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NURS 661 > NURS 661 Exam 3 > Flashcards

NURS 661 Exam 3 Flashcards

1
Q

PHQ-9: What score is moderate depression?

A

10-14

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2
Q

PHQ-9: What score is moderately severe depression?

A

15-19

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3
Q

PHQ-9: What score is mild depression?

A

5-9

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4
Q

PHQ-9: What score is severe depression?

A

20-27

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5
Q

Interpersonal therapy: when to use …

A

Good choice for adults with concerns of:

Loss, grief, interpersonal conflict, role transitions (midlife/empty nester/etc)

Mild to moderate depression

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6
Q

What therapy modifications are used for older adults?

A
  • Give them more time
  • Speak clearly
  • Large print
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7
Q

What age does reasoning start to happen?

A

Intuitive thought substage:

  • around 4-7 years of age
  • asks more questions
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8
Q

Techniques for teaching self-regulation to children:
- for yourself
- for the child

A

For the therapist:
- manage your own stress
- realistic expectations
- model self-regulation
- be supportive and encouraging
- reduce unnecessary demands

For the child:
- Motivational interviewing

—-To decrease resistance and hostility from child

  • Strength-Based approach

—- What works for them

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9
Q

Strength based approach for children

A
  • Start with what’s present, NOT what’s absent
  • Questioning strategies to find out what works for them and their abilities
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10
Q

Which family systems to address bipolar

A

CBT with family system focus

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11
Q

How long after trauma should you discuss the trauma with children?

A

TF-CBT 2-4 weeks after trauma

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12
Q

Three main characteristics of ADHD in children

A

Inattentiveness
Hyperactivity
Impulsivity

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13
Q

What is impulsivity

A

do without thinking of consequences

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14
Q

Brain structures of ADHD

A

Prefrontal cortex
– Distractibility
– Forgetfulness

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15
Q

What should happen if a child is taking stimulant and still has poor attention?

A

Add in cognitive training
- focused on enhancing working memory

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16
Q

Example of a strengths-based approach

A

Praise a youth for maintaining control

If child is getting bad grades → praise the effort of turning in assignments and going to school

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17
Q

GAD 7: Minimal

A

0-4

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18
Q

GAD 7: Severe

A

15-21

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19
Q

GAD 7: Moderate

A

10-14

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20
Q

GAD 7: Mild

A

6-9

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21
Q

Encouragement

A

Gives hope, determination

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22
Q

Exhortation

A

Self-help, urge more drive, do the hard work needed for max achievement

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23
Q

Inspiration

A

Feeling of enthusiasm that you get from something that gives new ideas

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24
Q

Normalizing

A

Make the patient realize something they feel weird about it normal

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25
Q

Differentiation

A

Ability to maintain your own thoughts in the presence and pressure of close intimate relationships

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26
Q

Fusion

A

Believe that thinking about an action is the same as completing that action

Thinking about harming a partner is just as bad as doing it in real life

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27
Q

Transmission Process

A

Process of family emotions over the generations
– Your cousin Jenny was divorced 5 times

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28
Q

Triangle Family: What is it and example

A

Part of the Bowen’s family systems:

Dyads - unstable

Two people vacillate between close and distant

Seek out a third-person

Example:
- Child as an emotional extension of parents

Which is family projection process

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29
Q

Undifferentiated ego mass

A

Emotional oneness of family group

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30
Q

Bowen’s family systems theory

A

is a theory of human behavior that use the family as an emotional unit and uses systems thinking to describe the units complex interactions it’s the nature of a family that its members are INTENSELY CONNECTED EMOTIONALLY

31
Q

Sibling position

A

people who grow up in the same sibling position predictively have important common characteristics

Example, older children tend to gravitate to leadership positions and youngest children often prefer to be followers.

32
Q

Codependent family

A

parents who are codependent may try to control their child’s life. a. The control could show up in different ways:

They could be overly involved. For example, if a parent sees that something painful is happening in their child’s life, they’ll try to gain control by getting involved often too involved, like a helicopter parent.

33
Q

Disengaged family

A

members are mutually withdrawn from each other, psychologically and emotionally

An example is families that share little to nothing.
Usually this happens in overly rigid families they’re often described as detached.
There’s little to no communication, no flexibility to accommodate support and guidance

34
Q

Enmeshed family

A

There are no boundaries between the family members.

Instead of the strong bonds that signal a well-functioning family unit- The family members in an enmeshed family are fused together by unhealthy emotions.
Usually in enmeshed families are rooted in trauma or illness.

Parents are usually excessively involved in children’s minor conflicts and they don’t allow children the opportunity to solve their own problems.

35
Q

Toxic family

A

temporarily behave in toxic or unhealthy ways because of problems outside the family dynamic like challenges at work, school, health concerns, or emotional distress.

Usually, a toxic family is generally they have patterns of abuse, discrimination, manipulation, verbal abuse, or violence.

36
Q

Minuchin’s factors that lead to family dysfunction

A

Family composition may change due to the birth of a child or the inclusion of a relative, like if a grandparent comes to live with a family or even the addition of a foster child.

But if the family does not change or modify its interactions and transactions to include the new family member stress resulting from the situation may cause family dysfunction.

37
Q

How to promote self-statements during a family therapy session

A

Using “I feel” statements; and focus on self-awareness, and create a stress free zone and self-care: meditation, physical activity, and self-talk

38
Q

Be able to give examples of the Structural Family Therapy Approach

and what is the goal

A

Family has a couple of children that are pushing the parents limits and emotional boundaries →

GOAL: create an effective family structure

39
Q

Parentification

A

when parents rely on their children to give to them.

Example: teenage boy, whose dad is irresponsible and neglectful so the youth has to make adult decisions

40
Q

Family mapping

A

To understand and uncover patterns of behavior and family interactions

41
Q

Boundary making

A

Helps with enmesh family members, such as a parent who’s overly involved with a child.

Boundary making may be introduced or reinforced to strengthen or change the distance between relationships.

42
Q

Reframing

A

Couple is arguing

Therapist asks them to see it as a whole team problem vs an individual

43
Q

Shaping competence

A

Acknowledging and praising positive behaviors

Therapist: Great you were able to work together to develop a plan

44
Q

Tracking

A

Gain understanding of interactive patterns in which an presenting situation is embedded

Helping family members change the way they relate to eachother

45
Q

Unbalancing

A

is to change the relationship of the members of a subsystem.

Example:
if a matched father and daughter are sitting next to each other in a therapy session and they frequently look at each at each other and laugh and ignore their mother-

The therapist may ask the mother and father to change seats, so that way, the mother is next to the daughter. And the father and daughter have more distance that would be a therapy technique of unbalancing in order to correct the blocking that was happening.

Example:
2 kids in session refuse to pay attention to the parent’s request

Therapist asks the kids to leave the room to work with parents

46
Q

First order change

A

Making the decision to stop an action

47
Q

Second order change

A

Doing something fundamentally different that what you’ve done before

48
Q

Feedback loops:
- two components
- How is it a loop

A

Two components:
1. Action
2. Reaction

What makes it a loop → results of the reaction feedback into the process

49
Q

Stages of change: Precontemplation

A

No thoughts of change

50
Q

Stages of change: Contemplation

A

Aware of the problem.

No commitment

51
Q

Stages of change: Preparation

A

Intent on taking action

has a plan

52
Q

Stages of change: Action

A

active modification of the behavior

53
Q

Stages of change: Maintenance

A

Sustained change

54
Q

Stages of change: Relapse

A

Falls back into old behaviors

55
Q

Grounding

A

Self-soothing skill
– to use when having a bad day/ dealing with stress

Keeps you in the present

Good for:
- trauma or a lot of anxiety

Example
Identify a blue object around you
Count how many blue objects you see

56
Q

Guided Imagery

A

Use words and music to evoke positive imagery scenarios with a view to bring a beneficial effect

Example
Imagine you’re on a beach

You can hear the waves
See the color of the sky

57
Q

Mindfullness

A

Builds on principles of cognitive therapy

Pay attention to thoughts and feelings

58
Q

Homeostasis

A

Tendency to resist change in order to maintain a stable environment

59
Q

Supportive Self-talk

  • what is it
  • who is it good for
A

Useful for PTSD

Encouraging self to take a breath and focus

Example:
During a flashback say “this old stuff, I’m safe.”
– Deep breath and long, slow exhale
– “That’s the past. I’m not there.”

60
Q

Insecure Attachement

A

Diminished ability to express needs and feelings

Adopt a safe distance

Solve problems alone without understanding the effect they have on their partners

61
Q

Anxious Attachment

A

Demand reassurance

Blame and manipulate to engage partner

Needy

62
Q

Recovery

A

Process of change to improve health and wellness

63
Q

Erickson’s:
birth - 18 mo

A

Infancy
Trust vs Mistrust

64
Q

Erickson’s:
18 mo - 3 yo

A

Early childhood

Autonomy vs Self-doubt

Shame and doubt

65
Q

Erickson’s:
3 - 6

A

Late childhood

Initiative vs Guilt

66
Q

Erickson’s:
6 - 12

A

School age

industry vs inferiority

67
Q

Erickson’s:
12 - 20

A

Adolescence

Identity vs Role Confusion

68
Q

Erickson’s:
20 - 30

A

Young Adult

Intimacy vs Isolation

69
Q

Erickson’s:
30 - 65

A

Adulthood

Generativity vs Stagnation

70
Q

Erickson’s:
65 - to death

A

Old Age

Ego integrity vs Despair

71
Q

Life Review

A

Evaluation

Critical Study of life

72
Q

Reminiscence

A

Share life experiences

Memories and stories

can help people with dementia remember places and people

73
Q
A

NURS 661 (5 decks)

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