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NSG 526 exam 2024 with verified answers
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NSG 526 exam 2024 with verified answers
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NSG 526 exam 2024 with verifiedanswers
Hildegard Peplau - ANSWER: ➡ Theory of Interpersonal Relations.
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Earliest modern nursing theory
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Enabled nursing to establish the groundwork for Advanced Practice Nursing.
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Therapeutic communication. o
Psychotherapy - ANSWER: ➡ Holistic treatment that relies on the nurse's processing of what
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the patient is experiencing
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During the psychotherapy process the Psych APN: - ANSWER: ➡ Addresses individual and
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family problems with the patient
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Assesses identified problems during the orientation phase of the therapeutic relationship
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Determines the underlying healthcare issues with the patient
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Collects psychiatric data
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Establishes a trusting relationship o o o
Interpersonal Therapy Goals - ANSWER: ➡ Focus on difficulties patients are experiencing in
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current relationships and the ways relationships can be handled
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Change pattern of communication
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To alter expectations within relationships
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To use social supports to help patients deal with stressors and improve their environment
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To relieve symptoms
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To build social skills
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Interpersonal Therapy Indications - ANSWER: ➡ Complicated bereavement/grief
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,Marital and interpersonal conflicts such as role disputes
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Life events such as role transitions
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Isolation, lack of support, interpersonal deficits
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Early Phase of Interpersonal Therapy - ANSWER: ➡ Therapist identifies depressive
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symptoms, evaluates patient, generates a diagnosis, takes an interpersonal inventory
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-nature of interactions with others o o o o
-identification of reciprocal relationships and determination if needs were satisfied o o o o o o o o o o
-Discussion of satisfying and dissatisfying aspects of the relationship o o o o o o o o
-recent changes in key relationships
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-changes patient desires in relationships o o o o
Middle Phase of Interpersonal Therapy - ANSWER: ➡ Patient and therapist derive more
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specific strategies to deal with stressors
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Termination Phase Interpersonal Therapy - ANSWER: ➡ Consolidate gains o o o o o oo o o
Foster independence in the person
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Review risk of relapse and reappearance of depressive symptoms
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To contract again for continuation of treatment as needed
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Group Therapy - ANSWER: ➡ The primary purpose of group therapy is to facilitate changes by
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the patient in order to address identified problems
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The group should be able to share the group experience and the leader should assure
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dominant members are brought to the attention of the group so they are able to address issues
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within the process.
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A person explaining to the group ways that person is able to cope with things is called an
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"information giver".
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A technique where special favors or awards are given to assure patient participation and
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involvement in group therapy is called Reinforcement
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, CBT - ANSWER: ➡ Works by having an active and questioning therapist. It involves homework
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assignments, dream description, looking at ideas and beliefs the patient has about themselves
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with a goal to increase subjectivity about thoughts governing their behavior. Some
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interventions to consider when using CBT include encouraging the patient to analyze early
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parental relationships, the underlying meaning of behavior, identification of negative
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thoughts, and the effect of thoughts on feelings and behaviors
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Mnemonic to identify medical mimics - ANSWER: ➡ THINC MED
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Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins o o o o
Drugs
Tumors that mimic psych symptoms - ANSWER: ➡ Frontal lob tumors - abrupt change in
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personality, flat affect, and/or euphoria
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Occupation lobe tumors - visual hallucinations o o o o o
Parietal lobe tumors - sensory disturbances, agnosia, lack of awareness appearing as denial
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Temporal lobe tumors - mood & memory disturbances; hallucinations (all types), paranoid
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delusions
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Pancreas tumors - severe depression, weight loss
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Adrenal gland tumor (pheochromocytoma) - anxiety, panic attacks, sweating, rapid pulse,
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tremors
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Hypothyroidism - ANSWER: ➡ fatigue, loss of energy, trouble thinking and depression, o o oo o o o o o o o o
increased weight
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