NURS 661 Exam 1 questions and correct answers
.2.Conscious incompetency: - ANSWER-Advanced beginner recognizes aspects of situations and makes
.3.Conscious competency: - ANSWER-Competency/Proficiency 2 to 5 years' experience, coordinates complex care and sees situations as wholes, and long-te...
.2.Conscious incompetency: - ANSWER-Advanced beginner recognizes aspects of situations and makes
.3.Conscious competency: - ANSWER-Competency/Proficiency 2 to 5 years' experience, coordinates
complex care and sees situations as wholes, and long-term solutions
.4U.nconscious competency - ANSWER-Expert flexible, efficient, and uses intuition.
.8 phase protocol of EMDR: 270 - ANSWER-One: Patient History and Treatment Planning—assessment of
stability and current life constraints; evaluation of clinical symptoms (affect tolerance and dissociation);
screening for use of EMDR; identification of targets including small traumas and big traumas; developing
a treatment plan
Two: Preparation—establish therapeutic alliance; educate the person about adaptive information
processing (AIP) and EMDR; evaluate secondary gains; practice relaxation and safe place; resource
development if needed
Three: Assessment—identify components of the target (see Figure 6.1); patient identifies: an image that
represents the experience or worst part of it; a negative cognition (NC) associated with the incident or
image and a positive cognition (PC) that represents what the person would like to feel about himself or
herself now; the patient then rates the PC on a 1 to 7 validity of cognition (VOC) scale that represents
how true the PC feels now; then the emotions associated with the event are identified with a SUD on a 0
to 10 rated scale; finally, the person is asked where they feel this in their body
Four: Desensitization—begin sets of bilateral stimulation with eye movements, sound, and/or tapping
and continue until the SUD is 0 or 1
Five: Installation—install PC with bilateral stimulation
Six: Body Scan—note tension and sensations in body for any residual
Seven: Closure—instruct about keeping a log and educate about disturbances that may occur possession
o Eight: Re-evaluation—reassess and review targets that were processed at the beginning of the next
session EMDR works best if the person is in the therapeutic window of arousal so that the skillful APPN
needs to assess whether the person is avoiding the material, is dissociating, and has too little activation;
or is hyperaroused with too much activation. Some patients may ne
, .Acetylcholine - ANSWER-this neurotransmitter occurs in cholinergic tracts extending from the limbic
structures to the cortex, and a decrease in concentration is associated with memory and cognitive
impairments. An increase is associated with Alzheimer's disease.
.Acting Out: - ANSWER-avoiding conscious experience of the emotion through impulsive action (e.g.,
instead of feeling sad, a person gets drunk). Impulsive to undesired feeling. Dysfunctional.
.Anal: 18 months-3 years: - ANSWER-independency and control: if not met: OCD
.Attunement - ANSWER-describes how reactive a person is to another's emotional needs and moods. A
person who is well attuned will respond with appropriate language and behaviors based on another
person's emotional state. Are you able to read social cues? Verbal or non-verbal, whether to engage
with it or not
.Avoidant personality disorder: - ANSWER-a personality style characterized by feeling uncomfortable
when psychologically close to others, fearing potential rejection, and not engaging in peer relationships.
A person with an avoidant personality would likely avoid intimate relations with others, due to feelings
of discomfort when intimate with others.
.Be able to explain what Socratic dialogue is and why it is used - ANSWER-The Socratic dialogue (SD) is a
technique described as "mutual discovery in which the therapist guides the patient through a series of
questions and answers to elicit automatic thoughts and assumptions, and examine the logic and
evidence that relates to them". Series of patient to help self-discovery. Not telling them what exactly
happening but leading them to discover themselves.
.Borderline personality disorder: - ANSWER-a chronic pattern of personality instability. More of a
disorder than not, it manifests through symptoms such as mood shifts, sudden temper outbursts,
intense but unstable relationships, and self-defeating behavior. People with Borderline Personality
Disorder exhibit self-defeating and damaging behavior through overeating, overspending, and gambling,
among others." Chronic emptiness, seeks attention, afraid of abandonment, SIB (self-injury behaviors),
high risk for substance abuse, very volatile. Maintain boundaries is a must. Do great with DBT.
.Classic: Psychodynamic psychotherapy. - ANSWER-is derived from psychoanalysis and is based on a
number of key analytical concepts. These include Freud's ideas about psychosexual development,
defense mechanisms, free association as the method of recall, and the therapeutic techniques of
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kENYAstuvia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $3.19. You're not tied to anything after your purchase.
