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Mental Health > Chapter 7, exam 2 > Flashcards

Chapter 7, exam 2 Flashcards

1
Q

Complementary care comprises a variety of adjunctive interventions, including what 3 things?

A

-Over-the-counter supplements
-Exercise and diet interventions
-Acupuncture

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2
Q

Over the counter supplements, diet and exercise changes, and acupuncture are all adjunct intervention examples of what type of care?

A

Complimentary care

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3
Q

What are some examples of Complimentary care that a nurse could give a patient in a care plan?

A

-OTC supplements
-Changes in diet and physical exercise
-Acupuncture

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4
Q

Holistic approaches, including complementary and conventional treatments, are methods that are applied in what?

A

Integrative health

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5
Q

What are methods that are applied in integrative health?

A

Holistic methods, like complimentary and conventional treatment.

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6
Q

Treating of the whole person by taking into account their mental and social factors, not just illness symptoms, is what type of health approach? What is this approach categorized under?

A

Holistic approach, categorized under integrative health.

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7
Q

True or False:
Individual psychotherapy takes place on a one-to-one basis between the client, and the clients aggressor.

A

False:

Individual psychotherapy is a one-to-one basis between the client and their therapist.

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8
Q

True or False:

Advanced Practice nurses MAY perform psychotherapy.

A

True

Advanced Practice nurses may be qualified to perform psychotherapy, depending on their license.

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9
Q

Psychoanalysis and Psychoanalytic Psychotherapy are both goal-oriented means of therapy. The difference is that Psychoanalytic focuses on gaining insight about relationships and behavioral patterns, while Psychotherapy focuses on what?

A

Psychotherapy is briefer by focusing on certain conflicts, rather than behavioral patterns.

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10
Q

When deciding between Psychoanalysis and Psychoanalytic Psychotherapy, which method is more “big picture” and focuses on insight into the patient? Why?

A

Psychoanalysis

Psychoanalysis focuses on gaining insight into the patients’ relationships and behavioral patterns.

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11
Q

A patient relays to a mental health nurse that they are experiencing conflict with their mother and want to speak about it briefly, with the goal of resolution. When speaking with this patient, the nurse will use what approach? Why?

A

Psychoanalytic Psychotherapy.

This is considered brief, and deals specifically with resolving conflict, rather than behavioral patterns or relationship status.

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12
Q

Who developed Interpersonal Psychotherapy for the treatment of major depression?

A

Sullivan

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13
Q

Sullivan developed Interpersonal Psychotherapy for the treatment of what?

A

Major depression

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14
Q

Interpersonal Psychotherapy is considered brief. What other type of psychotherapy is considered brief?

A

Psychoanalytic psychotherapy

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15
Q

The goal of Interpersonal Psychotherapy is do develop what type of skills through what?

A

Interpersonal relationship skills
through specific interventions and problem solving

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16
Q

What does interpersonal therapy assume about patients with major depression?

A

it assumes that their depression symptoms are correlated with a difficulty in interpersonal relations.

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17
Q

A patient has recently gone through a breakup and notices that their major depression developed after the breakup. The patient expresses a desire to cultivate skills to help build strong future attachments with others. What type of therapy would be used with this patient?

A

Interpersonal Psychotherapy

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18
Q

Glasser developed what type of therapy?

A

Reality

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19
Q

Finish this memory tip for the developer of Reality Therapy:

Reality is seen:
“Through the looking…”

A

“Glass(er)”

Reality is seen:
“Through the looking-Glass(er)”

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20
Q

What therapy is predicated on the belief that individuals behave in ways to fulfill 5 basic needs?

A

Reality therapy

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21
Q

The needs of power, belonging, freedom, fun, and survival are factored in by what therapy?

A

Reality therapy

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22
Q

What does Reality therapy suggest that individuals are responsible for?

A

Reality therapy suggests that individuals are responsible for what they CHOOSE to do.

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23
Q

A Therapist helps a client to identify needs that are not being met. These needs are identified as: belonging, and freedom. The therapist helps the patient to understand that the patient must make the decision to change for themselves, for it is their responsibility to do so. What type of therapy was done?

A

Reality therapy

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24
Q

What type of therapy was developed by Beck as a treatment of mood disorders?

A

Beck developed Cognitive Behavioral therapy (CBT).

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25
Q

Someone’s behavior can be heavily affected by their mood. Because of this, treatment of mood disorders is covered by what type of therapy?

A

Cognitive Behavioral Therapy
(CBT)

26
Q

Who developed Cognitive Behavioral Therapy?

A

Beck

Think: “Behavioral Beck”

27
Q

Schizophrenia, PTSD, Substance abuse disorders, and Personality disorders are all issues that are associated with behavioral problems. Because of this, what type of therapy would be used to treat them?

A

Cognitive Behavioral Therapy (CBT)

28
Q

What are some disorders that can be treated with CBT?

A

Schizophrenia, PTSD, Substance abuse disorders, and Personality disorders

29
Q

What therapy focuses on changing automatic thought patterns?

A

Cognitive Behavioral Therapy
(CBT)

30
Q

Personalizing, Mind-Reading, All-or-nothing, and discounting positives are all examples of what kind of thought patterns? What therapy covers these thoughts?

A

a.) Automatic thought patterns

b.) Covered by Cognitive Behavioral Therapy

31
Q

Match these Automatic thoughts together: Personalizing, Mind-Reading, All-or-nothing, Discounting positives.

a.) “I’m a failure at everything I do.
b.) “He thinks I’m foolish.”
c.) Even though I got the promotion, it was probably because no one else wanted the job.”
d.) “I’m the only one who failed.”

A

a.) “I’m a failure at everything I do.”
-This is All-or-nothing

b.) “He thinks I’m foolish.”
-This is Mind-Reading

c.) Even though I got the promotion, it was probably because no one else wanted the job.”
-This is Discounting Positives

d.) “I’m the only one who failed.”
-This is Personalizing

32
Q

Linehan developed what therapy for the treatment of borderline personality disorder (BPD) patients, and those with suicidal ideations?

A

Dialectical Behavioral therapy

33
Q

Dialectical Behavioral therapy was developed by who?

A

Linehan

34
Q

Linehan developed Dialectical Behavioral therapy for the treatment of what?

A

Borderline Personality disorder (BPD) and suicidal ideation

35
Q

What two therapies have the most similar of foundations?

A

Dialectical Behavioral therapy, and Cognitive Behavioral therapy.

36
Q

“Focuses on regulating troubling emotions by learning nonjudgmental self-acceptance, distress tolerance, interpersonal effectiveness, and structuring the environment to reinforce progress.”

This is the methodology of what therapy?

A

Dialectical Behavioral therapy.

37
Q

A patient is having thoughts of suicide. The patient expresses deep, negative judgement about their looks and their intelligence, and they state that they tend to “dump all their pain” on people, making it difficult to have friends. The therapist wants to teach the patient self-acceptance and help to develop interpersonal effectiveness in a structured environment. What type of therapy would be utilized?

A

Dialectical Behavioral therapy.

You may think “Interpersonal” psychotherapy, because of the patient’s difficulty with interpersonal skills. But the patient has namely expressed thoughts of self-harm and has a very negative view of themselves. Because of this, Dialectical Behavioral therapy would be best.

38
Q

Which therapy is defined as a scientific structuring of the environment in order to effect behavioral changes and to improve the psychological health and functioning of the individual?

A

Milieu therapy

39
Q

Milieu therapy is the scientific structuring of what to achieve behavioral changes?

A

The environment

40
Q

The model of therapy that affects behavioral changes by structuring the environment of an individual is known as what?

A

Milieu therapy

41
Q

Match the developers with their theory: Beck, Glasser, Linehan, Sullivan

a.) Reality theory
b.) Cognitive Behavioral therapy
c.) Dialectical Behavioral therapy
d.) Interpersonal therapy

A

a.) Reality therapy
-Glasser; “Through the looking Glass(er)”

b.) CBT
-Beck

c.) DBT
-Linehan

d.) Interpersonal therapy
Sullivan

42
Q

“All individuals are considered to have strengths as well as limitations. These healthy aspects of the individual are identified and serve as a foundation for growth in the personality and in the ability to function more adaptively and productively in all aspects of life.”
Which of the seven basic assumptions in Milieu’s therapy is this?

1.) The Health in Each Individual Is to Be Realized and Encouraged to Grow
2.) Every Interaction Is an Opportunity for Therapeutic Intervention
3.) The Client Owns Their Own Environment
4.) Each Client Owns Their Behavior
5.) Peer Pressure Is a Useful and Powerful Tool
6.) Inappropriate Behaviors Are Dealt with as They Occur
7.) Restrictions and Punishment Are to Be Avoided

A

1.) The Health in Each Individual Is to Be Realized and Encouraged to Grow

43
Q

Conditions That Promote a Therapeutic Community are CSISV. What is CSISV?

A

-Containment
-Structure
-Involvement
-Support
-Validation

44
Q

Care for the clients in a therapeutic community is directed by who?

a.) Psychiatrist(s)
b.) Mental health Technician(s)
c.) Social worker(s)
d.) Interdisciplinary team
e.) Disciplinary team

A

d.) An Interdisciplinary team, made up of psychiatrists, social workers, and mental health technicians care for the clients in a therapeutic community.

45
Q

What is the Interdisciplinary team in a therapeutic community setting responsible for?

A

A comprehensive treatment plan, therapy goals, and assigning intervention responsibilities.

46
Q

Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team?

a.) Provides ongoing assessment of clients mental and physical condition.
b.) Functions under the supervision of the psychiatric nurse.
c.) Serves as leader of the treatment team.
d.) Conducts individual, group, and family therapy.

A

d.) The psychiatric social worker conducts individual, group, and family therapy.

47
Q

Our book keeps throwing around the word Milieu. What in the name of all that is holy does Milieu mean?

A

Milieu means “Environment.”

48
Q

Providing ongoing assessment of clients mental and physical condition is the role of who in the Interdisciplinary team?

A

The nurse

49
Q

Medication administration, developing one-to-one relationships, setting limits on unacceptable behaviors, and client education are all responsibilities of which member of the Interdisciplinary team?

A

The nurse

50
Q

A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, “You may approach the nurse’s station only once an hour.” Which nursing intervention has been employed?

a.) Providing reality orientation
b.) Ensuring physical need fulfillment
c.) Setting limits on behavior
d.) Providing client education

A

c.) Setting limits on behavior

In this situation, the nurse is responsible for setting limits on unacceptable behavior in the therapeutic milieu. Consistency in carrying out the consequences of violation of the established limits is essential if learning is to be reinforced.

51
Q

There are 6 principles to a therapeutic milieu. The principle that refers to the nurse’s ability to maintain composure, even during stressful events is which principle?

a.) Nurses care for self and others
b.) Respect for inherent human dignity
c.) Intellectual engagement
d.) Contagious calmness
e.) Safe and restorative physical surroundings
f.) Caritas

A

d.) Contagious calmness is the principle of the nurse’s ability to maintain composure, even during stressful events.

52
Q

the nurse’s ability to experience and express benevolent affection for patients regardless of their characteristics is which of the 6 principles of therapeutic milieu?

a.) Nurses care for self and others
b.) Respect for inherent human dignity
c.) Intellectual engagement
d.) Contagious calmness
e.) Safe and restorative physical surroundings
f.) Caritas

A

f.) Caritas is the nurse’s ability to experience and express benevolent affection for patients regardless of their characteristics

53
Q

If a nurse is displaying caritas, what does that mean?

A

The nurse is expressing or experiencing benevolent affection for a patient, regardless of their characteristics.

54
Q

Deep-breathing exercises, progressive relaxation, meditation, biofeedback and mental imagery are all expressions of what type of therapy?

A

Relaxation therapy

55
Q

Which therapy is applied to counteract the stress response of physical and behavioral manifestations of stress?

A

Relaxation therapy

56
Q

“Each muscle group is tensed for 5 to 7 seconds and then relaxed for 20 to 30 seconds, during which time the individual concentrates on the difference in sensations between the two conditions.” This is an example of which expression of relaxation therapy?

a.) Meditation
b.) Biofeedback
c.) Progressive relaxation
d.) Deep-breathing exercises
e.) Mental imagery

A

c.) Progressive relaxation

57
Q

True or False:
The goal of deep-breathing exercises is to gain mastery over attention.

A

False

Meditation is the goal of mastery over attention.

58
Q

Distinguish the types of communication: Assertiveness, Aggressive, passive-aggressive, Nonassertive.

a.) Pleasing others at the expense of denying one’s own basic human rights.
b.) Patients defend their rights by violating the basic rights of others
c.) Honest expression of one’s needs and respecting one’s basic human
rights without violating others’ rights.
d.) Patient’s defend their rights by resisting social and occupational demands without open, direct communication

A

a.) Pleasing others at the expense of denying one’s own basic human rights.
-Nonassertive

b.) Patients defend their rights by violating the basic rights of others.
-Aggressive

c.) Honest expression of one’s needs and respecting one’s basic human
rights without violating others’ rights.
-Assertiveness

d.) Patients defend their rights by resisting social and occupational demands without open, direct communication.
-Passive-aggressive

59
Q

A meaning and sense of purpose to an individual’s existence is known as a persons what?

A

Spirituality

60
Q

Differentiate between spiritual growth practices and religious growth practices.

a.) Transform motivation.
b.) Cultivate emotional wisdom.
c.) Live ethically
d.) Concentrate and calm your mind.
e.) Awaken your spiritual vision.
f.) Cultivate spiritual intelligence.
g.) Express spirit in action.

A

All are spiritual growth practices.

61
Q

Spiritual care incorporates 4 aspects, that I will acronym F.H.L.F. What is F.H.L.F?

A

Faith
Hope
Love
Forgiveness

62
Q

Explain Spirituality vs Religion.

A

Spirituality is what gives meaning and a sense of purpose to existence.

Religion is an expression of that spirituality.

Mental Health (6 decks)

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