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Walden 6645 Mid-Term Review(Wheeler Chapters)COMPLETE

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Modeling and Role Modeling Theory Developed by Helen Erickson and colleagues and provides an explanation of commonalities and differences amongst people. Maslow Theorist who proposed the Heirarchy of Needs that are a framework for individual growth and development. Role Modeling...

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  • August 11, 2022
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Walden 6645 Mid-Term Review
Modeling and Role Modeling Theory - Answer Developed by Helen Erickson and
colleagues and provides an explanation of commonalities and differences amongst
people.

Maslow - Answer Theorist who proposed the Heirarchy of Needs that are a framework
for individual growth and development.

Role Modeling - Answer Process by which the nurse facilitates and nurtures the
individual in attaining, mainatining, and promoting health and idenifies the patient as the
expert in their own care.

Modeling - Answer The nurse's development of understanding of the patient's world.

Imogene King - Answer Nursing pioneer that developed the "Theory of Goal Attainment"

Theory of Goal Attainment - Answer A theory, proposed by Imogene King, that explains
the factors that impact goal attainment which are roles, stress, space, and time.

Neuman's Systems Model - Answer A model of health that is described as "the
condition in which all part and subparts, or variables are in harmony with the whole of
the "client".

Employs 6 steps with specific categories of data about the patient. - Answer Neuman's
Systems Model

Self-Care Defecit Nursing Theory - Answer Developed by Dorthea E. Orem, the theory
guides that people should be self-reliant & responsible for their own care as well as
family and nursing is a form of action.

Relationship - Answer The foundation of psychiatric nursing that is the driver of effective
change interpersonally and impacts brain chemistry.

Resilience - Answer The ability of an idividual, family or community to cope with
adversity and trauma, and adapt to challenges through individual physical, emotional
and spiritual attributes and access to culture and social resources.

Resilient Zone (RZ) - Answer The bes physiological state for thinking clearly and
functioning well.

High Zones and Low Zones - Answer When a traumatic event moves the patient out of
their resilient zone resulting in depression, sadness or fatigue (Low Zone) or edginess,
irritability or mania (Hight Zone).

,Self Actualization - Answer According to Maslow, the ultimate psychological need that
arises after basic physical and psychological needs are met and self-esteem is
achieved; the motivation to fulfill one's potential

Stress Diathesis Model of Psychiatric Disorders - Answer It is the recognition that
genetics and environment contribute to the development of psychiatric disorders.

Disorders that are the result of extreme stress or trauma. - Answer PTSD, Reactive
attachment disorder, actue stress disorder, adjustment disorder,

True or False: Telomeres (DNA protein structures) are shorter in the presence of
trauma - Answer True

What percent of adults in the world experience at least one traumatic event in their
lives? - Answer 70%

T or F: According to the WHO 50% of the adult population has experienced physical
abuse. - Answer F: 25%

Adaptive Information Processing (AIP) - Answer Explains the normal mechanims of
action for psychotherapy approaches which is that information is taken in through the
senses and connected adaptively to other memory networks so that storing and learning
occr.

cognitive-behavioral therapy (CBT) - Answer Therapy that focuses on the individual's
thoughts, beliefs, and behaviors

Family therapy model - Answer Focus is on relationships and dynamics of the family
unit

Psychodynamic Therapy - Answer therapy deriving from the psychoanalytic tradition
that views individuals as responding to unconscious forces and childhood experiences,
and that seeks to enhance self-insight

EMDR (eye movement desensitization and reprocessing) therapy - Answer EMDR
therapy targets body, beliefs, images, and emotions to process trauma

T or F: Treatment Heirarchy refers to the order in which needs have to be met to
facilitate stabilization and processing. - Answer T: It aligns with Maslow's Heirarchy of
Needs

Stabilization - Answer Is the phase needed before processing can occur and requires
provision of safety and increasing the patient's resources to establish balance.

, Processing - Answer Reflects access to all dimensions of memory: behaviors, affect,
sensations, cognitions, and beliefs associated with the trauma and leads to an
expansion of consciousness

Stage I of the Treatment Heirarchy - Answer Stabilization-Basic needs are met: food,
sleep, safety, security, case managment and work towards achieiving solid state
resiliency

Stage II of the Treatment Hierarchy Framework - Answer Processing

Stage III of the Treatment Hierarchy Framework - Answer Enhance Future Visioning

Thalamus - Answer Acts as a relay station for the top-down, bottom-up neural networks
that connect the cortex to the limbic system. There is constant interaction between the
thalamus and the cortex, and all sensory information, except for smell, which is routed
through the thalamus to the cerebral cortex. Mediates the interaction between attention
and arousal and is therefore relevant to the phenomenology of trauma.

T or F: Neuroimaging studies show decreased thalamic activity in subjects with PTSD -
Answer True

Cerebellum - Answer Just above the brainstem and helps coordinate motor, social,
emotional, and cognitive functioning. Processes implicit memory. The cerebellar vermis
is a worm-shaped structure between both parts of the cerebellum, and helps regulate
activity in the limbic system and is important for regulating emotional balance, attention,
and posture

Implicit Memory - Answer Memories we don't deliberately remember or reflect on
consciously. involves motor or procedural memories, emotional memories, and somatic
memories that are most often formed earlier in development than explicit memories

locus coeruleus - Answer Dense group of neurons found on both sides of the pons in
the brainstem between the medulla oblongata and the midbrain, with projections to the
amygdala, the prefrontal cortex, and the hippocampus. Stress activates this structure,
which makes norepinephrine and stimulates sympathoadrenal medullary (SAM) axis
and the hypothalamic-pituitary-adrenal (HPA) axis stimulation, which inhibits frontal
cortex functions, allowing instinctual responses to override cognition. Complex feedback
loops during acute stress, if unchecked, can result in chronic anxiety, fear, intrusive
memories, and an increased risk for physical health problems, such as hypertension,
tachycardia, bladder infections, asthma, migraines, fibromyalgia, irritable bowel
syndrome, gastroesophageal reflux disease, ulcers, and sleep, thermoregulation, and
eating disorders

Hippocampus - Answer Important for explicit memory, reality testing, and inhibiting the
amygdala. The amygdala organizes the emotional experiences and tells the

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