ECT
COGNITIVE THERAPY
BEHAVIOR THERAPY
ROLE OF THE NURSE (ECT)
MISC
100
WHAT DOES ELECTROCONVULSIVE THERAPY INDUCE?

WHAT IS A GRAND MAL SEIZURE

100

WHAT IS THE MODEL FOR COGNITIVE THERAPY BASED ON?

WHAT IS THE INDIVIDUAL'S PERSONAL COGNITIVE APPRASIAL OF AN EVENT AND THE RESULTING BEHAVIORS OR EMOTIONS.

100

WHEN IS BEHAVIOR CONSIDERED TO BE MALADAPTIVE?

WHAT IS AGE INAPPROPRIATE, WHEN IT INTERFERES WITH ADAPTIVE FUNCTIONING, IT IS MISUNDERSTOOD BY OTHERS IN TERMS OF CULTURAL INAPPROPRIATENESS

100

WHAT MUST THE NURSE ENSURE HAS BEEN GIVEN/GRANTED PRIOR TO ECT TREATMENT?

WHAT IS INFORMED CONSENT

100

TRUE OR FALSE:

THERE ARE NO ABSOLUTE CONTRAINDICATIONS FOR ECT.

WHAT IS TRUE

200

WHAT ARE THE THREE MAIN INDICATIONS FOR ECT?

WHAT ARE MAJOR DEPRESSION, SCHIZOPHRENIA AND MANIA.

200

WHAT OCCURS RAPIDLY IN RESPONSE TO A SITUATION WITHOUT RATIONAL ANALYSIS, ARE OFTEN NEGATIVE, BASED ON ERRONEOUS LOGIC & REFERRED TO AS COGNITIVE ERRORS?

WHAT ARE AUTOMATIC THOUGHTS

200

PRINCIPLES OF BEHAVIOR ARE BASED ON WHAT TWO EARLIER STUDIES?

WHAT IS CLASSICAL CONDITIONING AND OPERANT CONDITIONING

200

THE NURSE SHOULD ASSESS WHAT MAJOR SYSTEM'S STATUS PRIOR TO TREATMENT?

WHAT ARE CARDIOVASCULAR AND PULMONARY STATUS

200

TRUE OR FALSE:

THE MOST COMMON SIDE EFFECTS OF ECT INCLUDE CONFUSION AND TEMPORARY MEMORY LOSS. 

WHAT IS TRUE.

300

IN WHICH DISORDERS IS ECT CONSIDERED NOT EFFECTIVE?

WHAT ARE SOMATIZATION, PERSONALITY, ANXIETY AND SUBSTANCE USE.

300

WHAT ARE STRUCTURES THAT CONTAIN ONE'S INDIVIDUAL BELIEFS & ASSUMPTIONS, DEVELOP EARLY IN LIFE FROM PERSONAL EXPERIENCE, ARE REINFORCED BY LATER EXPERIENCES,  INFLUENCE THE FORMATION OF BELIEFS, VALUES AND ATTITUDES. MAY BE ADAPTIVE, MALADAPTIVE, GENERAL, SPECIFIC, POSITIVE OR NEGATIVE.

WHAT ARE SCHEMAS

300

WHAT IS THE DIFFERENCE BETWEEN POSITIVE AND NEGATIVE REINFORCEMENT?

POSITIVE REINFORCEMENT WHEN THE REINFORCING STIMULUS ↑ THE PROBABILITY THAT THE BEHAVIOR WILL RECUR

NEGATIVE REINFORCEMENT ↑ THE PROBABILITY THAT THE BEHAVIOR WILL RECUR BY REMOVING THE UNDESIRABLE REINFORCING STIMULUS

300

NAME TWO NURSING INTERVENTIONS USED DURING THE TREATMENT.

WHAT IS:

ENSURING THE AIRWAY PATENCY, ASSISTING WITH OXYGENATION, MONITORING VS AND CARDIAC FUNCTION, SUPPORTING THE CLIENT'S LEGAS AND ARMS DURING THE SEIZURE, RECORDING THE TYPE AND AMOUNT OF MVMT INDUCED BY THE SZ


300

TRUE OR FALSE:

FLOODING, AKA IMPLOSIVE THERAPY, IS A TYPE OF THERAPY THAT INCLUDES THE GRADUAL INTRODUCTION OF ANXIETY PRODUCING STIMULUS?

WHAT IS FALSE.

FLOODING IS WHERE THE INDIVDUAL IS "FLOODED" WITH CONTINOUS PRESENTATION OF PHOBIC STIMULUS

SYSTEMIC DESENSITIZATION IS THE GRADUAL INTRODUCTION OF ANXIETY PRODUCING STIMULI

400

WHAT ARE ATROPINE SULFATE AND GLYCOPYRROLATE USED FOR?

WHAT IS TO DECREASE SECRETIONS (TO PREVENT ASPIRATION) AND COUNTER THE EFFECTS OF VAGAL STIMULATION (BRADYCARDIA) THAT IS INDUCED BY ECT

400

WHAT ARE THE FIVE GOALS OF COGNITIVE THERAPY?

WHAT ARE FOR THE CLIENT TO:

1) MONITOR NEGATIVE, AUTOMATIC THOUGHTS, 2) RECOGNIZE CONNECTIONS BTW COGNITION, AFFECT & BEHAVIOR, 3) EXAMINE EVIDENCE FOR & AGAINST DISTORTED AUTOMATIC THOUGHTS, 4) SUBSTITUTE MORE REALISTIC INTERPRETATIONS, 5) LEARN TO IDENTIFY & ALTER DYSFUNCTIONAL BELIEFS THAT PREDISPOSE THEM TO DISTORT EXPERIENCES

400

WHAT TECHNIQUE FOR MODIFYING BEHAVIOR STATES THAT FREQUENTLY OCCURRING RESPONSES CAN SERVE AS A POSITIVE REINFORCEMENT FOR A RESPONSE THAT OCCURS LESS FREQUENTLY?

WHAT IS THE PREMACK PRINCIPLE

400

NAME THREE NURSING INTERVENTIONS USED DURING THE POST TREATMENT PERIOD.

WHAT IS :

MONITORING VS EVERY 15 MINUTES FOR THE 1ST HOUR, POSITIONING THE CLIENT ON THEIR SIDE TO PREVENT ASPIRATION, STAYING WITH THE CLIENT UNTIL THEY ARE FULLY AWAKE AND FUNCTIONING APPROPRIATELY, ORIENTING THEM, PROVIDING REASSURANCE AND A HIGHLY-STRUCTURED SCHEDULE

400

DISULFIRAM (ANTABUSE) IS CONSIDERED WHAT TYPE OF BEHAVIOR THERAPY?

WHAT IS OVERT SENSITIZATION.

INSTEAD OF EUPHORIC FEELINGS ASSOCIATED WITH ALCOHOL USE NORMALLY FELT, IT PRODUCES UNPLEASANT CONSEQUENCES IF ALCOHOL IS CONSUMED SUCH AS N/V, HA OR PALPITATIONS

500

WHAT THE MUSCLE RELAXANT IS USED TO PREVENT SEVERE MUSCLES CONTRACTURES DURING ECT TO PREVENT FRACTURED OR DISLOCATED BONES?

WHAT IS SUCCINYLCHOLINE CHLORIDE (AKA: SUCCS)

500

NAME FOUR COGNITIVE ERRORS DISCUSSED AND THEIR DEFINITIONS.  

WHAT IS... 

ARBITRARY INFERENCE- AUTOMATICALLY COMING TO A CONCULSION WITHOUT THE FACTS TO SUPPORT IT

OVERGENERALIZATION- "ALL OR NOTHING" / SWEEPING CONCLUSIONS

DICHOTOMOUS THINKING- VIEWS SITUATIONS AS "ALL OR NOTHING", "BLACK OR WHITE", "GOOD OR BAD"

SELECTIVE ABSTRACTION- MENTAL FILTER-CONCLUSION IS BASED ON A SELECT PORTION OF EVIDENCE- USUALLY THE NEGATIVE EVIDENCE

MAGNIFICATION- EXAGGERATING THE NEGATIVE SIGNIFICANCE OF AN EVENT

MINIMIZATION- UNDERVALUING THE PSOITIVE SIGNIFICANCE OF AN EVENT

CATASTROPHIC THINKING- ALWAYS THINKING THE WORSE WILL OCCUR WITHOUT CONSIDERING THE POSSIBILITY OF POSITIVE OUTCOMES

PERSONALIZATION- TAKES RESPONSIBILTY WHEN OTHER CIRCUMSTANCES COULD CONTRIBUTE TO OUTCOME

500

WHAT IS THE DIFFERENCE BETWEEN OVERT SENSITIZATION AND COVERT SENSITIZATION?

OVERT SENSITIZATION IS A TYPE OF AVERSION THERAPY THAT PRODUCES UNPLEASANT CONSEQUENCES

COVERT SENSITIZATION IS A TYPE OF AVERSION THERAPY THAT RELIES ON ONE'S IMAGINATION TO PRODUCE UNPLEASANT CONSEQUENCES

500

THE ECT TREATMENT ROUTINELY CONSISTS OF WHO?

WHO ARE THE PSYCHIATRIST, ANESTHESIOLOGIST AND TWO OR MORE NURSES.

500

NAME FOUR PROCEDURES THAT HELP CLIENT'S LEARN ADAPTIVE BEHAVIORAL STRATEGIES THAT HAVE A POSITIVE EFFECTS ON COGNITIONS.

WHAT ARE 

1) ACTIVITY SCHEDULING,                   2) GRADED TASK ASSIGNMENTS,          3) DISTRACTION, AND                           4) MISC TECHNIQUES SUCH AS RELAXATION TECHNIQUES, ASSERTIVENESS TRAINING, ROLE MODELING, SOCIAL SKILLS TRAINING & CONTINGENCY MANAGEMENT CONTRACTS