NSG 526 EXAM 3 LATEST 2023-2024
REAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS|AGRADE
Self-mutilation is mainly due to - ANSWER- fear of abandonment or the increase of independence
BPD is often characterized by - ANSWER- an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANSWER- the PMHNP can reflect back to the client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANSWER- the developmental stage of separation-individuation.
Paranoid Personality Disorder - ANSWER- do not trust others easily, and it's best to use a respectful neutral approach.
Paranoid Personality Disorder are - ANSWER- critical of others because they project blame for their own shortcomings onto others.
Self-mutilation occurs because - ANSWER- a 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 - ANSWER- replace irrational thoughts.
Respecting a client's boundaries - ANSWER- important in establishing a therapeutic relationship with a patient with BPD
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providing a safe environment - ANSWER- is the priority for any client who is a victim of a serious crime/assault
MCI Expectant category - ANSWER- Injuries 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 - ANSWER- Unresponsive 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 - ANSWER- The 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 - ANSWER- foster a child's healthy characteristics and existing environmental supports no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - ANSWER- develop at different rates
Most psychiatric disorders in children are - ANSWER- multifactorial.
Paranoid Personality Disorder characteristics - ANSWER- Characteristics:
suspicious of others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear personal information will be used against them); misread compliments as manipulation; hypervigilant; prone to counterattack; hostile; and aloof. Psychotic episodes may occur in times of stress. Nurses should give straightforward explanations of tests, history taking, and procedures, side effects of drugs, changes in treatment plan, and possible further procedures, to counteract client fear
Narcissistic Personality Disorder - ANSWER- Characteristics: grandiosity,
fantasies of power or brilliance, need to be admired, sense of entitlement, arrogant, 2 / 3
patronizing, rude, overestimates self and underestimates others. This behavior covers a fragile ego. In health care setting demand the best of everything. When client is corrected, when boundaries are defined, or when limits are set on client's behavior, client feels humiliated, degraded, and empty. To lower anxiety the client may launch a counterattack. The nurse should gently help the client identify attempts to seek and become perfect, exhibit grandiose behavior, and sense of entitlement
splitting - ANSWER- BPD A major defense is splitting (alternating between idealizing and devaluing).
client schemas - ANSWER- cognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANSWER- stored bodies of knowledge that interact with incoming information to influence selective attention and memory search
Bibliotherapy def - ANSWER- is an expressive therapy which involves using child and adolescent literature to help the child express feelings in a supportive environment, gain insight into feelings and behavior, and learn new ways to cope with difficult situations.as the process of using books to teach those receiving medical care about their conditions is believed to be one cost-effective and versatile option for the treatment of several mental health issues.
When children listen to or read a story - ANSWER- they unconsciously identify with the characters and experience a catharsis of feelings. The books selected by the PMH-APRN should reflect the situations or feelings the child is experiencing.theoretical model based on the premise that people are greatly influenced by the characters they identify with in stories.
Most professionals agree reading is - ANSWER- productive activity that can promote good mental health, as reading has been shown to increase empathy, sharpen the mind, and impact behavior.
play therapy - ANSWER- is child-centered and typically builds on the foundation of the psychodynamic, object-relations, and attachment theories.Start age 3 plus
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