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<\/p>\n\n\n\n
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, nonjudgmentally 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,<\/p>\n\n\n\n
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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