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Homework week 2 chapters 16-19

Chapter 16:
1.) What symptoms often precede violent behavior?
It is often preceded by a period of increasing hyperactivity (pacing, restlessness, tense
facial expression, body language, verbal threats, loud voice, shouting etc)
2.) What is the goal of anger management?
The goal of anger management is to reduce both the emotional feelings and the
physiological arousal that anger engenders.
3.) What psychiatric diagnoses are correlated with increased risk of violence?
Schizophrenia, major depression, bipolar, substance use disorders, antisocial, borderline,
intermittent explosive personality disorders.
4.) Under what conditions might a nurse determine that a client should be placed in
restraints?
If the client is clearly at risk of harm to self or others.
Chapter 17:
1.) How do age, race, and gender affect suicide risk?
Suicide risk is positively correlated with age especially men. The rates for women remain
fairly constant through the ages. Whites are at higher risk for suicide followed by Native
Americans, African Americans, Hispanic Americans, and Asian Americans.
2.) Your neighbor tells you he is going to visit his sister-in-law in the hospital. The
sister-in-law has been hospitalized after attempting suicide. Your neighbor asks,
What should I say when I go to visit Jane? What suggestions might you give him?
Acknowledge and accept their feelings, show them love and encouragement, be a good
listener and offer support, express concern for her, do not judge them, do not provoke
guilt.
3.) Johns father committed suicide when John was a teenager. Johns wife, Mary, tells
the mental health nurse that she is afraid John inherited that predisposition from
his father. How should the nurse respond to Mary?
There is a possible genetic predisposition toward suicidal behaviors but there are other
risk factors to look out for. 90% of people who kill themselves have a diagnosable mental
disorder.
4.) The nurse notes that the mood of a client being treated for depression and suicidal
ideation suddenly brightens and the client states I feel fine now. I dont feel
depressed anymore. Why would this statement alert the nurse to a potential
problem?

***This may mean the client has closed off and may have plans to carry through with
the suicide.
Chapter 18:
1.) A mother is teaching her young child how to dress himself. Each time he makes an
attempt, she praises him profusely, even though he has made several mistakes. She
does this until he is able to dress himself appropriately. What is this technique
called?
This technique is called Shaping. It is an effective way to modify behavior for tasks a
child has not mastered on command.
2.) Flooding (implosive therapy) is used to desensitize individuals to phobic stimuli.
When is this technique contraindicated?
It is contraindicated with clients who whom intense anxiety would be hazardous (clients
with heart disease, fragile psychological adaptation.)
3.) A nurse is working with parents of a toddler whom they say falls to the ground,
screams, and kicks his legs whenever he doesnt get his way. They usually just give
in to his wishes to keep him from behaving this way. The nurse decides to teach the
parents about the technique of extinction. What would this entail?
It is the gradual decrease in frequency or disappearance of a response when the positive
reinforcement is withheld. The temper tantrum will continue as long as the parents give
attention to them. The temper tantrums decrease or disappear when the parent ignores the
bad behavior.
Chapter 19:
1.) Define automatic thoughts. They are thoughts that occur rapidly and in response to a
situation and without rational analysis. These are often negative and based on erroneous
logic. Examples: arbitrary inference, overgeneralization, dichotomous thinking, selective
abstraction, magnification, minimization, catastrophic thinking, personalization.
2.) Why are automatic thoughts problematic for some people? ***Emotional responses
are largely dependent upon cognitive appraisals of the significance of environmental
cues.
3.) What are the three major components of cognitive therapy?
Didactic or educational aspects- learning, relationships between depression and distorted
thinking problems, cognitive techniques- recognizing automatic thoughts and schemas,
and behavioral interventions- to learn more adaptive behavior strategies that have a more
positive effect on cognitions.
4.) John submits his design of a house to some prospective clients. They ask for a few
changes to be made. John thinks Im a terrible architect! What automatic thought
does this statement represent?

This is an example of personalization (this person takes complete responsibility for


situations without considering that other circumstances may have contributed to the
outcome.

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