22 Questions
What is the primary purpose of appropriation bills?
To provide spending authority for a single fiscal year
Which type of bill usually originates in the House of Representatives?
Appropriation bill
What is required for entry to practice as a Nurse Practitioner?
Competency in nine content domains
What should the nurse do when a 16-year-old patient with suicidal ideation asks the nurse not to tell their parents?
Talk to the parents and patient together to discuss the patient's depression
According to Mahler, which stage of infant development is disrupted in children who develop borderline personality disorder?
Rapproachment phase
What is the name of the phase during the first few weeks of life, characterized by total detachment and self-absorption?
Autistic phase
When does the symbiotic phase occur, according to Mahler?
Around 5 months of age
What is the phase where the infant explores the outside world but requires the mother's presence and emotional support?
Practicing phase
Which type of therapy is recommended for patients with negative cognitive distortions?
Cognitive Therapy
What is the primary goal of Humanistic Therapy?
To assist patients with self-actualization and self-directed growth
What is the odds ratio of eating lettuce and developing diarrhea in the given scenario?
6
What was the primary recommendation of the New Freedom Commission on Mental Health (NFCMH) report?
To reduce the stigma of seeking mental health care
What personality trait is characterized by a state of high negative emotion and pessimism?
Neuroticism
Which personality trait is associated with self-control and a focused, organized approach to life?
Conscientiousness
What is the primary focus of Behavioral Therapy?
Changing maladaptive behaviors
What was the significance of the influential report issued by the US Surgeon General in 1999?
It documented the efficacy of mental health treatments
What is the most effective way to monitor a patient with anorexia nervosa?
Have a supervisor watch them for 2-3 hours after every meal
Which population of anorexia nervosa patients benefits most from family therapy?
Younger patients with shorter illness history
What is the recommended treatment for an anorexic patient experiencing severe constipation?
Docusate
What type of therapy is most effective for treating a fear of public speaking?
Behavioral therapy (Systemic desensitization)
What is the primary goal of systematic desensitization therapy?
To eliminate phobias through hierarchical exposure
How long does interpersonal psychotherapy typically take to complete?
12-16 weeks
Study Notes
Anorexia Nervosa
- Studies suggest that family therapy is most helpful in younger patients with shorter illness.
- Patients with anorexia nervosa may require supervision for 2-3 hours after every meal because they rarely feel confident.
Medications and Treatments
- Docusate is the treatment for severe constipation in anorexic patients.
- Behavioral therapy (Systemic desensitization) is effective for resolving phobias, OCD, and anxiety disorders.
- Systemic desensitization therapy consists of relaxation training, hierarchical construction of situations in order of increasing anxiety, and desensitization of the stimulus.
- Interpersonal psychotherapy is a brief psychotherapy that focuses on resolving interpersonal problems and takes 12-16 weeks to complete.
- Psychoanalysis is used for people struggling with longstanding difficulties in the way they think and feel about themselves, their environment, and other people.
Nursing Roles and Responsibilities
- Nurse Practitioners require competency in nine content domains for entry to practice.
- When caring for a 16-year-old depressed patient with suicidal ideation, the nurse should talk to the parents and patient together to help the family discuss the patient's depression.
Child Development
- According to Mahler, the rapproachment stage of infant development is disrupted in children who develop borderline personality disorder.
- The symbiotic phase is disrupted in children who develop narcissistic personality disorder.
- The autistic stage occurs during the first weeks of life, characterized by total detachment and self-absorption, with the infant spending most of their time sleeping.
- The symbiotic phase occurs around 5 months of age.
- Separation-individuation has 3 stages: Hatching (5-9 months), Practicing (9-16 months), and Rapproachment (15-24 months).
Therapies
- Cognitive therapy is recommended for patients with negative cognitive distortions, irrational beliefs, and faulty conceptions.
- Humanistic Therapy focuses on assisting patients with self-actualization and self-directed growth.
- Behavioral Therapy focuses on changing maladaptive behaviors through the use of behavioral modification techniques.
- Existential therapy is for reflection on life and confronting self.
Mental Health
- The New Freedom Commission on Mental Health (NFCMH) suggested implementing a national campaign to reduce the stigma of seeking care and focusing on promoting recovery and building resilience.
- The efficacy of mental health treatments was found to be well-documented in an influential report issued by the US Surgeon General in 1999.
- Neuroticism is a state of high negative emotion and pessimism.
- Extraversion is associated with an optimistic outlook on life, and high levels protect from psychiatric illness.
- Introverts are more likely to be internally motivated and respond to negative reinforcement.
- Agreeableness is an interpersonal trait of cooperation, easy-going nature, and tends to have smooth relationships often at the expense of self-assertion.
This quiz tests your knowledge of anorexia nervosa, its treatment, and related topics in psychology. Questions cover supervision, family therapy, and medication administration.
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