! |! |! |! |!
address identified problems |! |!
The group should be able to share the group experience and the
|! |! |! |! |! |! |! |! |! |! |!
leader should assure dominant members are brought to the
|! |! |! |! |! |! |! |! |! |!
attention of the group so they are able to address issues within
|! |! |! |! |! |! |! |! |! |! |! |!
the process. |! |!
A person explaining to the group ways that person is able to
|! |! |! |! |! |! |! |! |! |! |! |!
cope with things is called an "information giver".
|! |! |! |! |! |! |!
A technique where special favors or awards are given to assure
|! |! |! |! |! |! |! |! |! |! |!
patient participation and involvement in group therapy is called
|! |! |! |! |! |! |! |! |!
Reinforcement
CBT - Correct answer ✔Works by having an active and
|! |! |! |! |! |! |! |! |! |!
questioning therapist. It involves homework assignments, dream |! |! |! |! |! |! |!
description, looking at ideas and beliefs the patient has about |! |! |! |! |! |! |! |! |! |!
themselves with a goal to increase subjectivity about thoughts |! |! |! |! |! |! |! |! |!
governing their behavior. Some interventions to consider when|! |! |! |! |! |! |! |!
using CBT include encouraging the patient to analyze early
|! |! |! |! |! |! |! |! |!
parental relationships, the underlying meaning of behavior,
|! |! |! |! |! |! |!
identification of negative thoughts, and the effect of thoughts on |! |! |! |! |! |! |! |! |!
feelings and behaviors
|! |! |!
, Mnemonic to identify medical mimics - Correct answer ✔THINC
|! |! |! |! |! |! |! |! |!
MED
Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins
|! |! |! |!
Drugs
Tumors that mimic psych symptoms - Correct answer ✔Frontal
|! |! |! |! |! |! |! |! |!
lob tumors - abrupt change in personality, flat affect, and/or
|! |! |! |! |! |! |! |! |! |!
euphoria
Occupation lobe tumors - visual hallucinations
|! |! |! |! |!
Parietal lobe tumors - sensory disturbances, agnosia, lack of
|! |! |! |! |! |! |! |! |!
awareness appearing as denial
|! |! |!
Temporal lobe tumors - mood & memory disturbances;
|! |! |! |! |! |! |! |!
hallucinations (all types), paranoid delusions |! |! |! |!
Pancreas tumors - severe depression, weight loss
|! |! |! |! |! |!
Adrenal gland tumor (pheochromocytoma) - anxiety, panic
|! |! |! |! |! |! |!
attacks, sweating, rapid pulse, tremors
|! |! |! |!
Hypothyroidism - Correct answer ✔fatigue, loss of energy, |! |! |! |! |! |! |! |!
trouble thinking and depression, increased weight
|! |! |! |! |!
accurate solutions |!
Hildegard Peplau - Correct answer ✔Theory of Interpersonal
|! |! |! |! |! |! |! |!
Relations. |!
Earliest modern nursing theory
|! |! |!
Enabled nursing to establish the groundwork for Advanced
|! |! |! |! |! |! |! |!
Practice Nursing. |!
Therapeutic communication. |!
Psychotherapy - Correct answer ✔Holistic treatment that relies |! |! |! |! |! |! |! |!
on the nurse's processing of what the patient is experiencing
|! |! |! |! |! |! |! |! |!
During the psychotherapy process the Psych APN: - Correct
|! |! |! |! |! |! |! |! |!
answer ✔Addresses individual and family problems with the
|! |! |! |! |! |! |! |!
patient
Assesses identified problems during the orientation phase of the
|! |! |! |! |! |! |! |! |!
therapeutic relationship |!
Determines the underlying healthcare issues with the patient
|! |! |! |! |! |! |!
Collects psychiatric data
|! |!
Establishes a trusting relationship |! |! |!
Interpersonal Therapy Goals - Correct answer ✔Focus on |! |! |! |! |! |! |! |!
difficulties patients are experiencing in current relationships and
|! |! |! |! |! |! |! |!
the ways relationships can be handled
|! |! |! |! |!
,Change pattern of communication |! |! |!
To alter expectations within relationships
|! |! |! |!
To use social supports to help patients deal with stressors and
|! |! |! |! |! |! |! |! |! |! |!
improve their environment |! |! |!
To relieve symptoms
|! |! |!
To build social skills
|! |! |!
Interpersonal Therapy Indications - Correct answer ✔Complicated |! |! |! |! |! |!
bereavement/grief
|!
Marital and interpersonal conflicts such as role disputes
|! |! |! |! |! |! |!
Life events such as role transitions
|! |! |! |! |!
Isolation, lack of support, interpersonal deficits
|! |! |! |! |!
Early Phase of Interpersonal Therapy - Correct answer
|! |! |! |! |! |! |! |!
✔Therapist identifies depressive symptoms, evaluates patient,
|! |! |! |! |! |!
generates a diagnosis, takes an interpersonal inventory|! |! |! |! |! |!
-nature of interactions with others
|! |! |! |!
-identification of reciprocal relationships and determination if |! |! |! |! |! |! |!
needs were satisfied|! |! |!
-Discussion of satisfying and dissatisfying aspects of the |! |! |! |! |! |! |! |!
relationship
-recent changes in key relationships
|! |! |! |!
-changes patient desires in relationships |! |! |! |!
Middle Phase of Interpersonal Therapy - Correct answer ✔Patient
|! |! |! |! |! |! |! |! |!
and therapist derive more specific strategies to deal with
|! |! |! |! |! |! |! |! |!
stressors
,Termination Phase Interpersonal Therapy - Correct answer |! |! |! |! |! |! |!
✔Consolidate gains |!
Foster independence in the person |! |! |! |!
Review risk of relapse and reappearance of depressive
|! |! |! |! |! |! |! |!
symptoms
To contract again for continuation of treatment as needed
|! |! |! |! |! |! |! |!
Group Therapy - Correct answer ✔The primary purpose of group
|! |! |! |! |! |! |! |! |! |!
therapy is to facilitate changes by the patient in order to
|! |! |! |! |! |! |! |! |! |! |!
address identified problems |! |!
The group should be able to share the group experience and the
|! |! |! |! |! |! |! |! |! |! |!
leader should assure dominant members are brought to the
|! |! |! |! |! |! |! |! |! |!
attention of the group so they are able to address issues within
|! |! |! |! |! |! |! |! |! |! |! |!
the process. |! |!
A person explaining to the group ways that person is able to
|! |! |! |! |! |! |! |! |! |! |! |!
cope with things is called an "information giver".
|! |! |! |! |! |! |!
A technique where special favors or awards are given to assure
|! |! |! |! |! |! |! |! |! |! |!
patient participation and involvement in group therapy is called
|! |! |! |! |! |! |! |! |!
Reinforcement
CBT - Correct answer ✔Works by having an active and
|! |! |! |! |! |! |! |! |! |!
questioning therapist. It involves homework assignments, dream |! |! |! |! |! |! |!
description, looking at ideas and beliefs the patient has about |! |! |! |! |! |! |! |! |! |!
themselves with a goal to increase subjectivity about thoughts |! |! |! |! |! |! |! |! |!
governing their behavior. Some interventions to consider when|! |! |! |! |! |! |! |!
using CBT include encouraging the patient to analyze early
|! |! |! |! |! |! |! |! |!
parental relationships, the underlying meaning of behavior,
|! |! |! |! |! |! |!
identification of negative thoughts, and the effect of thoughts on |! |! |! |! |! |! |! |! |!
feelings and behaviors
|! |! |!
, Mnemonic to identify medical mimics - Correct answer ✔THINC
|! |! |! |! |! |! |! |! |!
MED
Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins
|! |! |! |!
Drugs
Tumors that mimic psych symptoms - Correct answer ✔Frontal
|! |! |! |! |! |! |! |! |!
lob tumors - abrupt change in personality, flat affect, and/or
|! |! |! |! |! |! |! |! |! |!
euphoria
Occupation lobe tumors - visual hallucinations
|! |! |! |! |!
Parietal lobe tumors - sensory disturbances, agnosia, lack of
|! |! |! |! |! |! |! |! |!
awareness appearing as denial
|! |! |!
Temporal lobe tumors - mood & memory disturbances;
|! |! |! |! |! |! |! |!
hallucinations (all types), paranoid delusions |! |! |! |!
Pancreas tumors - severe depression, weight loss
|! |! |! |! |! |!
Adrenal gland tumor (pheochromocytoma) - anxiety, panic
|! |! |! |! |! |! |!
attacks, sweating, rapid pulse, tremors
|! |! |! |!
Hypothyroidism - Correct answer ✔fatigue, loss of energy, |! |! |! |! |! |! |! |!
trouble thinking and depression, increased weight
|! |! |! |! |!
