Eating Disorder

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2021 MidTerm Seraphin

Question 1 Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?

A .

Relaxation therapy

B .

Social skills training

C .

Motivational Interviewing

D .

Applied behavioral analysis

Question 2 According to the APA which of the following are required to support a child’s DSM- 5 diagnosis?

A .

The child’s clinical presentation fulfills the specific symptom based diagnostic criteria.

B .

The child’s symptoms are not caused by other diagnoses or stressors.

C .

The child’s symptoms are impairing a child’s functioning in at least two settings.

D .

A and B

Question 3 Which of the following is NOT consistent with good sleep hygiene?

A .

Allow child to keep a cell phone at bedside.

B .

Establish bedtime routines and maintain consistently.

C .

Limit use of electronics in the evening i.e., television, computer, etc.

D .

Set and maintain a bedtime that will allow for adequate sleep.

Question 4 Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?

 

 

A .

Aripiprazole (Abilify)

B .

Ziprasidone (Geodon)

C .

Haloperidol (Haldol)

D .

Risperidone (Risperdal)

Question 5 When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories?

A .

Safety

B .

Bullying

C .

Conduct disorder

D .

Oppositional defiant disorder

Question 6 The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you started using?” to screen for which of the following diagnostic possibilities?

A .

Substance use disorder

B .

Substance withdrawal

C .

Substance tolerance

D .

Substance induced mental disorder

Question 7 When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?

A .

Become a surrogate decision maker for the patient.

B Consult a formally-designated surrogate for patient choices.

 

 

.

C .

Make safe choices for the patient based on the nurse’s beliefs and values.

D .

Continue to support all the patient’s choices until a surrogate can be found.

Question 8 When assessing a child who has presented with concerns of being anxious and worried, the provider asks the child “Do you get sudden surges of fear that make your body feel shaky or your heart race?” to screen for which of the following common diagnostic possibilities?

A .

Obsessive -compulsive disorder

B .

Posttraumatic stress disorder

C .

Panic disorder

D .

Separation anxiety disorder

Question 9 Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes?

A .

Ziprasidone (Geodon)

B .

Aripiprazole (Abilify)

C .

Olanzapine (Zyprexa)

D .

Quetiapine (Seroquel)

Question 10 A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis?

A .

Bipolar II Disorder

B .

Cyclothymic Disorder

 

 

C .

Bipolar I Disorder, mixed episode

D .

Bipolar I Disorder, cyclothymic type

Question 11 Which of the following is NOT true about symptomatology of anorexia nervosa?

A .

Most aberrant behaviors directed toward losing weight occurs in secret.

B .

All patients have an intense fear of gaining weight and becoming obese.

C .

Most patients with anorexia nervosa will have no difficulty eating with their family in public places.

D .

Fear of gaining weight and becoming obese frequently contributes to the individual’s lack of interest in and resistance to therapy/treatment.

Question 12 Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A .

Hypnagogic

B .

Hypnopompic

C .

Complex hallucinations

D .

Paranormal hallucinations

Question 13 The theory that depression results from specific thought distortions is consistent with which of the following?

A .

Cognitive theory

B .

Psychosocial theory

C .

Psychodynamic theory

D .

Learned helplessness theory

 

 

Question 14 Reasons for the underuse of specific mental health treatments during childhood include which of the following?

A .

Stigma associated with mental health

B .

Poor problem recognition

C .

Limited availability of mental health specialists

D .

All of the above

Question 15 Which of the following is true regarding the cultural formulation interview with a child and caregiver?

A .

Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance.

B .

While cultural understanding is important, it is important not to personalize the diagnosis.

C .

While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment.

D .

Engaging in a discussion about culture, while interesting and engaging, is a distraction from the problem that brought the child and caregiver to the provider.

Question 16 According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?

A .

Integrity

B .

Justice

C .

Beneficence

D .

Nonmalefice nce

Question 17 Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?

 

 

A .

Fluoxetine (Prozac)

B .

Trazodone (Desyrel)

C .

Amitriptyline (Elavil)

D .

Venlafaxine (Effexor)

Question 18 Which of the following is the most common eating disorder?

A .

Bulimia nervosa

B .

Anorexia nervosa

C .

Binge eating disorder

D .

Night eating syndrome

Question 19 ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?

A .

Ages 0–5

B .

Ages 6– 12

C .

Ages 13– 18

D .

Ages 18+

Question 20 The clinician asks the child who is being seen for labile mood “Have you felt really down depressed or uninterested in things you used to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories?

A .

Suicidality

B Bipolar disorder

 

 

.

C .

Major depressive disorder

D .

Disruptive mood dysregulation disorder

Question 21 Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior?

A .

Bulimia nervosa

B .

Anorexia nervosa

C .

Binge eating disorder

D .

Night eating syndrome

Question 22 During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following?

A .

Mood-congruent manic delusion

B .

Mood-incongruent manic delusion

C .

Mood-congruent manic hallucination

D .

Mood-incongruent manic hallucination

Question 23 A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?

A .

Group CBT

B .

Trauma-Focused CBT

C Motivational Interviewing

 

 

.

D .

Dialectical-behavioral therapy

Question 24 Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions?

A .

If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial Interventions.

B .

If a child/adolescent has mild symptoms, initiate psychotropic medication at the same time as appropriate psychosocial interventions are started.

C .

If a child/adolescent has moderate to severe range of symptoms initiate psychotropic medication at the same time as the appropriate psychosocial interventions are started.

D .

If a child/adolescent has a moderate to severe range of symptoms initiate psychotropic medication prior to initiating psychosocial interventions.

Question 25 The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following?

A .

Cognitive behavioral therapy (CBT)

B .

Trauma-focused CBT

C .

Motivational interviewing

D .

Dialectical-behavioral therapy

Question 26 The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?

A .

4–6 weeks

B .

3–6 months

C .

1–2 years

D 8–10

 

 

. years

Question 27 A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.

A .

Motivational interviewing

B .

Dialectical-behavioral therapy

C .

Cognitive behavioral therapy (CBT)

D .

Behavioral management training

Question 28 Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep?

A .

Stage 1

B .

Stage 2

C .

Stage 3

D .

Stage 4

Question 29 The right to assent of dissent from treatment for a child or adolescent is reflected in which of the following American Academy of Child and Adolescent Psychiatry ethical issues?

A .

Fidelity

B .

Autonomy

C .

Beneficence

D .

Nonmalefice nce

Question 30

 

 

In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?

A .

Address any acute safety concerns

B .

Obtain any necessary professional assistance

C .

Identifies how this scenario enhanced understanding of communication techniques.

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Week 3 Ati: The Communicator 2.0: Video Interaction: Clients Displaying Aggressive Behavior

(The transcript of the video is attached below).

Do a 100-word Reflection

The Communicator 2.0 Guidelines ( attached below)

Purpose

Use interactive simulation to enhance student knowledge, skills, and attitudes in the area of professional communication.

Reflective Journal

Required criteria

1. 100-word minimum reflection.

2. Identifies how this scenario enhanced understanding of communication techniques.

3. Addresses how these communication techniques will be incorporated into their own communication style to improve the nurse-patient/family relationship.

4. Logical reflective flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.

APA format (7th ed.) and is free of errors

Grammar and mechanics are free of errors free of Plagiarism

References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.

3

 

 

 

 

Scholarly Paper Phase 1

 

Your Name (without credentials)

Chamberlain University College of Nursing

Course Number: Course Name

Name of Instructor

Assignment Due Date

 

 

 

 

 

 

 

 

 

Title of Your Paper in Upper and Lower Case (Centered, Bold)

Type your introduction here and remove the instructions. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. Refer to your assignment instructions for the headings to be used for the body of the paper. There are additional resources located in your courses and the Chamberlain Library.

Level 1 Paper Heading (Bold and centered)

Begin to type the body of your paper here. Use as many paragraphs as needed to cover the content appropriately based on the assignment instructions.

Level Two Heading (If required) (Bold and starts at left margin)

Type additional content here if a section with a subheading is needed.

Next Level Two Heading

Continue to add content in this section.

Next Level 1 Heading

Levels of headings will depend on the length and organization of your paper. Use as many headings as necessary and required to organize your paper. Short papers may only have level 1 headings. Longer papers may require more organizational detail. See your APA Manual for additional instructions on formatting multiple levels of headings.

Conclusion

Papers should end with a conclusion or summary. The assignment directions will specify which is required. It should be concise and contain no new information. No matter how much space remains on the page, the references always start on a separate page (insert a page break after the conclusion so that the references will start on a new page).

References (centered, bold)

Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). See your APA Manual and the resources in the APA section of Resources for reference formatting.

Collaborate in healthcare delivery systems settings for improved patient outcomes.

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Scheduling and Staffing

Competency

Collaborate in healthcare delivery systems settings for improved patient outcomes.

Scenario

You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3.

Client acuity level

  • Six acuity level 1
  • Eight acuity level 2
  • Nine acuity level 3
  • Seven acuity level 4

You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.

 

Instructions

As you create this assignment, include the following in an email to your manager to justify your short-staffing plan:

  • Complete the staffing assignment based on the acuity level.
  • Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
  • Describe how you would communicate with each level of care provider to assure the best outcomes possible.
  • Address how you would ensure client equity in the delivery of services.
  • Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Resources

For assistance completing this assignment, review the article titled Patient Acuity Model.

Leadership and Professional Identity Staffing Assignment Template

Staffing Available

· 5 RN 2 LPN 2 NA

· 30 patients

Acuity Level 1 – 6 Patients

1. Room 2301 Susan is a 93-year-old who fell at home and is waiting for nursing home placement who uses a walker and requires assistance to the bathroom and ADLs

2. Room 2312 Fredrick is a 57-year-old who is recovering from a knee replacement who needs educational reinforcement and is going home today.

3. Room 2319 Joshua is a 63-year-old who was in for cardioversion and is going home today.

4. Room 2329 Brian is a 49-year-old who has been diagnosed with hypertension and Alzheimer’s Disease who wanders off the unit and needs assistance with ADLs.

5. Room 2304 James is a 95-year-old who has osteoarthritis and needs help getting out of bed, bathing, and dressing.

6. Room 2307 Francis is a 39-year-old who will be discharged today. She received discharge teaching yesterday about her ruptured appendix wound and wants to review the care instructions before she leaves.

Acuity Level 2 – 8 Patients

1. Room 2302 Brooke is a 33-year-old who was admitted with new-onset DM with uncontrolled blood sugars. She has started on new medications, including insulin, and needs additional patient and family education.

2. Room 2311 Mark is an 83-year-old who is on isolation for MRSA and is on IV antibiotics and ten other medications.

3. Room 2320 Jeffrey is a 63-year-old who is non-compliant with his medications and came in with hypertension and crackles in his lungs. He has daily labs and has a wound on his left foot.

4. Room 2330 Leslie is a 46-year-old who had unstable angina and had a cardiac catheterization yesterday late afternoon and stayed over for observation.

5. Room 2305 Traci is a 72-year-old who has a history of heart disease, a history of myocardial infarction, and mild dementia.

6. Room 2308 Alecia is a 33-year-old who was experiencing chest pain and is scheduled for a stress test later today.

7. Room 2303 Theodore is a 22-year-old who has had DM since he was a 10-years-old who requires medication adjustments.

8. Room 2318 Bruce is a 45-year-old who was placed on isolation for C-Diff and is on several IV mediations.

Acuity Level 3 – 9 Patients

1. Room 2306 Amelia is an 83-year-old after a stroke and requires total care.

2. Room 2313 Audrey is a 78-year-old with newly diagnosed COPD.

3. Room 2317 Abigail is a 90-year-old who is a diabetic with a chronic leg infection.

4. Room 2328 Roxanne is an 82-year-old with newly diagnosed lung cancer.

5. Room 2322 Nancy is a 56-year-old with chronic kidney disease and on peritoneal dialysis.

6. Room 2323 Dennis is a 35-year-old who was admitted with right upper quadrant pain that radiates to the right shoulder.

7. Room 2314 Roger is a 46-year-old who is wasted and malnourished. She has severe diarrhea.

8. Room 2309 Terry is a 59-year-old who has bladder cancer with painless hematuria.

9. Room 2310 Barry is a 54-year-old who has a history of mitral valve regurgitation.

Acuity Level 4 – 7 Patients

1. Room 2315 Karen is a 45-year-old who had an acute myocardial infarction with percutaneous coronary intervention.

2. Room 2321 Fredrick is a 43-year-old who was admitted after an overdose and required close monitoring.

3. Room 2327, Samantha is a 57-year-old with severe abdominal pain with no bowel sounds.

4. Room 2324 Robbie is a 62-year-old who has been vomiting and pain in the abdomen.

5. Room 2325 Jenny is a 58-year-old MVA who has a tracheostomy.

6. Room 2326 Annette is a 68-year-old who had a bowel resection and colostomy.

7. Room 2316, David is a 54-year-old with weakness and a decreased level of consciousness.

 

RN 1 RN 2 RN 3 RN 4 RN 5
Room # Acuity Room # Acuity Room # Acuity Room # Acuity Room # Acuity
                   
                   
                   
                   
                   
                   
LPN 1 LPN 2 CNA 1 CNA 2 Staff

· 5 RN

· 2 LPN

· 2 CNA

30 patients

· 6 acuity level 1

· 8 acuity level 2

· 9 acuity level 3

· 7 acuity level 4
Room # Acuity Room # Acuity Room # Acuity Room # Acuity  
                 
                 
                 
                 
                 
                 
                 
                 

 

 

 

 

06/16/2020

Explanation for the relationship between academic integrity and writing

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In the space below write a 2- 3 pages analysis that includes the following:

• Explanation for the relationship between academic integrity and writing

• Explanation for the relationship between professional practices and scholarly ethics

• Cite resources that support your arguments, being sure to use proper APA formatting.

• Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity

• Identify and describe strategies you intend to pursue to maintain integrity and ethics of your academic work while a student of the MSN program and professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.