Chapter 12, 13, 14, and 17

Question 1

The concepts used in leading groups

Answer 1

Sessions begin and end on time
All views are heard and respected; cell phones are silenced; no side conversations
Only one speaks at a time, with no interruptions
Emotion is acceptable; aggression is not
Disagreement is expressed calmly and objectively
All stay for the entire meeting
Who we are and what is said – stays here

Question 2

Compare the roles that a group member can assume

Question 3

An important aspect of leading a group

Answer 3

member selection- does the purpose of the group match the needs of the potential members, do the members have social skills to help them function properly in a group, will the other group members accept the new members, can the potential member make a commitment to attend group meetings
leadership skills- being direct or indirect
seating arrangments-
ways to deal with challenging behaviors- Key nursing strategy in mental health promotion and recovery, enhance self-understanding, Conquer unwanted thoughts and feelings, Learn new behaviors, Learn from others, and Vary in purpose

Question 4

Identify the types of groups

Answer 4

psychoeducation- teach self-protection skills, healthy relationship skills, and healthy sexuality, and information about resources such as shelter, legal services, etc, and use caution when giving individuals written material
support-
psychotherapy-
self-help-

Question 5

Nursing intervention groups

Answer 5

Psychosocial Nursing Interventions
Problem-solving
Family interventions
Evaluation and Treatment Outcomes
The initial plan of care guides the evaluation
Individual, family, and network outcomes

Question 6

Concept of stress

Answer 6

a natural part of life can have negative (can result in negative and mental/physical health issues) and positive (help develop coping skills) experiences, associated with the development or exacerbation of symptoms of mental illness

Question 7

Acute stress

Answer 7

intense biopsychosocial reaction to threatening events, can lead to psychological overload, fight or flight response

Question 8

Chronic stress

Answer 8

oncoming psychological events resulting in wear and tear on the body negatively impacts health, are maladaptive when prolonged, contribute to risk for illness, general adaptation syndrome

Question 9

Factors that lead to allostatic load

Answer 9

consequences of wear and tear on the brain—> ill health

Question 10

Psychosocial factors that influence the experience of stress

Answer 10

Stress is an interactive process between real or perceived internal or external environmental demands

Question 11

Variety of stress responses experienced by individuals

Question 12

Roles of coping and adaptation in maintaining and promoting mental health

Answer 12

a deliberate, planned, psychological effort to manage stressful demands.
two types: problem-focused and emotion-focused
reappraisal provides feedback on strategies

Question 13

Critical thinking skills in the nursing process for a person experiencing stress

Question 14

Types of violence and abuse

Answer 14

intimate partner violence slides 83-85
stalking- repeated unwanted contact, attention, and harassment
rape and sexual assault- SA is any form of nonconsenting sexual activity, and rape is the most severe form of sexual assault
child abuse and neglect- acts of commission of intentional and harmful behaviors, acts of omission considered child neglect, not meeting physical/emotional or educational needs
elder abuse- abuse or neglect over the age of 60

Question 15

Selected theories of violence

Answer 15

slide 95

Question 16

Reasons people become abusive and why people stay in relationships that are violent

Answer 16

tension builds, the incident happens, then reconciliation, and lastly calming

Question 17

Formation of therapeutic relationships with a victim of violence

Answer 17

caring for the patient, providing therapeutic communication such as Establishing rapport
Start with the least sensitive topics work toward the most sensitive topics, and Ensure confidentiality
The supportive, empathetic approach is most effective, Must make clear responsibility for mandatory reporting

Question 18

Nursing care plans for survivors of violence and abuse

Question 19

Treatment for perpetrators of abuse

Answer 19

Required to remain sober, Random drug testing, May require abusers to undergo substance abuse treatment concurrently, and Must be culturally sensitive, States vary on requiring programs, Court mandated, often outpatient groups

Question 20

Healthy and maladaptive styles of anger

Answer 20

Healthy- beneficial effects on blood pressure, better general health, less depression
Maladaptive- Excessive outwardly directed anger or suppressed anger

Question 21

Psychoeducational intervention to promote wellness

Answer 21

Effectively modulate the physiologic arousal of anger, Alter any irrational thoughts fueling the anger, Modify maladaptive anger behaviors prevent problem-solving

Question 22

Factors influencing aggressive and violent behaviors

Answer 22

Experienced childhood abandonment, physical brutality, sexual abuse
Behavior does not occur in a vacuum; one must consider both patient and context

Question 23

theories behind aggression, violence, and anger

Answer 23

aggression- Overt behavior intended to hurt, belittle, take revenge or achieve domination and control
Violence- extreme aggression, use of a strong weapon to inflict bodily harm possibly kill, greater intensity and destruction than aggression
anger-“A strong, uncomfortable emotional response to a provocation that is unwanted and incongruent with one’s values, beliefs, or rights”
Internal affective state that may or may not is expressed in overt behavior , If expressed, can be constructive or destructive
Signal that something is wrong, Meaning of the episode depends on the relational context

Question 24

escalate and deescalate violent behaviors

Answer 24

Neurocognitive impairment and social history of abuse or family violence
Increases risk for violent behavior (boys)

Question 25

Risks for physical/verbal attacks on nurses

Question 26

Ways to respond to the expression of anger. aggression, and violent behaviors