Download NSG 526 Exam 2 Questions And Answers 2025 Update. and more Exams Nursing in PDF only on Docsity!
NSG 526 Exam 2 Questions And Answers
2025 Update.
Which one of the following is the focus of interpersonal therapy? A) Anxiety management B) Belief systems C) Faulty cognitions D) Social interaction - Correct answer D. social interaction A patient tells the psychiatric advanced practice nurse she is going to try supplementing her selective serotonin reuptake inhibitor with St. John's wort. Which action should the psychiatric advanced practice nurse take first? a) Assess the patient for depression and risk for suicide. b) Suggest that aromatherapy may produce even better results. c) Advise her of the danger of serotonin syndrome. d) Suggest she consider decreasing the dosage of her antidepressan - Correct answer C. advise her of the danger of serotonin syndrome Which of the following is not a technique used in cognitive therapy? A) Reattribution
B)
Role-playing C) Abreaction D) Developing alternatives - Correct answer C. Abreaction The psychiatric advanced practice nurse is developing the care plan for an 8-year-old child with intermittent explosive disorder. Based on Piaget, which of the following goals would be appropriate? The child will: a) connect consequences of his behavior with the behavior itself. b) generalize the consequences of his anger and aggression to different situations c) identify situations in which he is likely to feel abandoned. d) experience an increase in autonomous behavior. - Correct answer A. connect consequences of his behavior with the behavior itself. In Cognitive Behavioral Therapy, it is often helpful to view people as separate from their problems and behaviors. This empowers them to make changes in their thought patterns and behaviors. Which type of therapy would utilize this approach? A) Psychoanalysis B) Narrative Therapy C) Strategic Therapy D) Psychodynamic therapy - Correct answer B. Narrative Therapy
who created the theory of operant conditioning - Correct answer Skinner Who is credited with identifying the 12 factors that make groups therapeutic? - Correct answer Yalom one of the 12 therapeutic factors (Yalom): The recognition of shared experiences and feelings among group members and that these may be widespread or universal human concerns, serves to remove a group member's sense of isolation, validate their experiences, and raise self-esteem. - Correct answer Universality One of the 12 therapeutic factors (Yalom): The group is a place where members can help each other, and the experience of being able to give something to another person can lift the member's self esteem and help develop more adaptive coping styles and interpersonal skills. - Correct answer Altruism one of the 12 therapeutic factors (Yalom): In a mixed group that has members at various stages of development or recovery, a member can be inspired and encouraged by another member who has overcome the problems with which they are still struggling. - Correct answer Instillation of hope one of the 12 therapeutic factors (Yalom): While this is not strictly speaking a psychotherapeutic process, members often report that it has been very helpful to learn factual information from other members in the group, for example, about
their treatment or about access to services. - Correct answer Imparting information One of the 12 therapeutic factors (Yalom): Members often unconsciously identify the group therapist and other group members with their own parents and siblings in a process that is a form of transference specific to group psychotherapy. The therapist's interpretations can help group members gain understanding of the impact of childhood experiences on their personality, and they may learn to avoid unconsciously repeating unhelpful past interactive patterns in present-day relationships - Correct answer corrective recapitulation of primary family experience one of the 12 therapeutic factors (yalom): The group setting provides a safe and supportive environment for members to take risks by extending their repertoire of interpersonal behavior and improving their social skills. - Correct answer development of socializing techniques one of the 12 therapeutic techniques (Yalom): One way in which group members can develop social skills is through a modeling process, observing and imitating the therapist and other group members. For example, sharing personal feelings, showing concern, and supporting others. - Correct answer Imitative behavior one of the 12 therapeutic techniques (Yalom): Is the primary therapeutic factor from which all others flow. Humans are herd animals with an instinctive need to belong to groups, and personal development can only take place in an
- A patient in a support group says, Im tired of being sick. Everyone always helps me, but I will be glad when I can help someone else. This statement reflects: a. altruism. b. universality. c. cohesiveness. d. corrective recapitulation. - Correct answer A. altruism
- Which patient would the group co-leaders determine is demonstrating the Yaloms therapeutic factor termed universality? a. Patient A, who states he realizes he is not the only person who has a problem with loneliness b. Patient B, who displays dysfunctional interaction patterns learned in his family of origin c. Patient C, who states he finally feels a strong sense of belonging d. Patient D, who openly expresses his anger about his work - Correct answer A. patient A, who states he realizes he is not the only person who has a problem with loneliness Today's cognitive therapy owes its origins to many great thinkers and researchers, most notably____________ and _____________, each who independently developed cognitive approaches to the treatment of psychopathology - Correct answer Albert Ellis and Aaron Beck ______________ developed the cognitive model of depression and the concept that cognitive processing distortions underlie psychological disorders. - Correct answer Aaron Beck
- When leading a discussion about cognitive theories of mental health, a nursing instructor would most appropriately mention the contributions of which of the following? A. Aaron Beck and Albert Ellis
B. Kurt Lewin and Leon Festinger C. John Watson and Joseph Wolpe D. Alfred Adler and Carl Jung - Correct answer A. Aaron Beck and Albert Ellis According to Beck's theory, depression can develop, persist, and recur as a result of cognitive structures called ___________ - Correct answer Shemas Schemas may develop in part due to childhood experiences, but may also continue to form or develop later in life. They can be adaptive or maladaptive for the individual. For example, schemas may steer an individual to attend to negative events more so than positive events and to the selective recall of negativity. According to Beck et al. (1979), depression can be understood via schemas, cognitive errors, and the __________ ___________(i.e., negative views of self, tendency toward interpreting experiences in a negative manner, and holding negative views of the future). - Correct answer cognitive triad what 3 things make up beck's cognitive triad? - Correct answer 1. View of self
- View of world/experiences
- View of future ____________ theories have roots in greek stoic philosophers - Correct answer cognitive theories ________________asserts that it is the way we think about a situation, rather than the situation itself, that leads us to feel a particular emotion and behave in a particular way. - Correct answer Cognitive theory
based on both cognitive psychology and behavioral theory and emphasizes the important role of thinking in how we feel and what we do. - Correct answer cognitive-behavioral therapy (CBT) ****Cognitive-behavioral therapists teach that when our brains are healthy, it is our thinking that causes us to feel and act the way we do. ****if we are experiencing unwanted feelings and behaviors, it is important to identify the thinking that is causing the feelings/behaviors and to learn how to replace this thinking with thoughts that lead to more desirable reactions Cognitive-behavioral therapy is based on the scientific fact that our ________ cause our feelings and behaviors, not external things, like people, situations, and events. - Correct answer thoughts The benefit of this fact is that we can change the way we think to feel/act better even if the situation does not change. true or false CBT is brief and time-limited. - Correct answer TRUE Cognitive-behavioral therapy is considered among the "fastest" in terms of results obtained. The average number of sessions clients receive (across all types of problems) is only 16.
- The nurse is working with a patient with an anxiety disorder whose treatment includes cognitive behavioral therapy. Which statement by the patient gives the nurse reason to assume that the patient has an understanding of the basis of this type of therapy? a. My abusive childhood has resulted in my overreaction to stress.
b. My delusional thoughts of extreme anxiety are what cause my panic attacks. c. My brain chemistry causes me to overreact to common stress by getting so anxious. d. Ive learned to react to my daily stress by having anxious thoughts and panic attacks. - Correct answer D. I've learned to react to my daily stress by having anxious thoughts and panic attacks
- Long-term prognosis for eating disorders is improved dramatically when treatment includes long-term cognitive-behavioral therapy. What statement provides the best explanation to the patient for this component to the treatment plan? a. This will help you identify a healthy, weight restoration diet. b. Medication alone will not help you from relapsing back to your old habits. c. In order to manage your disorder, you have to understand the root problems. d. Prognosis has been proven to be much better with both medication and therapy. - Correct answer C. in order to manage your disorder, you have to understand the root problems
- Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach? a. Behavioral b. Interpersonal c. Psychodynamic d. Cognitive-behavioral - Correct answer d. cognitive behavioral
*** Currently, DBT is used to treat people with chronic or severe mental health issues. Issues DBT treats include self-harm, eating and food issues, addiction, and posttraumatic stress, as well as borderline personality. DBT was originally designed to treat people who had chronic suicidal thoughts as a symptom of borderline personality. __________ is a cognitive behavioral therapy that is aimed at treating individuals who have been diagnosed with borderline personality disorder or individuals who deliberately partake in self- destructive behavior or have suicidal thoughts ****helps individuals regulate their emotions and take responsibility for their own behavior and problems. teaches an individual how to cope with conflict,, negative feelings, and impulsivity - Correct answer dialectical behavioral therapy (DBT) _________ therapy is based on the assumption that changes in maladaptive behavior can occur without insight into the underlying cause. This approach works best when it is directed at specific problems and the goals are well defined. - Correct answer behavioral therapy Behavioral therapy is effective in treating people with phobias, alcoholism, schizophrenia, and many other conditions What are the four types of behavioral therapy? (MOSA) - Correct answer 1. Modeling
- Operant Conditioning
- Systemic Desensitization
- Aversion Therapy in this type of behavioral therapy, the nurse/therapist provides a role model for specific identified behaviors, and the client learns through imitation. - Correct answer Modeling
a form of behavioral therapy - ________________ is the basis for behavior modification and uses positive reinforcement to increase desired behaviors - Correct answer operant conditioning a form of behavioral therapy ---- ____________ is a behavior modification therapy that involves the development of behavioral tasks customized to the client's specific fears; these tasks are presented to the client while using learned relaxation techniques.
- Correct answer systematic desensitization in this form of therapy, the assumption is that psychiatric disorders are influenced by interpersonal interactions and the social context. The goal of __________ psychotherapy is to reduce or eliminate psychiatric symptoms (particularly depression) by improving interpersonal functioning and satisfaction with social relationships - Correct answer interpersonal therapy who founded interpersonal therapy - Correct answer Adolph Meyer and Harry Stack Sullivan what are the four identified problem areas that are investigated/treated in interpersonal therapy - Correct answer 1. Grief - complicated bereavement following the death or loss of a loved one
- Role disputes - conflicts with a significant other
- Role transition - problematic change in life status or social or vocational role
- Interpersonal deficit - an inability to initiate or sustain close relationships _________ therapy takes naturally occurring events in the environment and uses them as rich learning opportunities for clients. - Correct answer mileu therapy
in group therapy:
- the dynamics of interaction among the members (ex. who talks to whom, facial expressions, and body language) - Correct answer group process in group therapy: -members experssed ideas or feelings that recur and have a common thread -the leader can clarify a ________ to help members recognize i more fully - Correct answer group theme in group therapy: -letting group members know how they affect each other - Correct answer group feedback in group therapy - -open disagreement among members (positive conflict resolution within a group is key to successful outcomes) - Correct answer group conflict type of group- a group in which a range of differences exist among members - Correct answer heterogenous group type of group - a group in which all members share central traits e.g. mens group, bipolar disorder group - Correct answer homogenous group type of group - a group in which membership is restricted, NO new members are added when members leave - Correct answer closed group type of group -
a group in which new members are added as others leave - Correct answer open group a type of group in which individuals come together to address a common issue or condition **NOT considered group therapy - group therapy is led by a licensed professional, this is not. this is led by a peer or fellow group member - Correct answer self-help group type of group in which it is structured for the purpose of providing clients with the opportunity to maintain or enhance personal/shared understanding - Correct answer support group person in the group therapy session that has the responsibilities of: initiating, maintaining, and terminating the group session - Correct answer group leader type of group leadership style: exerts control over the group and does NOT encourage much interaction among memebers - Correct answer autocratic type of group leadership: supports extensive group interaction in the process of problem- solving ***Most common with group therapy - Correct answer democratic leader type of group leader:
- allows group members to behave in any way they choose, does not attempt to control the group discussion - Correct answer Laissez-Faire leader what are the three types of roles of group members in group therapy - Correct answer 1. task roles
C. Group therapy takes into account the patient's relationships with others, whereas individual therapy considers the patient in isolation D. In both, the therapist engages the patient(s) in evaluation of the direction and effectiveness of the therapeutic approach - Correct answer D. in both, the therapist engages the patient(s) in the evaluation of the direction and effectiveness of the therapeutic approach. a form of integrative care. Integrative care places the client at the center of care, focuses on prevention and wellness, and attends to the client's physical, mental, and spiritual needs - Correct answer Complimentary and. alternative medicine (CAM) ***Integrative care is directed at healing and considers the whole person (mind, body, and spirit), along with the lifestyle of the person. The ___________ is an organization that supports fair and scientific evaluation of integrative therapies and dissemination of information that allows health care providers to make good choices regarding the safety and appropriateness of CAM - Correct answer National Center for Complementary and Alternative Medicine (NCCAM) Difference between Western medicine and CAM: _________ focuses on what is done to the patient ________ focuses on mind-body interactions - Correct answer Western medicine focuses on what is done to the patient CAM focuses on mind-body interactions ___________ is the use of some form of external equipment or method of feedback (some as simple as a handheld thermometer)
that informs a person about his or her psychophysiological processes and state of arousal - Correct answer Biofeedback use of electrodes or monitoring equipment are used in biofeedback - *** Several different relaxation exercises are used in biofeedback therapy, including: Deep breathing Progressive muscle relaxation -- alternately tightening and then relaxing different muscle groups Guided imagery -- concentrating on a specific image (such as the color and texture of an orange) to focus your mind and make you feel more relaxed Mindfulness meditation -- focusing your thoughts and letting go of negative emotions
- A patient reports little change in her blood pressure even though she has been doing the biofeedback exercises stating that, The machine has not been successful. The nurse will observe the next session being aware that: a. There are several different components that need to be mastered in order to achieve successful biofeedback results. b. The machine is a critical component of biofeedback during all phases and its response needs to be monitored by a professional. c. A patients relaxation skills need to be excellent because muscle responses play a large role in determining the success of biofeedback. d. The patients mood and emotional stability affects ones ability to alter physiological results and thus affect positive results from biofeedback. - Correct answer A. there are several different
