pmhnp2 Flashcards

1
Q

recognition seeker

A

client who talks about their personal accomplishments in effort to gain attention

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2
Q

Autocratic leadership style

A

the group facilitator that interrupts exchanges between angry clients

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3
Q

Laissez-faire Leadership

A

When leadership has very little input

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4
Q

Democratic style

A

Leader is resource: guides groups in decision making

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5
Q

Autocratic leadership

A

Leader has complete control of group. selects activity and chooses structure, very little member input.

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6
Q

Universality

A

When people realize they are not alone in their problems. This reduces anxiety

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7
Q

Installation of hope

A

The members have hope and expect the group to work

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8
Q

Imparting information

A

Can be advise or psychodynamic insight, formal and informal sharing of information

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9
Q

Altruism

A

Group members Giving help to others gives members a sense of wellbeing. Individuals increase self esteem through actual caring and concern

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10
Q

Orientation phase

A

Introduces self and members may complement the leader and compete for roles. They have not established trusts and and have a fear of not being accepted.

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11
Q

working phase

A

members begin to look to each other instead of to the leader for guidance. Members begin to accept criticism from each other and use ti to constructively to foster change

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12
Q

termination phase

A

the group leader helps the members process their feelings of loss

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13
Q

termination phase

A

the group leader helps the members process their feelings of loss. They encourage members to provide feedback and accept criticism to foster change.
This can lead to feelings of abandonment and anger.
Can help members deal with future losses

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14
Q

AA or self help groups

A

Members run the group with leadership rotating Among members. would not have structured exercises

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15
Q

Socialization group

A

techniques such as feedback and instruction are helpful

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16
Q

empowerment group

A

The belief that work tasks contribute to larger purpose

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17
Q

How should chairs be arranged

A

in a circle fosters interaction

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18
Q

therapeutic group size

A

5 - 10 members

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19
Q

role of a group leader

A

encouraging group to solve problems

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20
Q

PMHNP can lead

A

teaching and therapeutic groups

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21
Q

Psychodrama

A

Has to be lead by someone with a psychology degree, social work or psychiatry.
Protagonist is the client who plays out a real life scenario
other group members - play the role of the audience and give feedback

22
Q

Severe IQ disability

A

20-34: they demonstrate needs by “acting out”
Require complete supervision
minimal verbal skills
poor psychomotor skills

23
Q

Moderate IQ disabilities

A

perform some activities independently

capable of academic skill to second grade level

24
Q

Moderate IQ disabilities

A

perform some activities independently
capable of academic skill to second grade level
IQ 35-49

25
Q

Moderate IQ disabilities

A

perform some activities independently
capable of academic skill to second grade level
IQ 35-49
Someone with an IQ of 47 - will have what kind of social interactions:

26
Q

autism spectrum

A

6:1000 children,
4 times more likely in boys
due to brain structure abnormalities
Impaired social interaction
important for the pt to establish trust with at least one caregiver
show little interest in people and don’t respond to others attempts in interaction
Can not trust , show little interest in people
Don’t respond to others
Consistent care givers - give security

27
Q

Ritalin (methylphenidate)

A

watch for weight loss and decrease in appetite
CNS stimulate to increase attention span
control hyperactive behaviors
improve learning ability - ADHD
Can develop physical and psychological dependence
evaluate effectiveness - develop a tolerance

28
Q

Mothers with anxiety disorders

A

More likely to have children with them.

Heriditary influence of seperation anxiety disorder

29
Q

Mild intelectual disability

A

can gain skills to a sixth grade level
Can independently live alone
Normal psychomotor
capable of developing social skills

30
Q

Dealing with children

A

Priority to focus on strength and individual abilities

Positive reinforcement - increase self esteem

31
Q

To a patient with self care deficits

A

Positive reinforcement and encouraging repetition of behaviors

32
Q

Initiate least restrictive behaviors with children

A

apply a helmet

33
Q

Antipsychotic medications and alpha 2 adrenergic agonists with psychosocial therapy

A

ways to reduce tics

34
Q

Children with disruptive behavior disorders

A

reinforce positive actions to encourage repetition of desired behaviors

35
Q

Behavior therapy

A

Goal conditioning

Operant conditioning

36
Q

Autism Spectrum disorder

A

disturbed personal identity

important for child to name their own body parts. Separate them by 5 days to develop an ego identity

37
Q

Methylphenidate

A

the effectiveness is in response to neurotransmitter dysregulation

38
Q

PMHNP intervention

A

ask patient to demonstrating coping skills learned in the working phase

39
Q

ADHD

A

divide task into smaller steps to help achieve completion and that physical activity always provides and outlet for motor activity, restlessness, and fidgiting

40
Q

Atomoxetine (Straterra)

A

SNRI - not a stimulant

41
Q

Maternal ingestion of alcohol and drugs

A

leads to 30% of all intellectual disabilitiews

42
Q

Children with impaired social interactions

A

short term and long term goals are important

43
Q

ADHD kids need

A

distraction free enviornment

44
Q

St Johns Wort

A

Do not take with psychotropic drugs
safe at 900 mg/day
90mg/day
can also lead to photsensitivities

45
Q

Accupuncture

A

Chinese - effective at treating pain conditions
Stimulates endorphins that relieve pain
results sometimes are dependent on expectations

46
Q

Complimentary therapies

A

Chiropractic - correction of subluxations by manipulating vertebrae. Energy flows from brain to all parts of the body through the spinal cord and spinal nerves

47
Q

Vitamin C

A

Powerful antioxidant that aids in synthesis of prothrombin, normal blood coagulation, formation of colagen, connective tissues , the facilitation of iron absorption
RELEASES epinephrine during stress

48
Q

Fields of energy become blocked

A

when pain or illness occurs, therapeutic touch - re patterns the bodies energy field by rythmic hand motions

49
Q

Gingko Biloba

A

Treats senility, short term memory loss, peripheral insufficiency and has been shown to dilate blood vessels

50
Q

feverfew

A

prophylaxis for migraine
fresh or frozen
safe at reasonable doses