NSG 526 EXAM 3 WITH QUESTIONS AND ANSWERS Norms - answerare considered the "right" patterns of behavior for a society Event interpretation - answershould be included for problem-solving therapy for a child with conduct disorder. Family therapy - answercan promote the greatest change in an adolescent's behavior. The Developmental Theoretical approach - answerdescribes a family's progression through the lifecycle. Establishing a therapeutic alliance - answeris important because acceptance and trust convey a feeling of security in an adolescent. Most children will adopt the same world view - answeras 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. Bibliotherapy - answeruses books and a librarian as resources. When conducting a counseling session for a group of at risk adolescents on drug use - answerit is important to have their peers involved in teaching some problem-solving skill s. Play therapy is important - answerbecause it allows the child to play out their fears and frustrations. Therapeutic drawing is a helpful technique - answeris a child feels self-blame regarding their parent's divorce. Objective observations - answerhelp the most in evaluating outcomes of child therapy. Schizoid personality disorder - answerIndividual psychotherapy is the appropriate modality to use with this disorder. 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 - answerto assist the client to identify an appropriate coping strategy. 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, - answerit is mostly the patient's best effort to cope. Self-mutilation is mainly due to - answerfear of abandonment or the increase of independence BPD is often characterized by - answeran inability to tolerate perceived rejection. Patients will respond better to limit setting if - answerthe PMHNP can reflect back to the clien t an understanding and validation of their emotional distress. Clients with BPD have not successfully achieved - answerthe developmental stage of separation-individuation. Paranoid Personality Disorder - answerdo not trust others easily, and it's best to use a respectful neutral approach. Paranoid Personality Disorder are - answercritical of others because they project blame for their own shortcomings onto others. Self-mutilation occurs because - answera 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. DBT helps to - answerreplace irrational thoughts. Respecting a client's boundaries - answerimportant in establishing a therapeutic relationship with a patient with BPD providing a safe environment - answeris the priority for any client who is a victim of a serious crime/assault MCI Expectant category - answerInjuries 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 Black MCI CATEGORY - answerUnresponsive 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. Mindfulness - answerThe 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 - answerfoster a child's healthy characteristics and existing environment al supports no matter how negative (ex a child lives in a homeless shelter). children from different cultures - answerdevelop at different rates
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