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
Moderate IQ disabilities
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
autism spectrum
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
Ritalin (methylphenidate)
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
Mothers with anxiety disorders
More likely to have children with them. | Heriditary influence of seperation anxiety disorder
29
Mild intelectual disability
can gain skills to a sixth grade level Can independently live alone Normal psychomotor capable of developing social skills
30
Dealing with children
Priority to focus on strength and individual abilities | Positive reinforcement - increase self esteem
31
To a patient with self care deficits
Positive reinforcement and encouraging repetition of behaviors
32
Initiate least restrictive behaviors with children
apply a helmet
33
Antipsychotic medications and alpha 2 adrenergic agonists with psychosocial therapy
ways to reduce tics
34
Children with disruptive behavior disorders
reinforce positive actions to encourage repetition of desired behaviors
35
Behavior therapy
Goal conditioning | Operant conditioning
36
Autism Spectrum disorder
disturbed personal identity | important for child to name their own body parts. Separate them by 5 days to develop an ego identity
37
Methylphenidate
the effectiveness is in response to neurotransmitter dysregulation
38
PMHNP intervention
ask patient to demonstrating coping skills learned in the working phase
39
ADHD
divide task into smaller steps to help achieve completion and that physical activity always provides and outlet for motor activity, restlessness, and fidgiting
40
Atomoxetine (Straterra)
SNRI - not a stimulant
41
Maternal ingestion of alcohol and drugs
leads to 30% of all intellectual disabilitiews
42
Children with impaired social interactions
short term and long term goals are important
43
ADHD kids need
distraction free enviornment
44
St Johns Wort
Do not take with psychotropic drugs safe at 900 mg/day 90mg/day can also lead to photsensitivities
45
Accupuncture
Chinese - effective at treating pain conditions Stimulates endorphins that relieve pain results sometimes are dependent on expectations
46
Complimentary therapies
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
Vitamin C
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
Fields of energy become blocked
when pain or illness occurs, therapeutic touch - re patterns the bodies energy field by rythmic hand motions
49
Gingko Biloba
Treats senility, short term memory loss, peripheral insufficiency and has been shown to dilate blood vessels
50
feverfew
prophylaxis for migraine fresh or frozen safe at reasonable doses