Final

Question 1

what is becks CBT goal?

Answer 1

recognize + change negative thoughts and beliefs

Question 2

what is Ellis’ ABC theory of emotions?

Answer 2

A = activating event in environment
B = belief that is triggered
C = emotional Consequence

Question 3

what are the stages of changes?

Answer 3

precontemplation
contemplation
prepare
action
maintenance

Question 4

what is over generalizing?

Answer 4

everything is bad

Question 5

what is selective abstraction?

Answer 5

failures only matter

Question 6

what is excessive responsibility?

Answer 6

i am responsible for all bad things

Question 7

what is Assuming temporal causality?

Answer 7

if its true in the past, its always true

Question 8

what is catastrophizing?

Answer 8

always thinking of the worst will happen to you

Question 9

what is dichotomous thinking?

Answer 9

one extreme or another

Question 10

What is MICA?

Answer 10

mentally ill, chemically addicted

dual dx

Question 11

what is occupational alienation?

Answer 11

can be effect of substance dependency

a loss of meaning and satisfying roles

Question 12

what is occupational deprivation?

Answer 12

deterioration in performance may lead to loss of meaningful and satisfying roles

Question 13

what is the occupational impact of substance abuse?

Answer 13

activities are replaced by activities focused on maintaining the addiction

Question 14

what are the tx approaches to substance abuse?

Answer 14

12 step
motivational interviewing (transtheoretical)
CBT

Question 15

CAGE

Answer 15

alcohol screening

misses at risk drinkers + drugs

Question 16

DAST

Answer 16

drug screening

3-5 = moderate drug addiction

Question 17

MAST

Answer 17

drug screen for older adults

Question 18

what are the principles for motivational interviewing?

Answer 18

1. express empathy
2. develop discrepancy
3. roll with resistance
4. support self efficacy

Question 19

what is locus of control?

Answer 19

sense of control to manage illness independently outside of clinic

Question 20

what are side effects of antipsychotics?

Answer 20

dystonia, tachycardia, hypotension, lethargy, dry mouth

Question 21

what are the side effects of SSRI’s?

Answer 21

sex dysfx, nausea, insomnia, agitation, increased temp

Question 22

what to avoid when taking MAOI’s?

Answer 22

avoid foods with tyramine that can lead to stroke

Question 23

What are side effects of Benzo’s?

Answer 23

withdrawal and rebound sys

Question 24

what is modeling?

Answer 24

observational learning

person learns a new social skill by watching someone else use that skill

Question 25

what is shaping?

Answer 25

reinforcement of steps toward desired goal | most skills taught in training are too complex for clients to learn in single trial

Question 26

What are the principles of MOHO?

Answer 26

volition value personal causation

Question 27

what are the methods of motivational Interviewing?

Answer 27

``` open Q's listen reflectively affirm summarize change talk ```

Question 28

what are de-escalation techniques for anxious pt?

Answer 28

``` supportive approach = non judgemental empathetic pay attn use silence and restatement reflection ```

Question 29

what are de-escalation techniques for defensive pt?

Answer 29

``` directive approach = set limits clear + concise understanding tone dont challenge enforce limits ```

Question 30

what are de-escalation techniques for acting out person?

Answer 30

tension reduction = physical and emotional release restores rationality and re-est therapeutic rapport

Question 31

what is the appropriate safety zone with supportive stance?

Answer 31

>3 feet, 1.5 arms length | 45 degree angle ability to pivot

Question 32

what are the leading causes of re-hospitalization?

Answer 32

not taking meds and stressful life events

Question 33

what are the 6 problem solving steps?

Answer 33

1. identification 2. strategies 3. pros and cons of strategy 4. selection of strategy 5. implementation 6. follow up

Question 34

what is problem flooding?

Answer 34

trying to solve 1 problem and client brings up another

Question 35

what is distraction?

Answer 35

divert attn of therapist

Question 36

what is help rejection complainer?

Answer 36

rejects efforts to help to continue complaining

Question 37

what is avoidance denial strategy?

Answer 37

avoiding problems instead of confronting | need to find out consequences to avoidance

Question 38

what are receptive behaviors?

Answer 38

attn to and interpretation of relevant cues | emotional recognition

Question 39

what are situation factors?

Answer 39

social intelligence | knowledge of social norms

Question 40

what are response timing?

Answer 40

prolonged delay in response may be due to abnormal stimuli

Question 41

what are social reinforcers?

Answer 41

ability to praise other persons/show interest

Question 42

what are paralinguistic features?

Answer 42

voice volume speech rate pitch/intonation

Question 43

who loves you?

Answer 43

DADDY

Question 44

what is over-learning?

Answer 44

repeatedly practicing skill until it becomes automatic | may appear robotic (not generalized)

Question 45

who does Daddy love?

Answer 45

Mommy and Baby

Question 46

what is milieu therapy?

Answer 46

practicing social skills naturally in clinic