Individual therapies

Question 1

Elements of PMH nurse assessment

Answer 1

ROS, labs, MSE, validate assess (outside sources), psychosocial (spiritual, sexual, hobby, religious)

Question 2

Elements of psychosocial interventions

Answer 2

communication skills, positive self-talk, healthy relations, edu, music/play therapy, relax, spiritual support, inc self-esteem, limit setting, discharge planning
- Unconditional pos regard!

Question 3

behavioral theories

Answer 3

change maladpative bx even if the cause is unknown
- personality is learned bx which is influenced by conditioning
- best with specific fears like spiders

Question 4

Conditionsing

Answer 4

Pairs bx with condx that inc or dec occurrence

Question 5

Types of behavioral therapy

Answer 5

• modeling
• operant
• systematic desensitization
• aversion therapy
• biofeedback

Question 6

Modeling

Answer 6

role play (observe bx that are more effective than curent bx)

Question 7

operant conditioning

Answer 7

positive reinforcement; get tokesn for desired bx at GSH

Question 8

systematic desensitization

Answer 8

relax techniques with exposure to fears gradually

Question 9

Aversion therapy

Answer 9

neg stim to dec bx (ex: antabuse)

Question 10

Biofeedback

Answer 10

control usually automatic bodily response while connected to monitors that record to learn how to relax muscles to get results
- stress, pain, anx, ADHD

Question 11

Types of talk therapies

Answer 11

interpersonal, CBT, DBT

Question 12

Interpersonal therapy

Answer 12

Improve interpersonal fxn and comm patterns to improve mental health over 12-16 sessions

Question 13

Steps of interpersonal therapy

Answer 13

1. ID emo and where it comes from
2. express emo in health ways
3. deal with emo baggage from past relations

Question 14

CBT

Answer 14

thoughts, not external things, cause bx and feelings
- chx thinking thru brief limited sessions (avg 16)
- homework and self-counsel
- collab with pt and therapist
- pt IDs goals
- change distortions

Question 15

All or nothing thinking

Answer 15

see black and white; reduce complex outcomes to fails
- get second place, “im loser”

Question 16

overgeneralization

Answer 16

things are “always” or “never” right when 1 thing goes wrong
- get in a car accident, so you shouldn’t be on road bc can’t be trusted

Question 17

mental filter

Answer 17

see all thru neg filter and obsess on bad
- get review at work with lots good and only focus on neg comment

Question 18

Discounting the positive

Answer 18

only focus on bad; good things don’t count (just got dream job. must not have been other applicants)

Question 19

Jumping to conclusions

Answer 19

mindreading and fortune telling

Question 20

Magnification or minimization

Answer 20

exaggerate problems with binocular trick
- I’m alone on a Saturday night because no one likes me. When other people are alone, it’s because they want to be.”

Question 21

Emotional reasoning

Answer 21

Assum your neg emo reflects reality “I feel like a bad friend so I am a bad friend”

Question 22

Should statements

Answer 22

Pt with DM has high blood sugar today bc you’re not a good nurse and your pt should get better

Question 23

Labeling

Answer 23

I’m loser bc I failed

Question 24

personalization and blame

Answer 24

Blame for situations not under your control (prob didn’t have fun at your party bc i was there)

Question 25

Rational emotive therapy (RET)

Answer 25

ID activating event, acknowledge neg emo that leads to irrational belief and resulting consequence
- delete musts, shoulds, and have tos
- desired outcome is client’s control of behavior and thinking and a change in thinking leads to pos chx in behavior

Question 26

Dialectic bx therapy

Answer 26

• dev for chronic suicidal ind with BPD; used with self-destructive ED and SUD
• combine cog and bx techniques with mindfulness
• emo reg, interpersonal, distress tolerance, mindfulness, self-management
• group skills, ind psychterpay (v close with therapist), telephone contact, team meeting with MD
• 1-2Y for best results

Question 27

Mindfulness

Answer 27

Be present in moment; past is over, future is unreal