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Exam (elaborations)

ILTS 235 Practice Test

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  • ILTS 235

ILTS 235 Practice Test ILTS 235 Practice Test ILTS 235 Practice Test

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  • October 17, 2024
  • 90
  • 2024/2025
  • Exam (elaborations)
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  • ILTS 235
  • ILTS 235
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lectjoseph
NR606 Midterm Exam
Steps for Obtaining Informed Consent - ANS -Assess pt ability to understand medical info, tx options, to
make a voluntary decision.

-Present relevant info with accuracy and sensitivity:

• diagnosis

• nature & purpose of tx options

• benefits, risks, burdens of all tx options, including forgoing tx

-Document informed consent conversation in the medical record, including all consent forms.



Underlying assumptions for child and adolescent psychotherapy - ANS Developmental considerations

Family involvement

Systems involvement

Resiliency



Underlying assumptions for child and adolescent psychotherapy: Developmental considerations - ANS -
developmental level will impact how they:

• reason

• approach relationships

• regulate emotion and behavior

• communicate



-Developmental considerations

• inform the diagnostic process

• guide tx planning

,Underlying assumptions for child and adolescent psychotherapy: Family involvement - ANS -Family
involvement in tx & decision-making

• a norm in child and adolescent psychotherapy

-invite parents to share the hx of the child or adolescent's chief complaint & prior tx, medical &
developmental hx, & behavioral info privately with the therapist ahead of the session

• avoid feelings of criticism or discouragement

-collaborate with parent or caregiver as a tx partner



Underlying assumptions for child and adolescent psychotherapy: Systems involvement - ANS -
Therapists must consider the systems that surround children & adolescents & promote their
development

• family

• school

• peers

• the community

-Therapy can help promote the child/adolescent's socioemotional competence

-help develop a community support system



Underlying assumptions for child and adolescent psychotherapy: Resiliency - ANS -therapist work to
promote resiliency in children & adolescents

• using strength-based orientation

-supports:

• functioning

• self-regulation

• deal with challenges they faces



Piaget's Stages of Cognitive Development - ANS -Sensorimotor stage: Birth-2 yrs

,• cognitive abilities based on reflexes

• object permanence & causality



-Preoperational stage: 2-7yrs

• can use mental representations, symbolic thought, & language

• thinking is egocentric



-Concrete operational stage: 7-11yrs

• logical operations when thinking/solving problems

• thinking is concrete



-Formal operational stage: 12yrs+

• Adolescent can use abstract reasoning in addition to logical operations

• Child can understand theories, hypothesize, comprehend abstract ideas (love & justice)



Screening, Brief Intervention, Referral to Treatment (SBIRT) - ANS -Screening

• Quickly assesses severity of substance use & ID the appropriate level of tx



-Brief intervention

• Focuses on increasing insight & awareness regarding substance use & motivation toward behavioral
change



-Referral

• Guidance to tx provides those identified as needing more extensive tx with access to specialty care

, Medication-Assisted Treatment (MAT) - ANS Treatment for opioid use disorder combining the use of
medications (methadone, buprenorphine, or naltrexone) with counseling and behavioral therapies.



Mental health and youth - ANS -13% of children ages 8-15 experience a mental health condition

-50% of children ages 8-15 experiencing a mental health condition do not receive tx

-13-20% of children living in the U.S. (1 out of 5 children) experience a mental health condition in a given
year

-17% of high school students seriously consider suicide

-1/2 of all lifetime cases of mental illness begin by age 14



Barriers to Mental Health Treatment in Children and Adolescents - ANS -lack of sufficient information or
access to services

-stigmas or negative perceptions towards mental health services

-many drop out before receiving effective treatment, often due to:

• poverty

• language barriers

• living in communities with scarce resources

• stressors such as

➣problems in the family

➣violence in the community

➣unstable housing

➣unemployment

➣food insecurity

-Cost

-scheduling conflicts

-long waitlists for services

-high staff turnover

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