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PMHNP Purple Book Review > Ch. 8 Nonpharmacological Treatment > Flashcards

Ch. 8 Nonpharmacological Treatment Flashcards

1
Q

True or False: Psychoanalytic Therapy (originated by Freud) promotes change by unconscious motivations and instinctual drives

A

True,
-develop greater insight and awareness of maladaptive defenses

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2
Q

Cognitive Therapy, originated by Aaron Beck has the goal of:
a. greater insight into maladaptive defenses b. changing maladaptive behaviors c. change clients’ irrational beliefs d. help with emotional regulation

A

c. change clients’ irrational beliefs
-also change faulty conceptions and negative cognitive distortions

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3
Q

Behavioral Therapy focuses on changing maladaptive behaviors and was originated by:
a. Sigmund Freud b. Aaron Beck c. Marsha Linehan d. Arnold Lazarus

A

d. Arnold Lazarus
–change maladaptive behaviors by participating in active behavioral techniques (exposure, relaxation, problem-solving, and role-playing)

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4
Q

DBT is commonly used w/ people who have which disorder?

A

Borderline Personality Disorder

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5
Q

DBT was originated by _____:
a. Sigmund Freud b. Aaron Beck c. Marsha Linehan d. Arnold Lazarus

A

c. Marsha Linehan

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6
Q

Which type of therapy has a focus on emotional regulation, tolerance for distress, self-management skills, interpersonal effectiveness and mindfulness, w/ emphasis on treating therapy-interfering behaviors:
a. Psychoanalytic Therapy b. Behavioral Therapy c. Dialectical Behavioral Therapy d. none of these

A

c. DBT

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7
Q

Existential Therapy originated by Viktor Frankl, emphasizes:
a. emotional regulation and tolerance for distress b. role-playing c. interpersonal effectiveness
d. freedom and making responsible choices

A

d. freedom and making responsible choices
–philosophical approach
-reflection on like and self-confrontation encouraged

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8
Q

Humanistic Therapy was originated by:
a. Viktor Frankl b. Arnold Lazarus c. Carl Rogers d. Marsha Linehan

A

c. Carl Rogers

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9
Q

True or False: Existential therapy goals are to live authentically and focus on the present/ personal responsibility

A

True,
“why am I here, what is my purpose?”

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10
Q

True or False: Humanistic Therapy is also known as person-centered therapy

A

True,
–self-directed growth
-self-actualization
-actualize and find meaning

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11
Q

Interpersonal Therapy was originated by:
a. Gerald Klerman and Myrna Weissman b. Arnold Lazarus c. Carl Rogers d. Viktor Frankl

A

a. Gerald Klerman and Myrna Weissman
-focus on interpersonal issues creating distress

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12
Q

True or False: Interpersonal Therapy is passive and focused on the past

A

False, it is time-limited, active, focused on the present and on interpersonal distress

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13
Q

EMDR originated by:
a. Francine Sharpiro b. Arnold Lazarus c. Carl Rogers d. Viktor Frankl

A

a. Francine Sharpiro

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14
Q

True or False: EMDR is a form of behavior and exposure therapy

A

True,
-involves bilateral stimulation

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15
Q

EMDR is most commonly used to treat:
a. depression b. PTSD c. anxiety d. eating disorders

A

b. PTSD
-the goal is adaptive resolution

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16
Q

True or False: The 3 phases of EMDR include: Desensitization phase, Installation phase, and Body Scan

A

True

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17
Q

4 benefits to group therapy:

A

-increases insight about oneself
-increase social skills
-develop sense of community
-cost-effective

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18
Q

Irvin Yalom was the first to put a theoretical perspective on group work, which of the following is not one of the 10 identified therapeutic factors:
a. instillation of hope b. letting go c. universality d. altruism e. catharsis f. existential factors

A

b. letting go is not one of the factors
the 5 other factors are:
-increased development of socialization skills
-imitative behaviors
-interpersonal learning
-group cohesiveness
-corrective refocusing

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19
Q

What are the 6 group phases?

A

-pregroup phase
-forming phase
-storming phase
-norming phase
-performing phase
-adjourning phase

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20
Q

True or False: Reminiscence Therapy is characterized by progressive return to memories of past experiences and is used w/ older adults

A

True

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21
Q

True or False: family systems theory is based on the idea that one could not understand any family member (part) without understanding how all family members operate together (system)

A

True

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22
Q

which type of boundary maintains a person’s separateness while emphasizing belongingness:
a. rigid or inflexible b. clearly defined c. diffuse d. none of these

A

b. clearly defined

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23
Q

which type of boundary may lead to distant relationships and to disengagement
a. rigid or inflexible b. clearly defined c. diffuse d. none of these

A

a. rigid or inflexible

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24
Q

which type of boundary is blurred and indistinct, leads to enmeshment:
a. rigid or inflexible b. clearly defined c. diffuse d. none of these

A

c. diffuse

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25
Q

An ongoing feedback loop; a series of actions and reactions that maintain a problem:
a. family homeostasis b. circular causality c. diffuse boundaries d. family system

A

b. circular causality

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26
Q

True or False: Family homeostasis is the tendency of families to adapt to change when changes are necessary

A

False, tendency of families to resist change and maintain a steady state
-Morphogenesis is a family’s tendency to adapt to change
-Morphostasis- tendency to remain stable in the midst of change

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27
Q

Family Systems Therapy was originated by:
a. Viktor Frankl b. Arnold Lazarus c. Carl Rogers d. Murray Bowen

A

d. Murray Bowen

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28
Q

Which therapy focuses on chronic anxiety within families?
a. DBT b. behavioral c. family systems therapy d. EMDT

A

c. family systems therapy
-goal is to increase family awareness and levels of self-differentiation

29
Q

True or False: the main treatment goal of Structural Family Therapy is to produce a structural change in the family organization

A

True,
originated by Salvador Minuchin

30
Q

Experiential Therapy was originated by:
a. Salvador Minuchin b. Arnold Lazarus c. Carl Rogers d. Virginia Satir

A

d. Virginia Satir

31
Q

Which therapy says that behavior is determined by personal experience and not by external reality:
a. Experiential therapy b. DBT c. CBT d. Existential therapy

A

a. Experiential therapy
-focus on being authentic, freedom of choice, human validation, and experiencing in the moment
-increased self-worth of each family member

32
Q

True or False: Strategic Therapy originated by Jay Haley views symptoms as metaphors that reflect problems in the hierarchal structure

A

True,

33
Q

True or False: strategic therapy is more symptoms-fovused than structural therapy

A

True

34
Q

Which therapy focuses on reworking the present situation solutions that have previously worked:
a. CBT b. Solution-Focused Therapy c. Strategic Therapy d. Structural Therapy

A

b. Solution-Focused Therapy
-Originated by Steve deShazer, Bill O’Hanlon and Insoo Berg

35
Q

What type of question is: “if a miracle were to happen tonight while you were asleep, and tomorrow you awoke to find the problem no longer existed, what would be different?”
a. miracle questions b. exception-finding questions c. scaling questions d. explorative questions

A

a. miracle questions

36
Q

What type of question is: “was there a time when the problem did not occur?”:
a. miracle questions b. exception-finding questions c. scaling questions d. explorative questions

A

b. exception-finding questions

37
Q

What type of question is: “on a scale of 1-10, with 10 being very anxious and depressed, how would you rate how you are feeling now?”:
a. miracle questions b. exception-finding questions c. scaling questions d. explorative questions

A

c. scaling questions

38
Q

Which of these is based on the basic tenet of Chinese medicine that vital energy (chi) flows along specific pathways that have many points of access and that manipulating these points corrects imbalances by stimulating or removing blockages to energy flow:
a. yoga b. biofeedback c. acupressure/acupuncture d. reflexology

A

c. acupressure/acupuncture

39
Q

True or False: acupuncture is thought to produce effects by regulating the nervous system and aiding the activity of endorphins and immune system cells at different sites in the body

A

True,
-also thought to alter brain chemistry by changing release of neurohormones and NTs

40
Q

Which of these is a process providing a person with visual or auditory information about the autonomic physiologic functions of his or her body, such as BP, muscle tension, and brain wave activity:
a. biofeedback b. meditation c. acupuncture/acupressure d. reflexology

A

a. biofeedback

41
Q

Which of these is the therapeutic use of plants or oils to obtain many therapeutic effects, such as analgesic, psychological, and antimicrobial benefits
a. reflexology b. aromatherapy c. biofeedback d. yoga

A

b. aromatherapy,
-olfactory stimulation used to elicit feelings or memories during psychotherapy

42
Q

True or False: FDA approval is not required for herbal products or supplements

A

True, no uniform standards ensure quality control or potency

43
Q

What do Omega-3 fatty acids interact with?

A

warfarin (Coumadin)- increases the anticoagulant effect
-pts cautioned to stop using before surgery

44
Q

True or False: Omega-3 fatty acids are used for ADHD, dyslexia, cognitive impairment, cardiovascular disease, asthma, lupus and rheumatoid arthritis

A

True

45
Q

Which of these may cause hypomania, hyperactive muscle movements and possible serotonin syndrome?
a. Omega-3 fatty acids b. Tryptophan c. Sam-e d. Vitamin E

A

c. Sam-e

46
Q

Which of these is used for depression, osteoarthritis and liver disease?
a. Omega-3 fatty acids b. Tryptophan c. Sam-e d. Vitamin E

A

c. Sam-e

47
Q

Which of these is used for depression, obesity, insomnia, headaches, and fibromyalgia?
a. Omega-3 fatty acids b. Tryptophan c. Sam-e d. Vitamin E

A

b. Tryptophan
-found in high concentrations in turkey

48
Q

True or False: there’s an increased risk of serotonin syndrome when taking tryptophan w/ use of SSRIs, MAOIs, and St. John’s wort

A

True

49
Q

Which of these is used for enhancing the immune system and protecting cells against effects of free radicals?
a. Omega-3 fatty acids b. tryptophan c. Sam-e d. Vitamin E

A

d. Vitamin E

50
Q

True or False: Fish oil is used for neurological disorders, diabetes, and premenstrual syndrome

A

False, answer is Vitamin E

51
Q

Vitamin E interacts with (3):

A

-warfarin (increases anticoagulant effect)
-antiplatelet drugs
-statins
increases additive effect and risk of rhabdomyolysis

52
Q

which of these is used for insomnia, jet lag, shift work, and cancer:
a. Melatonin b. Tryptophan c. Sam-e d. Vitamin E

A

a. melatonin
-sets timing of circadian rhythms and regulates seasonal responses

53
Q

Melatonin interacts with:
a. aspirin b. antipsychotics c. SSRIs d. Tylenol

A

a. aspirin
-also interacts w/ NSAIDs, beta blockers, corticosteroids, valerian, kava kava, and alcohol

54
Q

True or False: melatonin can inhibit ovulation in large doses

A

True

55
Q

Which of these is used for bipolar disorder, hypertension, lowering triglycerides, and decreasing blood clotting:
a. Fish oil b. tryptophan c. Sam-e d. Vitamin E

A

a. fish oil
-may alter glucose regulation

56
Q

True or False: fish oil interacts w/ warfarin, aspirin, NSAIDs, garlic, and ginko

A

True

57
Q

True or False: Most herbals are contraindicated during pregnancy and during lactation

A

True,
-many are secreted in breastmilk

58
Q

Which of these herbals is used for menopausal symptoms, premenstrual syndrome, and dysmenorrhea:
a. Belladonna b. Black cohosh c. Ginkgo d. Valerian

A

b. Black cohosh

59
Q

Which of these herbals is used for anxiety?:
a. Belladonna b. Black cohosh c. Ginkgo d. Valerian

A

a. Belladonna

60
Q

Which of these herbals is used for sedation?
a. Belladonna b. Black cohosh c. Catnip d. Valerian

A

c. Catnip

61
Q

Which of these herbals is used for sedation and anxiety?
a. Belladonna b. Chamomile c. Ginkgo d. Valerian

A

b. Chamomile

62
Q

Which of these used for delirium, dementia, sexual dysfunction caused by SSRIs?
a. Belladonna b. Black cohosh c. Ginkgo d. Valerian

A

c. Ginkgo

63
Q

Which of these is used for depression and fatigue?
a. Ginseng b. Black cohosh c. Ginkgo d. Valerian

A

a. Ginseng

64
Q

Which of these is used for sedation?
a. Belladonna b. Black cohosh c. Ginkgo d. Valerian

A

d. Valerian

65
Q

Which of these is believed to increase blood circulation, improve lymph flow, improve musculoskeletal tone, and have a relaxing effects on the mind?
a. meditation b. massage c. reflexology d. biofeedback

A

b. massage

66
Q

True or False: Medication involves consciously directing one’s attention to alter one’s state of consciousness

A

True,
-also helps decrease HR, BP, RR, decrease anxiety, and increase alpha brain waves

67
Q

Which of these stimulates the body’s natural healing power through massaging the feet, hands, and ears:
a. medication b. reflexology c. biofeedback d. yoga

A

b. reflexology
-used for back pain, migraines, infertility, sleep disorders, digestive disorders, and stress-related conditions

68
Q

Foods classified as yin are
a. cold and wet b. hot and dry

A

a. cold and wet
-yang is hot and dry

69
Q

Which of these originated in India and combines mind and body connection?
a. medication b. yoga c. reflexology d. biofeedback

A

b. yoga
-uses breathing, physical movements, and meditation

PMHNP Purple Book Review (17 decks)

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