Download Wilkes NSG 526 Exam 1, 2, 3 2025 UPDATE/PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS and more Exams Nursing in PDF only on Docsity!
Wilkes NSG 526 Exam 1, 2, 3 2025 UPDATE/PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS (complete solutions) ASSURED SUCCESS/GRADED A+!!! Exam 1 Role of leader in group therapy? <<< correct answer>>>‘ Assure dominant members are brought to the attention of the group, so they are able to address issues within the process Role of information giver in group therapy? <<< correct answer>>>‘ A person explaining to the group ways that person is able to cope with things Role of Reinforcement in group therapy? <<< correct answer>>>‘ A technique where special favors or awards are given to assure patient participation and involvement in group therapy
Goal of Cognitive Behavioral Therapy (CBT)? <<< correct answer>>>‘ Increase subjectivity about thoughts governing their behavior. This is done by:
- homework assignments
- dream description
- looking at ideas and beliefs the patient has about themselves CBT Interventions? <<< correct answer>>> Encouraging patient to analyze early parental relationships
- Underlying meaning of behavior
- Identification of negative thoughts
- Effect of thoughts on feelings and behaviors Interpersonal Therapy (IPT) is useful for? <<< correct answer>>> Anxiety
- Bipolar Disorder
- Eating Disorders
- Borderline Personality Disorder
Characteristic of Early Adolescence? <<< correct answer>>>‘ Identity Characteristic of Late Adolescence? <<< correct answer>>>‘ Forming lasting and intimate relationships What are the 3 types of self? <<< correct answer>>> Good me vs Bad me: based on social appraisal and the anxiety that results from negative feedback
- Not me: unknown, repressed component of self How does Sullivan's theory define security operation? <<< correct answer>>>‘ Measures that the individual employs to reduce anxiety and enhance security How does Sullivan's theory define self system? <<< correct answer>>>‘ All of the security operations that an individual uses to defend against anxiety and ensure self-esteem
What is Milieu Therapy? <<< correct answer>>> Significant time spent in a home-like environment
- Interact with similar individuals
- Conduct different activities throughout the day
- May attend group or individual therapy sessions
- Establish treatment goals for themselves and community
- Learn new ways to respond from peers and counselors Goal of Milieu Therapy? <<< correct answer>>>‘ Return to larger society when goals have been met What is Behavioral Therapy? <<< correct answer>>> Broad term referring to psychotherapy, behavior analytics, or a combination of the two
- Focus on behaviors or in combination with thoughts and feelings that might be causing them What is Psychoanalysis? <<< correct answer>>> Treatment method in which the client expresses all thoughts freely and without censoring self
What is considered a mental disorder per the DSM5? <<< correct answer>>> Associated with significant distress or disability in social, occupation, or other important activities
- Significant disturbance in cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological or developmental processes underlying mental functioning Purpose of Scope of Practice? <<< correct answer>>> Define NP roles
- Identify competencies assumed to be held by all NPs who function in a particular role
- Varies broadly from state to state Purpose of Standard of Practice? <<< correct answer>>> Authoritative statements regarding the quality and type of practice that should be provided
- Provide a way to judge the nature of care provided
- Reflect the expectation for the care that should be provided to clients with various illnesses
- Reflect professional agreement focused on the minimum levels of acceptable performance
- Can be used to legally describe the standard of care that must be met by a provider
- May be precise protocols that must be followed or more general guidelines that recommend actions Purpose of Psychiatric Interview? <<< correct answer>>>‘ Understand the patient's illness to evaluate the effect on their lives and create a beginning diagnosis and treatment plan What is a Therapeutic Alliance? <<< correct answer>>> Create a relationship with client by being calming, warm, understanding, kind, respectful, concerned and focused
- Able to help patient better if a therapeutic alliance was formed Important components of a therapeutic alliance? <<< correct answer>>> Therapist and patient work collaboratively to create therapeutic change through an affectionate bond
- Agreement on goals of therapy
- The therapist's ability to be empathetic and involved in therapy
- The ability of the patient to do the work of therapy
the nurse helps clients make positive changes in their health care status and well-being
- Believed that illness offered a unique opportunity for experiential learning, personal growth, and improved coping strategies and that PMH-APRNs play a unique role in facilitating this growth Therapeutic Communication Techniques? <<< correct answer>>> Silence
- Accepting
- Giving recognition
- Giving information
- Offering self
- Giving broad openings
- Offering general leads
- Placing the event in time or sequence
- Making observation
- Encouraging description of perceptions
- Encouraging comparison
- Reflection
- Exploring
- Seeking clarification
- Presenting reality
- Voicing doubt
- Verbalizing the implied
- Attempting to translate into feelings
- Encouraging formulation of a plan of action
- Summarizing Non-Therapeutic Techniques? <<< correct answer>>> Reassuring
- Approving
- Disapproving
- Rejecting
- Advising
- Probing
- Challenging
- Defending
- Requesting an explanation
How does the patient recover through adaption? <<< correct answer>>>‘ By applying core principles of psychotherapy, as well as, nursing theory What does the PMHNP need to avoid? <<< correct answer>>>‘ Avoid taking patients with similar problems or put aside personal pathology Goals for Interpersonal Therapy? <<< correct answer>>> Focus on difficulties patient is experiencing in current relationships and the ways the relationships can be handled
- Change pattern of communication
- Alter expectations within relationships
- Use social supports to help patients deal with stressors and improve their environment
- Relieve symptoms
- Build social skills Indications for Interpersonal Therapy? <<< 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, obtain information on how the patient handles relationships Middle Phase of Interpersonal Therapy? <<< correct answer>>>‘ Patient and therapist derive more specific strategies to deal with stressors Termination Phase of 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 Purpose of Group Therapy? <<< correct answer>>>‘ Facilitate changes by the patient in order to address identified problems
What is Thought Process? <<< correct answer>>>‘ The way in which a client thinks What is Loose Association? <<< correct answer>>> Shifting of idea
- Illogical
- Difficulty to follow What is Tangential Thinking? <<< correct answer>>>‘ Wanders to a related topic but never makes it back to the original topic What is Word Salad? <<< correct answer>>>‘ Completely nonsensical combination of words What is Neologisms? <<< correct answer>>>‘ Made up words What is Circumstantial Thought? <<< correct answer>>>‘ Gets lost in details but eventually makes it make to the original topic
What is Thought Blocking? <<< correct answer>>>‘ Thinking process stops and mind goes "blank" What is Flight of Ideas? <<< correct answer>>> Often seen in mania
- Pressured speech
- Rapid topic changes
- Topics may relate but in strange ways What is Confabulation? <<< correct answer>>> Often indicates dementia
- Fabrication of information to fill in missing gaps What is Concrete Thought Process? <<< correct answer>>> Only understands things literally
- Common in schizophrenic patients What is Abstract Thought Processes? <<< correct answer>>> Able to think abstractly
- Olfactory (smell)
- Tactile What are Hypnagogic and Hypnopompic Hallucinations? <<< correct answer>>>‘ False sensory perceptions that occur while falling asleep and while awakening from sleep Ways to test Cognition and Abstraction? <<< correct answer>>> Sensorium can be obtained while observing patient during the evaluation
- Memory can be tested by having the patient remember and repeat 3 objects
- Concentration can be tested by counting backwards from 100 by 7s DSM-5 Axis 1? <<< correct answer>>>‘ Clinical disorders
- does not include personality disorders or mental retardation DSM-5 Axis 2? <<< correct answer>>>‘ Personality Disorders and Mental Retardation
DSM-5 Axis 3? <<< correct answer>>>‘ General Medical Conditions (medical issues that causes the mental disorder) DSM-5 Axis 4 <<< correct answer>>>‘ Psychosocial and environmental problems DSM-5 Axis 5 <<< correct answer>>>‘ Global Assessment of Functioning (GAF) What is GAF? <<< correct answer>>> Scoring system that is used to assess how well an individual is functioning in their daily lives
- Scores range from 0 to 100 GAF Scoring System? <<< correct answer>>>‘ 100 - no symptoms 90 - minimal symptoms with good functioning 80 - transient symptoms that are expected reactions to psychosocial stressors 70 - mild symptoms or mild difficulty in social, occupation, school
