Blueprint 1-10 Flashcards

1
Q

Psychodrama

A

Acting out a traumatic experience in a therapeutic environment

Protagonist portrays situation
Other from group play roles

Group leader director

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2
Q

Member roles of therapeutic groups

A

Task roles: contribute to success

Maintenance roles: Contribute to success: compromiser, encourager, follower, harmonizer

Individual roles: can interfere with effectiveness of group

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3
Q

Autocratic leadership style

A

Focus on the leader who people depend on for decision making. High production, low morale

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4
Q

Democratic leadership style

A

focus on members who all participate in problem solving

lower production than autocratic, but higher morale

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5
Q

Laissesz-faire leadership style

A

no focus, undefined goal

low productivity and morale

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6
Q

Phases of group development

A

Phase 1: orientation

  • Rules established with members and leader
  • Leader promotes trust
  • Members overly polite and superficial

Phase 2: Working

  • Leader role diminishes, becomes more facilitator
  • Trust established between members, cohesive
  • Conflict managed by group members

Phase 3: Termination

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7
Q

Phases of group development

A

Phase 1: orientation

  • Rules established with members and leader
  • Leader promotes trust
  • Members overly polite and superficial

Phase 2: Working

  • Leader role diminishes, becomes more facilitator
  • Trust established between members, cohesive
  • Conflict managed by group members

Phase 3: Termination

  • Sense of loss may be experienced
  • Leader encourages group to discuss feelings and reminisce
  • May feel abandonment
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8
Q

Open ended groups

A

Members leave and join at any time during the existence of group

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9
Q

Close ended groups

A

All members join at once and leave at the end of a designated period of item

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10
Q

Dispositional crisis

A

Acute response to an external situational stressor

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11
Q

Crises of anticipated life transitions

A

Normal life cycle transitions that can be anticipated but feel lack of control over

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12
Q

Crisis resulting from traumatic stress

A

Precipitated by unexpected external stressor the indivudual has little to no control over

Feel emotionally overwhelmed and defeated

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13
Q

Maturational/developmental crisis

A

Crisis occuring in response to situation that triggers emotions r/t unresolved conflicts

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14
Q

Crisis reflecting psychopathology

A

emotional crisis- preexisting psychopathology is the main precipitating factor

or

psychopathology impairs/complicates adaptive resolution

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15
Q

Psychiatric emergency

A

general functioning severely impaired and individual rendered incompetent/unable to assume personal responsibility.

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16
Q

Phase 1 of crisis intervention: Assessment`

A

Information gathered about precipitating stressor/resulting crisis prompting individual to seek help

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17
Q

Phase 2 of crisis intervention: Planning of therapeutic intervention

A

Nurse selects diagnoses that reflect immediacy of crisis

Establish criteria for desired outcome

Nursing actions selected consider type of crisis and individual strengths

18
Q

Phase 3 of crisis intervention: INTERVENTION

A

Planned actions implemented

working relationship est. rapidly

problem solving model

19
Q

Phase 4 of crisis intervention: Evaluation of crisis resolution and anticipatory planning

A

Reassess to determine if obj. met

Plan of action developed to deal with stressor should it reoccur

20
Q

Operant conditioning

A

positive reinforcement: response to behavior that encourages said behavior

Negative reinforcement: response to behavior that prevents undesirable result

21
Q

Aversive stimulus

A

punishment

22
Q

Negative reinforcer

A

Engaging in an outcome to avoid a negative response

Sunscreen to avoid sunburn

23
Q

Shaping behavior modification

A

Reinforcements given slowly progressing to desired response

24
Q

modeling behavior modification

A

Learning new behaviors by imitation

25
Q

Premack principle

A

Frequently occuring responses can serve as pos. reinforcement for response that occurs less frequently.

ex. Kid not finishing dinners (less probable response) so parent offers dessert (high probability) if they finish dinner

26
Q

Extinction behavior modification

A

Gradual decrease–> disappearance of response when pos reinforcement removed

27
Q

Contingency contracting behavior modification

A

Behavioral change contract developed- states target behavior and conditions behavior will occur, and benefits/consequences if meet/fail to meet target.

ex. If child completes hw before dinner they get TV time. If not, they forfeit TV time to do hw

28
Q

Reciprocal inhibition behavior modification

A

decrease/eliminate behavior by introduction of more adaptive behavior that is incompatible with the unacceptable behavior

ex. giving food to a frightened animal to stop fearful behavior

29
Q

Overt sensitization behavior modification

A

aversion therapy producing unpleasant consequences for undesirable behavior

30
Q

Covert sensitization behavior modification

A

mental imagery of aversive stimulus to divert individual from undesirable behavior

31
Q

Systematic desensitization behavior modification

A

systematic hierarchy of events assoc. w/ phobic stimulus used to gradually desensitize

32
Q

Flooding behavior modification

A

Flooded w/ continuous presentation of phobic stimulus until it no longer exhibits anxiety

33
Q

Cognitive therapy techniques

A

Clients must be their own therapist
Therapist provides assignments and information

Therapist explains correlation between distorted thinking and mental illness

Socratic questioning
Imagery
Role play

34
Q

ECT

A

Induction of grand mal seizure via electrodes eod e times/week for 6-12 treatments.

IICP contraindicated

Side effects: temp. memory loss, confusion, slight brain damage, chance of retrograde amnesia

35
Q

Nursing process ECT

A

Client req. thorough physical exam. before therapy– cardiovascular and respiratory

Informed consent

Assess mood, anxiety, VS

Appropriate nursing Dx

prep client for treatment by having them void and remove dentures, glasses, contacts, jewelry

atropine admin (according to orders) 30 mins before treatment.

Watch airway during therapy, assist anesthesiologist

Remain w/ client until fully awake, VS q15min for first hour, client orientation

watch client behavioral changes

36
Q

WRAP model

A
Develop wellness toolbox
Daily maintenance list
Triggers 
Early warning signs
Things getting worse
Crisis planning
37
Q

Psychological recovery model

A

Four components of recovery process:

  • Hope
  • Responsibility
  • Self and identity
  • Meaning and purpose

5 Stages of recovery

  • Moratorium: sense of loss
  • Awareness: not all is lost
  • Preparation: work on developing recovery skills
  • Rebuilding:Set goals, work towards positivity, control
  • Growth: Living full and meaningful life, self managed
38
Q

Dichotomous thinking (CBT Automatic thoughts)

A

Only thinking best or worst outcome, nothing in between

39
Q

Arbitrary inference (CBT Automatic thoughts)

A

Drawing a conclusion without sufficient evidence

40
Q

Selective abstraction (CBT Automatic thoughts)

A

Drawing conclusions from just one element of a situation

41
Q

Personalization (CBT Automatic thoughts)

A

Attributing personal responsibility for things out of their control

42
Q

Catastrophic thinking (CBT Automatic thoughts)

A

always focused on worst case scenario