Blueprint 1-10

Question 1

Psychodrama

Answer 1

Acting out a traumatic experience in a therapeutic environment

Protagonist portrays situation
Other from group play roles

Group leader director

Question 2

Member roles of therapeutic groups

Answer 2

Task roles: contribute to success

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

Individual roles: can interfere with effectiveness of group

Question 3

Autocratic leadership style

Answer 3

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

Question 4

Democratic leadership style

Answer 4

focus on members who all participate in problem solving

lower production than autocratic, but higher morale

Question 5

Laissesz-faire leadership style

Answer 5

no focus, undefined goal

low productivity and morale

Question 6

Phases of group development

Answer 6

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

Question 7

Phases of group development

Answer 7

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

Question 8

Open ended groups

Answer 8

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

Question 9

Close ended groups

Answer 9

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

Question 10

Dispositional crisis

Answer 10

Acute response to an external situational stressor

Question 11

Crises of anticipated life transitions

Answer 11

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

Question 12

Crisis resulting from traumatic stress

Answer 12

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

Feel emotionally overwhelmed and defeated

Question 13

Maturational/developmental crisis

Answer 13

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

Question 14

Crisis reflecting psychopathology

Answer 14

emotional crisis- preexisting psychopathology is the main precipitating factor

or

psychopathology impairs/complicates adaptive resolution

Question 15

Psychiatric emergency

Answer 15

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

Question 16

Phase 1 of crisis intervention: Assessment`

Answer 16

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

Question 17

Phase 2 of crisis intervention: Planning of therapeutic intervention

Answer 17

Nurse selects diagnoses that reflect immediacy of crisis

Establish criteria for desired outcome

Nursing actions selected consider type of crisis and individual strengths

Question 18

Phase 3 of crisis intervention: INTERVENTION

Answer 18

Planned actions implemented

working relationship est. rapidly

problem solving model

Question 19

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

Answer 19

Reassess to determine if obj. met

Plan of action developed to deal with stressor should it reoccur

Question 20

Operant conditioning

Answer 20

positive reinforcement: response to behavior that encourages said behavior

Negative reinforcement: response to behavior that prevents undesirable result

Question 21

Aversive stimulus

Answer 21

punishment

Question 22

Negative reinforcer

Answer 22

Engaging in an outcome to avoid a negative response

Sunscreen to avoid sunburn

Question 23

Shaping behavior modification

Answer 23

Reinforcements given slowly progressing to desired response

Question 24

modeling behavior modification

Answer 24

Learning new behaviors by imitation

Question 25

Premack principle

Answer 25

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

Question 26

Extinction behavior modification

Answer 26

Gradual decrease--> disappearance of response when pos reinforcement removed

Question 27

Contingency contracting behavior modification

Answer 27

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

Question 28

Reciprocal inhibition behavior modification

Answer 28

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

Question 29

Overt sensitization behavior modification

Answer 29

aversion therapy producing unpleasant consequences for undesirable behavior

Question 30

Covert sensitization behavior modification

Answer 30

mental imagery of aversive stimulus to divert individual from undesirable behavior

Question 31

Systematic desensitization behavior modification

Answer 31

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

Question 32

Flooding behavior modification

Answer 32

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

Question 33

Cognitive therapy techniques

Answer 33

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

Question 34

ECT

Answer 34

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

Question 35

Nursing process ECT

Answer 35

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

Question 36

WRAP model

Answer 36

``` Develop wellness toolbox Daily maintenance list Triggers Early warning signs Things getting worse Crisis planning ```

Question 37

Psychological recovery model

Answer 37

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

Question 38

Dichotomous thinking (CBT Automatic thoughts)

Answer 38

Only thinking best or worst outcome, nothing in between

Question 39

Arbitrary inference (CBT Automatic thoughts)

Answer 39

Drawing a conclusion without sufficient evidence

Question 40

Selective abstraction (CBT Automatic thoughts)

Answer 40

Drawing conclusions from just one element of a situation

Question 41

Personalization (CBT Automatic thoughts)

Answer 41

Attributing personal responsibility for things out of their control

Question 42

Catastrophic thinking (CBT Automatic thoughts)

Answer 42

always focused on worst case scenario