group confidentiality
Must set rules--what is said in the group stays in the group
ideal group size
6-10 members for an interpersonally focused small group
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Psych 6340 Final with
100% correct answers
group confidentiality - answer Must set rules--what is said in the
group stays in the group
ideal group size - answer 6-10 members for an interpersonally
focused small group
how to determine group length - answer Length of session-pertains
to function level of the patients and what you are doing
most important factor in member selection for groups - answer most
important factor is that members be homogenous in terms of their
vulnerability and ego strength
alertness and problem solving level for "mild" anxiety - answer
individual is alert
problem solving is maximal
attention, feeling, and problem-solving availability with "moderate"
anxiety - answer • Selective attention
• Complaints of feeling "on edge" or "uptight"
• Problem-solving is impaired but possible with assistance
clinical interventions for "moderate" anxiety - answer just generally
helpful
,• Assist individual to label feelings and talk through situation
• Help individual make connections between details
• Assist with problem-solving
• Use of relaxation techniques
attention, ability to grasp meaning, and problem-solving for severe
anxiety - answer • Attention narrowly focused
• Problem-solving severely impaired
• Inability to grasp meaning
at what anxeity level would you use PRN meds - answer severe
clinical intervention for panic and severe anxiety, how much to leave
them alone - answer • Provide structure and direction
• Do not ask patient to make decisions
• Do not leave patient alone
problem solving and physiological symptoms of 'panic' anxiety -
answer Problem solving is impossible
• Patient may complain of feelings of unreality
• Patient may have trouble breathing, feel like they are having a
heart attack
• There may be a loss of contact with reality
praxis - answer ability to carry out motor acts
affect vs mood - answer Affect: what others see
Mood: what you feel
,Prodromal Signs of Schizophrenia, high level definition - answer
Signs and symptoms that precede the acute full blown disease
examples of Prodromal Signs of Schizophrenia - answer social
withdrawal, deterioration in function, depressive mood, perceptual
disturbances, magical thinking, peculiar behavior
how long do prodromal signs occur before full-blown schiz - answer
**Occur about a month to a year before full-blown symptoms
4 types of schiz symptoms: - answer positive: hallucinations,
delusions
negative: blunted affect, poverty of thought
neurocognitive: inattentive, easily distracted, illogical
affective symptoms: dysphoria, suicidality
alogia - answer poverty of speech
dysphoria - answer sense of great unhappiness or dissatisfaction
delusions - answer False fixed beliefs that cannot be corrected by
reasoning
two key things to assess for with delusions - answer Delusions that
have to do with someone harming the patient or the patient
harming someone
• Paranoia and/or suspiciousness
, what to focus on with delusions - answer Focus on feelings
associated with the delusion
• Focusing on the delusional content itself is not helpful
Do not try to correct false beliefs (it would be pointless and can
negatively impact rapport)
how to respond to delusions - answer Don't argue about the
delusion but clarify the facts
• Patient: "My tech is coming to check my BP but he is really going
to poison me."
• You: "It's true that I asked the tech to take your BP. I need to know
the result before I give you your medication today. Would you like
for me to take your BP instead?"
types activities for delusions - answer Do concrete reality based
activities with the client
• Cards, games, music, newspaper, exercise
• If they are focusing on reality, they have less time to focus on
delusional content
Neologisms - answer made up words
Clang association - answer meaningless rhyming of words
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