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CAPA Certification Exam

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Assessment after thyroidectomy - answer-- potential nerve damage - ask patient to say the letter "e" - may not be able to due to retraction and stretching of the laryngeal nerve Assessment and documentation of chest tube - answer-- vital signs - presence of air leaks and fluctuations - suction level used - dressing/ drainage - presence of crepitus - patient positioning Autonomic hyperreflexia (dysreflexia) - answer-- Massive, uncompensated cardiovascular response to stimulation of the sympathetic nervous system Stimulation of the sensory receptors below the level of the cord lesion - Associated with injuries above level T6 Average time it takes for MH to present - answer-3 hours Best indicator of acute kidney failure - answer-Acute increase in creatinine Cause of hypothermia - answer-- vasodilating anesthetic agents - neuromuscular blocking agents - cool IV fluids OPIOIDS DO NOT DECREASE TEMP Causes of ketoacidosis - answer-- infection - poor diabetic control - surgical stress - missed insulin dose - n/v - trauma Chicken pox precaution type - answer-airborn Chinese culture believes that... - answer-disease is caused by Chlorothiazides - answer-- DEPLETES POTASSIUM - leads to hypokalemia - increase in blocking action of nerve blocks due to depolarization of the muscla Clonic seizure - answer-repetitive jerking movements Complication of rapid warming - answer-Hypotension (rapid vasodilation can cause a drop in blood pressure) Contraindication to versed - answer-- previous MI patients - decrease in BP - increase in HR Craniotomy Treatment (triple h's) - answer-- hemodilution - hypertension - hypervolemia (this forces constricted blood vessels to dilate and perfuse tissue) Dantrolene dose - answer-2.5mg/ kg Diabetes insipidus causes - answer-- head trauma - tumors - surgery (like pituitary surgery) Diabetic Insipidus - answer-- dilute, sugar free, unconcentrated urine - dehydration - complaints of thirst Diabetic patients and ace inhibitors - answer-hypoglycemia Distal tubule function - answer-- acid-base balance - homeostatic balance - Ejaculatory duct - answer-duct formed by the union of the vas deferens with the duct of the seminal vesicle; its fluid is carried into the urethra Emergence excitement safety interventions - answer-ok to use wrist restraints Erratic post-operative behavior (what to assess for) - answer-- distended bladder (think long cases) - hypoxia - pain Expectations after kidney transplant - answer-POLYURIA - due to administrations of mannitol and diuretics Extubation criteria - answer-- equal hand grasps - ability to life head off the pillow for > 5 secs - > 10 bpm - ability to respond to commands - open eyes, cough, swallow FACES pain scale age - answer-- children up to 7 years of age Family refers to - answer-whoever the patient says it is First action to treat MH - answer-d/c ALL TRIGGERING AGENTS......then high flow O2 Gastrectomy Interventions - answer-- encourage deep breaths - and p

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ASWB LCSW EXAM PREP
Theories - answer-Are general explanations supported by evidence obtained through the scientific
method.

Psychoanalytic Theory - answer-Sigmund Freud
Client is a product of his past
Treatment involves dealing with repressed material in the unconscious
Personalities arise because of attempts to resolve conflicts between the unconscious sexual and
aggressive impulses and social demands to restrain these impulses

3 Levels of Awareness - answer-Preconscious, Conscious, Unconscious

Preconscious (3 Levels of Awareness) - answer-Info outside of the client's attention but available and
easy to bring to consciousness.

Conscious (3 Levels of Awareness) - answer-Info the client is paying attention to at any given time.

Unconscious (3 Levels of Awareness) - answer-Thoughts, feelings, desires and memories of which a
client has no awareness but that influences every aspect of their day-to-day lives.

3 Components of Personalities - answer-Id, Ego, Superego

Id (3 Components of Personalities) - answer-Instinctual energy, biological urges, impulses toward
survival, sex and aggression.
Unconscious.
Pleasure principle - the drive to achieve pleasure and avoid pain.

Ego (3 Components of Personalities) - answer-Manages conflict between Id and the real world.
Has unconscious, preconscious or conscious parts.
Reality principle - the awareness that gratification of impulses has to be delayed in order to
accommodate the demands of the real world.
Role is to prevent the Id from gratifying its impulses in socially inappropriate ways.
Ego-Syntonic/Ego-Dystonic:
Syntonic - behaviors "insync" with ego (no guilt)
Dystonic - behaviors "dis n sync" with ego (guilty)
Determine best course of action based on info from id, reality, and the superego.
Inability to reconcile the demands of the Id, reality and superego produces conflict that leads to a state
of psychic distress known as anxiety.
Ego strength - ability to deal with demands of id, reality and superego.

Superego (3 Components of Personalities) - answer-The moral component of personality, learned from
parents and society, causes clients to feel guilty.

Psychosexual Stages of Development - answer-Freud believed there to be five stages of psychosexual
development: Oral, Anal, Phallic, Latent and Genital. At each of these stages, pleasure is focused on a
particular part of the body. Too much or too little pleasure in any one of these stages caused a fixation

, which would lead to personality or psychological disorders. For example, too much pleasure in the
phallic stage could lead to obsessive masturbation and sexual dysfunction as an adult.

Oral (Stage of Development) - answer-Birth-12 months
Pleasure centers on mouth; sucking, biting, chewing.
If not satisfied result is excessive smoking, overeating, or dependence on others.

Anal (Stage of Development) - answer-Age 2 (during toilet training)
Pleasure centers on Bowel movements.
If not satisfied result is an overly controlling (anal-retentive) personality or an easily angered (anal-
expulsive) personality.

Phallic (Stage of Development) - answer-Age 3 to 5
Pleasure centers on Genitals.
If not satisfied result is Guilt or anxiety about sex.

Latency (Stage of Development) - answer-Age 5 to Puberty
Pleasure centers on Sexuality is latent, or dormant, during this period.
No fixations at this stage.

Genital (Stage of Development) - answer-Begins at puberty
Pleasure centers on The genitals; sexual urges return.
No fixations at this stage.

Fixation - answer-Is an inability to progress normally from one stage into another.

Oedipus complex - answer-A male child's sexual desire for his mother and hostility toward his father.

Castration anxiety - answer-Fear of penis being cut off, child accepts father and authority results in
superego.

Primary techniques used in psychoanalytic psychotherapy - answer-analysis of dreams, resistances,
transferences, and free associations

Individual Psychology - answer-Alfred Adler's view that people are motivated by purposes and goals and
that perfection, not pleasure, is thus the key motivator in human life.

Compensation - answer-Attempt to shed normal feelings of inferiority.

Inferiority - answer-Overcompensate, try to cover up their sense of inferiority by focusing on outward
signs of superiority such as status, wealth and power.

Aim of Individual Psychology (Alfred Adler) - answer-To develop a more adaptive lifestyle by overcoming
feelings of inferiority and self centeredness and to contribute more toward the welfare of others.

Self Psychology - answer-Based on central organizing and motivating force in personality, three self
object needs: mirroring, idealization, twinship/Twinning
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