WILKES NSG 526 exam 3 QUESTIONS WITH
SOLUTIONS
.--------- instability (rapid and extreme shift in mood) is a core characteristic of BORDERLINE-BPD and is
evidenced by erratic emotional responses to situations and intense sensitivity to criticism or perceived slights.
For example, a person may greet a casual acquaintance with intense affection, yet later, be ---------- with the
same acquaintance.
Persons with BPD also have difficulty recognizing negative facial affects of others and experiencing negative
emotions, particularly sadness, a------- and d----------- - ANSWER-Affective
aloof
sadness, anger, disgust
.----------- Crisis According to Erikson; are a normal part of growth and development, and that successfully
resolving a crisis at one stage allows the child to move to the next. The child develops positive characteristics
after experiencing a crisis. If he or she develops less desirable traits, the crisis is not resolved. This concept of
------------- crisis assumes that psychosocial development progresses by an easily identifiable, orderly process.
A ------------- crisis occurs whenever a specific stressful event threatens a person's biopsychosocial integrity and
results in some degree of psychological disequilibrium. The event can be an internal one, such as a disease
process or any number of external threats. A MOVE to another city, a job PROMOTION, or graduation from
high school can initiate a crisis even though they are positive events.
------------- crisis is like a natural disaster - ANSWER-Maturational
,Maturational
situational
adventitious
.----------- identification- BPD is a defense mechanism by which people with BPD protect their fragile self-image.
For example, when overwhelmed by anxiety or anger at being disregarded by another, they defend against the
intensity of these feelings by unconsciously blaming others for what happens to them. - ANSWER-Projective
.----------- Personality Disorder are critical of others because they project ----------- for their own shortcomings
onto others. - ANSWER-paranoid/blame
.------------ behavior is deliberate self-injury with intent to harm oneself - ANSWER-parasuicidal
.------------ is mainly due to fear of abandonment or the increase of independence - ANSWER-Self-mutilation
.------------ is the "pioneer" of music therapy. They also were one of the first to use pet therapy. - ANSWER-
Florence Nightingale (during Crimean War)
.------------ personality disorder Individual psychotherapy is the appropriate modality to use with this disorder. -
ANSWER-Schizoid
.------------- crisis is initiated by unexpected unusual events that can affect an individual or a multitude of
people. In such situations, people face overwhelmingly hazardous events that may entail injury, trauma,
destruction, or sacrifice. Such an event involves a physically aggressive and forced act by a person, a group, or
an environment. National disasters (e.g., racial persecutions, kidnappings, riots, war); violent crimes (e.g., rape,
murder, and assault and battery); and natural disasters (e.g., earthquakes, floods, forest fires, hurricanes) are
examples of events that precipitate this type of crisis (Hazelwood & Burgess, 2001). 9/11 is an example of an
-------------- crisis. - ANSWER-adventitious
,adventitious
.------------- is a term first introduced by early behavior therapists in relation to the treatment of anxiety by
immediate and prolonged exposure to feared stimuli - ANSWER-Flooding
.------------- observations help the most in evaluating outcomes of child therapy. - ANSWER-Objective
.--------------- category Injuries are extensive and chances of survival are unlikely even with definitive care.
Persons in this group should be separated from other casualties, but not abandoned. Comfort measures should
be provided when possible
----------- Unresponsive patients with penetrating head wounds, high spinal cord injuries, wounds involving
multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or
vomiting within 24 hr after radiation exposure, profound shock with multiple injuries, agonal respirations; no
pulse, no BP, pupils fixed and dilated. - ANSWER-MCI Expectant
Black MCI CATEGORY
.2. Music Therapy - Music is fundamental to the body, mind, and spirit. It is far more than what meets the ear
or makes us dance, smile, or cry. It speaks to our inner beings and souls. It transcends time and provides us
with energy, while stirring up our feelings. Music is holistic and provides us with entertainment as well as
sedative, hypnotic, analgesic, and tranquilizing effects.
The evolution of music as a therapy has been based on the healing practices of many cultures. In recent times,
however, music therapy was first used in the 1940s with clients in psychiatric hospitals. The American ------------
Association (AMTA) founded in 1998 for the purpose of developing music therapy for use in rehabilitation,
special education, and community healthcare settings.
For generations and in every culture, music has been referred to as "medicine for the soul." However, music
therapy can be defined in different ways that - ANSWER-Music Therapy
, mental illness
.A board game appropriate for latency-age children (6 to 12 years) is --------- Talking, Feeling, and Doing Game
(1986). The player throws -------- to advance his or her playing piece along a pathway of different colored
squares. Depending on the color landed upon, the player draws a talking, feeling, or ------- card, which gives
instructions or asks a question. A reward chip is given when the player responds appropriately. For example, a
feeling card might read, "All the girls in the class were invited to a birthday party except one. How did she
feel?" If this game is played with more than one child, the PMH-APRN can elicit additional responses and
engage the whole group in the therapeutic interchange. The PMH-APRN may -------------- to make sure that
cards relating to the child's problems will be selected. - ANSWER-Gardner's
dice
talking/feeling/DOING
stack the deck
.A crisis is generally regarded as time limited, lasting no more than ----- to 6 weeks. There is no such thing as a
--------- crisis. People who live in constant turmoil are not in crisis but in chaos. - ANSWER-4-6
no such thing as CHRONIC crisis
.A helpful technique for managing feelings is known as the COMMUNICATION TRIAD. The triad provides a
specific syntax and order for clients to identify and express their feelings and seek relief. The sentence" consists
of three parts:
An ------------ statement to identify the prevailing feeling
A nonjudgmental statement of the ---------------
What the client would like ------------- or what would restore comfort to the situation - ANSWER-"I"
emotional trigger
differently
