Wrap Plan Recovery Model
Chapter 12: Abuse and Violence
Chapters 14 & 15: Anxiety Disorders and OCD
100

What are the four major dimensions for recovery?

health, home, purpose, and community 
100

Regina is 61 years old. She is unable to perform her ADLs everyday so she has a home health nurse come and help her everyday. The nurse comes but then just proceeds to sit on the couch, watch tv shows, and eat Regina's food. She does not interact with Regina. This is depicting which type of abuse?

This is elder abuse, more specifically neglect. 

100

What medications are given to help with anxiety?

SSRIs and SNRIs, benzodiazepines

Alternatives to Benzos: Atarax, Buspar, and Propranolol

200

A nurse maintains a client’s confidentiality, addresses the client appropriately, and does not discriminate on the basis of gender, age, race, or religion. Which guiding principle of recovery has this nurse employed?

A. Recovery is culturally based and influenced.

B. Recovery is based on respect.

C. Recovery involves individual, family, and community strengths and responsibility.

D. Recovery is person-driven.

ANS: B. Recovery is based on respect.

This nurse accepts and appreciates clients who are affected by mental health and substance use problems. This nurse protects the rights of clients and does not discriminate against them. 

200

What are some nursing interventions for the biologic domain for individuals that were abused?

assess safety, screen for violence and abuse, obtain history and physical examination, treat physical symptoms, promote healthy daily activity, administer and monitor medications, manage co-occuring alcohol and drug disorder

200

Wallace is experiencing extreme discomfort and has pronounced difficulty functioning. He is also having palpatations, nausea, and diaphoresis. What level of anxiety is Wallace experiencing and what are some interventions that the nurse can do to help?

Severe. An intervention is to remain calm in body and voice and guide Wallace through calming coping strategies.

300

The nurse is assisting a client with mental illness recovery using the WRAP model. Which of the following interventions would be included?

A.  Assisting the individual to tell his personal story.

B.   Helping the client examine his philosophy of life in search of meaning and purpose.

C.  Taking control of the recovery process for the client.

D.  Helping the client craft a psychiatric advanced directive for when he can no longer care for himself.

Correct answer: D. Helping the client craft a psychiatric advanced directive for when he can no longer care for himself.

Helping the client craft a psychiatric advanced directive for when he can no longer care for himself is part of the WRAP model of recovery. The client makes decisions (in writing) about treatment issues (what type, who will provide, and who will represent his interests).

300

I met a child who refuses to go to school, is distrustful of all, and has trouble sitting down in class. Should I report the family to CPS or not?

Yes, these are clear signs of possible sexual abuse.

300

What is the etiology of OCD?

Genetic, learned behavioral, cultural correlations

400

What is the emphasis of the Tidal recovery model?

The tidal plan emphasizes helping people reclaim the personal story of mental distress, by recovering their voice.
400

True or False. Children who have been abused or who has a parent that was abusive towards the other are more likely to become an abuser.

True

400

Anxiety can be positive, when able to be used as a motivating force.

true

500

What are the four components of the recovery process accourding to The Psychological Recovery Model?

Four components of the recovery process: Hope, Responsibility, Self and identity, and Meaning and purpose.

500

How do you know the treatment was successful in someone who was abused?

they recognize that they are not to blame, demonstrate knowledge of strengths and coping skills, they reestablish social networks
500

What are the treatment options for OCD?

SSRI medications, Antipsychotics in resistant cases, behavior therapy