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43 Cards in this Set
- Front
- Back
CHAPTER EIGHT
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(Ignore this card)
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Group norm
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the way the group behaves during sessions, and over time, it provides structure for the group
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Subgroup
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small number of people within a larger group who function separately from the group
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Three types of group roles
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Maintenance, Task, and Individual roles
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Maintenance roles
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members who take on these roles tend to help maintina the purpose and process of the group
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Task roles
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members take on very tasks within the group processes
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Individual roles
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these roles tend to prevent teamwork, because individuals take on roles to promote their own agenda
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Placating
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One member takes responsibility for problems in order to keep peace at all costs
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Scapegoating
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a member of the family with little power is blamed for all problems within the family
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Triangulation
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a third party is drawn into the relationship with two members who relationship is unstable
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Multigenerational issues
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these are emotional issues or themes within a family that continue for at least three generations, such as a pattern of addiction
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CHAPTER NINE
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(Ignore this card)
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GAS
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general adaptation syndrome = fight or flight response
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PMR - progressive muscle relaxation
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a person trained in this method can help a client attain complete relaxation within a few minutes of time
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Assertiveness training
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One technique teaches the cleint to assert his feelings by describing a situation or behavior that causes stress, stating his feelings about the behaavior or situation, and then making a change
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CHAPTER TEN
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(Ignore this card)
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How MIGHT ECT work?
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theory suggests that ECT may enhance the effects of neurotransmitters (serotonin, dopamine, and norepinephrine) in the brain
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List two groups of depressed patients for whom ECT may be an option
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(1) clients for whom the risks of other treatments outweigh the risks of ECT, (2) clients who are actively suicidal and for whom there is a need for rapid therapeutic response
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What types of schizophrenic patients require ECT?
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types that are less responsive to neuroleptic medications (catatonic, shizoaffective disorders)
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What types of manic patients require ECT?
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bipolar disorder with rapid cycling (4 or more episodes of acute mania within 1 year) and very destructive behavior - typicallly have poor response to lithium therapy
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List four contraindications for ECT
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Recent MI, Hx of CVA, cerebrovascular malformation, intracranial mass lesion
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What type of depression is ECT not useful for?
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situational depression
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The typical course of ECT Tx is what
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3 times/week for a total of 6-12 Tx
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What medications should be d/c-ed before ECT?
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any meds that affect seizure threshold; MAOIs and lithium 2 weeks before
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Why should severe HTN be controlled in the ECT patient?
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a short period of HTN occurs STAT after the ECT
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Any cardiac conditions, such as dysrhythmias, should be monitored and treated before ECT
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(Please ignore this side of the card)
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What medication is given 30 minutes before ECT and what does it do?
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IM injection of atropine sulfate or robinul (Glycopyrrolate) to decrease secretoins and counteract any vagal stimulation
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When is ECT administered?
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early in the AM after the client has fasted for 8-12 hours
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A short-acting anesthetic is administered before ECT, such as what
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methohexital (Brevital) via IV bolus
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A muscle relaxant is administered after the anesthetic to the ECT patient, such as
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succinylcholine (Anectine)
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How long is an ECT stimulus applied?
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0.2-0.8 seconds
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Following ECT, when does the client be transferred back to the mental health unit?
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30-60 minutes
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What happens to heart rate baseline during ECT?
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rises by 25% in procedure and early recovery
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What happens to B/P in ECT?
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initially falls and then rises, lowering to normal after procedure
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What S/S occur following ECT?
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HA, muscle soreness, nausea
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CHAPTER ELEVEN
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(Ignore this card)
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What is GAD and how long does it last?
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Generalized Anxiety Disorder, 6 months
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What is acute stress disorder?
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exposure to a traumatic event causing numbing, detachmnet, and amnesia about the event for not more than 4 weeks following the event
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Anxiety disorders are more likely to occur in men or women?
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Women
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How long do panic disorders last?
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15-30 minutes
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Systematic desensitization
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begins with mastering of relaxation techniques, then client is exposed to increasing levels of an anxiety-producing stimulus and uses relaxatoin to overcome the resulting anxiety.
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Flooding
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exposing the client to a great deal of anxiety-producing stimuli in order to turn off the anxiety response
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Response prevention
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focuses on preventing the client from performing a compulsive behavior with the intent that anxiety will be diminished
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