{"id":117380,"date":"2023-08-28T20:24:46","date_gmt":"2023-08-28T20:24:46","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117380"},"modified":"2023-08-28T20:24:48","modified_gmt":"2023-08-28T20:24:48","slug":"nsg-526exam-1with-complete-solution","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/nsg-526exam-1with-complete-solution\/","title":{"rendered":"NSG 526(Exam 1)With Complete Solution"},"content":{"rendered":"\n

Hildegard Peplau – Answer Theory of Interpersonal Relations.
Earliest modern nursing theory
Enabled nursing to establish the groundwork for Advanced Practice Nursing.
Therapeutic communication.
Psychotherapy – Answer Holistic treatment that relies on the nurse’s processing of what
the patient is experiencing
During the psychotherapy process the Psych APN: – Answer Addresses individual and
family problems with the patient
Assesses identified problems during the orientation phase of the therapeutic
relationship
Determines the underlying healthcare issues with the patient
Collects psychiatric data
Establishes a trusting relationship
Interpersonal Therapy Goals – Answer Focus on difficulties patients are experiencing in
current relationships and the ways relationships can be handled
Change pattern of communication
To alter expectations within relationships
To use social supports to help patients deal with stressors and improve their
environment
To relieve symptoms
To build social skills
Interpersonal Therapy Indications – Answer Complicated bereavement\/grief
Marital and interpersonal conflicts such as role disputes
Life events such as role transitions
Isolation, lack of support, interpersonal deficits
Early Phase of Interpersonal Therapy – Answer Therapist identifies depressive
symptoms, evaluates patient, generates a diagnosis, takes an interpersonal inventory
-nature of interactions with others
-identification of reciprocal relationships and determination if needs were satisfied
-Discussion of satisfying and dissatisfying aspects of the relationship
-recent changes in key relationships
-changes patient desires in relationships<\/p>\n\n\n\n

Middle Phase of Interpersonal Therapy – Answer Patient and therapist derive more
specific strategies to deal with stressors
Termination Phase Interpersonal Therapy – Answer Consolidate gains
Foster independence in the person
Review risk of relapse and reappearance of depressive symptoms
To contract again for continuation of treatment as needed
Group Therapy – Answer The primary purpose of group therapy is to facilitate changes
by the patient in order to address identified problems
The group should be able to share the group experience and the leader should assure
dominant members are brought to the attention of the group so they are able to address
issues within the process.
A person explaining to the group ways that person is able to cope with things is called
an “information giver”.
A technique where special favors or awards are given to assure patient participation
and involvement in group therapy is called Reinforcement
CBT – Answer Works by having an active and questioning therapist. It involves
homework assignments, dream description, looking at ideas and beliefs the patient has
about themselves with a goal to increase subjectivity about thoughts governing their
behavior. Some interventions to consider when using CBT include encouraging the
patient to analyze early parental relationships, the underlying meaning of behavior,
identification of negative thoughts, and the effect of thoughts on feelings and behaviors
Mnemonic to identify medical mimics – Answer THINC MED
Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins
Drugs
Tumors that mimic psych symptoms – Answer Frontal lob tumors – abrupt change in
personality, flat affect, and\/or euphoria
Occupation lobe tumors – visual hallucinations
Parietal lobe tumors – sensory disturbances, agnosia, lack of awareness appearing as
denial
Temporal lobe tumors – mood & memory disturbances; hallucinations (all types),
paranoid delusions
Pancreas tumors – severe depression, weight loss
Adrenal gland tumor (pheochromocytoma) – anxiety, panic attacks, sweating, rapid
pulse, tremors<\/p>\n\n\n\n

Hypothyroidism – Answer fatigue, loss of energy, trouble thinking and depression,
increased weight
Hyperthyroidism – Answer anxiety, depressive or manic episode, psychosis, weight loss,
increased activity
Children present as ADHD
Elderly present as dementia
Hypoparathyroidism – Answer anxiety, irritability, hyperactivity
Hyperparathyroidism – Answer anxiety, depression, fatigue, irritability
Cushing’s syndrome – Answer excessive production of cortisol
fatigue, anxiety, depression<\/p>\n\n\n\n