ANCC PMHNP TEST EXAM WITH 182QUESTIONS AND ANSWERS 100%CORRECTLY VERIFIED ANSWERS LATEST U, Exams of Nursing

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Purpose of Dopamine - CORRECT ANSWERS Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood What term best describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed? - CORRECT ANSWERS Health production function- math expression that shows the relationship between an individual's health and a number of other variables. How much time should you allow for Celexa to provide its initial therapeutic effect and the patient to see an improvement in symptoms? - CORRECT ANSWERS 4-6 weeks Clients have what rights? - CORRECT ANSWERS Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time Which inferential statistic determines whether the means of 2 groups are statistically different from each other? - CORRECT ANSWERS t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance) What symptoms would a patient exhibit if they were experiencing an excess serotonin? - CORRECT ANSWERS Restlessness, agitation, myoclonus, vital sign abnormalilties

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What term descries a colletion of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers? - CORRECT ANSWERS Special interest group. What are 3 phases of a therapeutic relationship between NP and pt? - CORRECT ANSWERS 1. Intro

2. Working-
3. Termination The following describes what stage of a therapeutic relationship? Clarifying patient expectations, ID goals, treatment plan, preventative healthcare, measuring outcomes of care, reprioritizing plan - CORRECT ANSWERS Working phase Which type of family therapy uses genograms, structural mapping, emphasizes understanding to produce change in the family structure. - CORRECT ANSWERS Structural family therapy Symptoms of exess GABA - CORRECT ANSWERS excess sleepiness, increased blood pressure, shallow breathing Symptoms of insufficient GABA - CORRECT ANSWERS Sz, trouble concentrating, insomnia, depression, anxiety A Hamilton Anxiety score of 14-17 indicates what? - CORRECT ANSWERS Mild Anxiety A Hamilton Anxiety score of 18-24 indicates what? - CORRECT ANSWERS Moderate Anxiety A Hamilton Anxiety score of 25-30 indicates what? - CORRECT ANSWERS Severe Anxiety

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When would you not use seclusion and restraint? - CORRECT ANSWERS Extremely unstable medical or psychiatric conditions Delirious or demented patients unable to tolerate decreased stimulation Overtly suicidal patients When should you use seclusions and restraint? - CORRECT ANSWERS Prevent significant disruption to treatment program or physical surroundings Decrease sensory overstimulation What is the difference between pharmacokinetics, and pharmaodynamics? - CORRECT ANSWERS pharmacokinetics is whatthe body does to drugs, pharmacodynamics is what the drug does to the body Problems with the frontal lobe could lead to what - CORRECT ANSWERS personality changes problems with the temporal lobe can lead to - CORRECT ANSWERS aphasia and amnesia problems with the occipital lobe can lead to - CORRECT ANSWERS visual field defects problems with the parietal lobe can lead to - CORRECT ANSWERS densory perceptual disturbances and agnosia This type of advanced nurse evaluates, diagnoses, and treats a wide range of medical conditions - CORRECT ANSWERS nurse practitioner This type of advanced practice nurse consults researches educates and coordinates care - CORRECT ANSWERS Clinical nurse specialist

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This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum. - CORRECT ANSWERS Nurse midwife According to Piaget wat what cognitive stage do children develop object permanence? - CORRECT ANSWERS sensorimotor Occurs when a patient is unabe to see others as somethimes good sometimes bad - CORRECT ANSWERS splitting what is the therapeautic dose of riseridone for an adolescent? - CORRECT ANSWERS 3 mg What core comopetency is the NP demonstrating when she evaluates the appropriate use of seclusion and restraints? - CORRECT ANSWERS NP core competency: Quality What core competency is the NP demonstrating when participating in a special interest group? - CORRECT ANSWERS NP core competency: Policy By whom and where was the first NP role introduced? - CORRECT ANSWERS Loretta C. Ford, Henry Silver; University of Colorado What factors constrain the growth of the NP role? - CORRECT ANSWERS Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice What regulatory or statutory dimension provides different rules and regulations for each state? - CORRECT ANSWERS Statutory law What regulatory or statutory dimension forms a process by which an agency of state government grants permission to persons to engage in the practice of that profession? - CORRECT ANSWERS Licensure

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What regulatory or statutory dimension forms a process used to protect the public by ensuring a minimum level of professional competence. - CORRECT ANSWERS Credentialing What regulatory or statutory dimension determines the scope of practice and assures the public that a person has mastery of a specified body of knowledge. - CORRECT ANSWERS Certification HITECH(health information technology for economic and clinical health Act) - CORRECT ANSWERS meaningful use incentive charting system for physician order set Incentive payment for sharing specific electronic health record(EHR) Basic criteria for involuntary admission - CORRECT ANSWERS danger to self or others unable to care for self poor nutritional intake What are the four main components of HIPPA - CORRECT ANSWERS To be educated, have access, the ability to request amendments and permission for disclosure Voluntary Commitment entails - CORRECT ANSWERS Admission, Client of all civils liberties, client consents to confinement What is the communication process between the provider and the client that results in acceptance or rejection of the the proposed treatment - CORRECT ANSWERS Informed Consent Promoting well-being and doing good - CORRECT ANSWERS Beneficence Doing no harm - CORRECT ANSWERS Nonmaleficence

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Being true and loyal - CORRECT ANSWERS fidelity Doing for self - CORRECT ANSWERS Autonomy Telling the truth - CORRECT ANSWERS Veracity A male client approached the NP for a date. The NP went out on one date with the client, but ended the relationship due to this element of negligence - CORRECT ANSWERS Breach of duty What Act of 2009 requires incentive if payments, is a part of the meaningful use and can improve health outcomes - CORRECT ANSWERS HITECH ( Heath Information Technology for economic health record) Durable power of attorney contracts are or are not legally binding in all 50 states - CORRECT ANSWERS Are legally binding in all 50 states Living wills are or are not legally binding in all 50 states - CORRECT ANSWERS Are not legally binding in all 50 states All of the following are Cluster A personality disorders - CORRECT ANSWERS Schizoid, Schizotypal Paranoid What is another name for durable POA - CORRECT ANSWERS a healthcare proxy All of the following are Cluster B personality disorders - CORRECT ANSWERS Histrionic, Borderline, Narcissistic, Antisocial All of the following are Cluster C personality disorders - CORRECT ANSWERS OCD, Dependent, Avoidant

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Cluster A personality disorders can best be described as what? - CORRECT ANSWERS Odd and eccentric Cluster B personality disorders can best be described as what? - CORRECT ANSWERS Dramatic and Erratic Cluster C personality disorders can best be described as what? - CORRECT ANSWERS Fearful and anxious · No: Ibuprofen increases plasma levels of lithium - CORRECT ANSWERS Would you give Ibuprofen to a patient receiving lithium? What are the two main types of a Systematic Review? - CORRECT ANSWERS · Meta- Analysis: Statistically analysis quantitative studies · Meta Synthesis: Statistically analysis Qualitative Studies What are the different types of Validity in research? - CORRECT ANSWERS · External Validity: When the sample is representative of the population and the results can be generalized. · Internal validity: When the independent variable causes a change in, he dependent variable. · Probability: The likelihood of an event occurring · Standard Deviation: Indication of possible deviation from the mean. What is the most used legal substance? - CORRECT ANSWERS ETOH ... See pg 296 of the purple book! Highest in the African American Population What is the difference between Certification and Credentialing - CORRECT ANSWERS · Certification is a process by which a professional organization certifies that an individual has net certain predetermines standards. · Credentialing is a process that is used to protect the public by ensuring a minimum level of professional competence.

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· Licensure: is a process by which an agency of state government grants permission to individuals to engage in practice Different types of Therapy - CORRECT ANSWERS · Klerman and Weissman created interpersonal Therapy. · Sigmund Freud created Psychoanalytic Therapy. · Anna Freud and Melanie Klein contribution sin Psychoanalytic Child Theory · Aaron Beck- Created Cognitive Therapy · Carl Rogers: Humanistic Therapy (Person Centered) Murray Bowen: Family Therapy Antidepressants that do not depend on the CYP2D6 for Metabolism. - CORRECT ANSWERS Lexapro, Zoloft and Remeron Medicare vs Medicaid - CORRECT ANSWERS -Medicare - Over 65, Younger individuals with disabilities, individuals with End stage Renal Disease. Individuals in he need of a kidney transplant, individuals receiving social security for a disability of amyotrophic lateral sclerosis. -Medicaid- Low-income children, Low income pregnant women, elderly and disabled individuals who qualify for the supplemental security income program -If a woman is taking tamoxifen for Breast Cancer do not RX: - CORRECT ANSWERS Paxil, Prozac, or Wellbutrin Valerian Root - CORRECT ANSWERS is considered a psychoactive herbal substance to treat insomnia, anxiety and restless. Risk factor for developing a somatic disorder - CORRECT ANSWERS Female Lower Socioeconomic Unemployed Olde age Fewer years of education

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Recent stressful life events Negative affectivity Childhood sexual abuse Comorbid psych condition Perceived illness benefits Sensitization of pain Heighted attention to body sensation -The difference between culture and ethnicity - CORRECT ANSWERS Culture is learned behaviors, socially inherited characteristic. Ethnicity: self-identified race, tribe, or nation -Family Vs Community: - CORRECT ANSWERS Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture. Family Vs Community: - CORRECT ANSWERS Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture. Competency to be executed was established in the supreme Court - CORRECT ANSWERS Ford Vs Wainwright -Depolarization- - CORRECT ANSWERS Influx of sodium and calcium into the cell Repolarization - CORRECT ANSWERS -Kt leaving the cell or Chloride entering the body.

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Therapeutic Relationship: - CORRECT ANSWERS Introduction: Boundaries, Agreed time frame Working: Measuring, reprioritizing Termination: long term plan of self-management, Reemergence of symptoms Countertransference delt with Peer to Peer Abilify - CORRECT ANSWERS has the lowest risk of sedation of all Antipsychotics the homeless population has a co-occurring Mental Health Issue and Substance Abuse. What Percent - CORRECT ANSWERS 50% the most widely used psychoactive drug in the US. - CORRECT ANSWERS Cannabis i The first step in hearing your patient say they will kill someone; - CORRECT ANSWERS you must notify the person that they are in danger and then call the police.

• Stages of Psychosexual Development (Freud) - CORRECT ANSWERS - Oral- birth to 0-
• Anal -12-18 to 3 years
• Phallic- 3to 5-6 years
• Latency- 5-6 to adolescence
• Genital- adolescence to adulthood Stages of Erick Erikson - CORRECT ANSWERS see image Normal Labs Kt and NA - CORRECT ANSWERS see results Normal TSH - CORRECT ANSWERS 2-10mu/I see page 87

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Normal lithium levels - CORRECT ANSWERS 0.5-1. Tests for Lithium - CORRECT ANSWERS -Cardiac: ECG, especially in patients at risk of unmasking Brugada syndrome; cardiac function at baseline and at regular intervals thereafter-Endocrine: Thyroid function at baseline and at regular intervals thereafter-Metabolic: Lithium levels at baseline and at regular intervals thereafter- Renal: Renal function tests (e.g., urinalysis, urine specific gravity, serum creatinine, creatinine clearance), especially in patients who develop polyuria and/or polydipsia And Pregnancy Test Deferential Vs Inferential Statistics - CORRECT ANSWERS see image What is the assessment for ETOH Detox - CORRECT ANSWERS CIWA What is the assessment for Opioids Detox - CORRECT ANSWERS COWS ETOH Screening Test for Geriatrics - CORRECT ANSWERS S-MAST /Known as the Alcohol Screening Test for Geriatric What antidepressant can give false positive for Methamphetamines' - CORRECT ANSWERS Wellbutrin What antidepressants can give a false positive for Benzo - CORRECT ANSWERS Zoloft What Benzo can give a false positive for ETOH - CORRECT ANSWERS Valium Nyquil can give a false positive for what - CORRECT ANSWERS methadone Assessment for Benzo withdrawal - CORRECT ANSWERS CNSDP

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What area of the body if dysregulated can result in anxiety and panic - CORRECT ANSWERS Vestibular Dysfunction What developmental phase, if not accomplished, can result in Conversion disorder - CORRECT ANSWERS Initiative vs guilt Culture explanations - CORRECT ANSWERS labels, attributes or features of a culturally recognized etiology for distress Culture bound syndromes - CORRECT ANSWERS Clusters of symptoms that tend to occur in or among individuals in a certain culture Culture idioms - CORRECT ANSWERS terms that are used to describe ways of sharing their experience of suffering Norepinephrine - CORRECT ANSWERS attention, focus, memory and learning (AFML)Apples falls more than leaves Dopamine - CORRECT ANSWERS Thinking, fine muscle action, reward ( TFR) Troy found Renee GABA - CORRECT ANSWERS Reduces Arousal Aggression and Anxiety ( AAA) Triple A Adam Asks Alison ( Two A's in GABA) Serotonin - CORRECT ANSWERS Regulates: Sleep, Mood, pain, and temp (SMPD) Basil Ganglia - CORRECT ANSWERS Somatic Motor Activity: initiates complex motor function and maintains tone posture and common reflexes A common psyhoactive herbal supplement used to treat insomnia - CORRECT ANSWERS Valerian root

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Patient was previously accepting of treatment but now appears agitated. Presents with personality changes over the past year, memory impairment, asterixis, palmar erythema, peripheral edema, and a large ecchymotic area left elbow. Why? - CORRECT ANSWERS Hepatic encephalopathy; the loss of brain function when a damaged liver does not remove toxins from the blood. This patient has presented with at least four mood episodes in the past year. What additional specifier will the practitioner add to the diagnosis of depression? - CORRECT ANSWERS Rapid cycling Which theorist believed that humans develop through learning, cmprehending, and cognition. Child's development is shaped through native endowment and factors. - CORRECT ANSWERS Jean Piaget Which statement most acurately describes grassroots lobbying - CORRECT ANSWERS When nonpaid individuals contact their legislators to influence policy Restless leg syndrome can be associated with compromised levels of what blood protein - CORRECT ANSWERS ferritin Anxiety and depression an be assoiated with compromised levels of what blood protein? - CORRECT ANSWERS folic acid What are the common with drawal symptoms assessed on the CIWA scale - CORRECT ANSWERS n&v, tremors, paroxysmal sweats, agitation, tactile disturbances, ha, altered sensorium Which theorist was the first person to develop specific phases of group - CORRECT ANSWERS Irvin Yalom Theoretical group phases developed by the first theorist to develop specific phases of group - CORRECT ANSWERS Pregroup, forming, storming, norming, performing, adjourning

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What vitamin is used in treating neurological disorders, diabetes, and premenstraul syndrome? - CORRECT ANSWERS Vitamin E What vitamin plays important roles in maintaining calcium absorption - CORRECT ANSWERS Vitamin D Acupuncture and acupressure - CORRECT ANSWERS aid in the activity of endorphins by manipulating point of energy flow in the body What vitamin plays important roles in the repair of tissue and enzymatic production of certain neurotransmitters - CORRECT ANSWERS Vitamin C What vitamin plays important roles in cell metabolism - CORRECT ANSWERS Vitamin B Biofeedback - CORRECT ANSWERS Teaches a patient to control their own physiological responses Massage - CORRECT ANSWERS Increases blood circulation, lymph flow and enhances musculoskeletal tone Aromatherapy - CORRECT ANSWERS simulates the olfactory system to elicit feeling and memories Technology Informatics Guiding Education Reform (TIGER) - CORRECT ANSWERS A 10-year plan Nursing path toward computer and information technology Literacy A Behavior Report Card - CORRECT ANSWERS commonly used to treat ADHD( Bridges the gap between school, therapy and home) schizophreniform disorder - CORRECT ANSWERS Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months. 1-6 months

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schizoaffective disorder - CORRECT ANSWERS Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder. delusional disorder - CORRECT ANSWERS a psychotic disorder in which the primary symptom is one or more delusions brief psychotic disorder - CORRECT ANSWERS brief episodes (lasting a month or less) of otherwise uncomplicated delusional thinking Mental status of Autism - CORRECT ANSWERS Little or no eye contact flat or blunted affect lack of emotional reciprocity Stereotyped or repetitive motor mannerisms medical care - CORRECT ANSWERS Describes goods and services that maintain, improve or restore an individuals physicals; social or mental well-being Same-e - CORRECT ANSWERS Treats depression osteoarthritis and liver disease omega-3 fatty acids - CORRECT ANSWERS polyunsaturated fatty acids commonly found in fish oils that are beneficial to cardiovascular health Tryptophan - CORRECT ANSWERS Aiding in nitrogen balance, which is essential in creating serotonin Pheochromocytoma - CORRECT ANSWERS a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine Should be a differential for panic disorder Shingles Vaccine - CORRECT ANSWERS 50 and over even if you have had or have not had the chicken pox

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Vestibulocochlear - CORRECT ANSWERS hearing and balance 8th Cranial Nerve studies estimate - CORRECT ANSWERS 15-24% of those incarcerated have a mental health disorder Trochlear - CORRECT ANSWERS eye muscle movement family systems therapy - CORRECT ANSWERS psychotherapy that focuses on the family, rather than the individual, as the source of problems; family therapists challenge communication styles, disrupt pathological family dynamics, and challenge defensive conceptions in order to harmonize relationships among all members and within each member Retinal Pigmentation - CORRECT ANSWERS Thioridazine side effect voyeuristic ACTS - CORRECT ANSWERS ARE THE MOST COMMON POTENTIALLY LAW BREAKING SEXUAL BEHAVIOR cyclothymic disorder - CORRECT ANSWERS Chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes. bipolar disorder 1 - CORRECT ANSWERS full blown episodes of mania. MAY EXPEREINCE DEPPRSSION Bipolar 2 - CORRECT ANSWERS hypomania and depression. EXPEREINCE AT LEAST ONE Team Leadership Model Decision 1 - CORRECT ANSWERS Should the leader monitor the team or take action?

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Team Leadership Model Decision 2 - CORRECT ANSWERS Should the leader intervene to meet the task or relational need? Team Leadership Model Decision 3 - CORRECT ANSWERS Shoul the leader intervene internally or externally? Harmless mentally ill patients cannot be confined against their will if they can survive outside case? - CORRECT ANSWERS O'Conner vs Donaldson Patients have the right to refuse any treatment and use an appeal process - CORRECT ANSWERS Rennie vs Klein This case is know for originating the insanity defense - CORRECT ANSWERS Durham vs US The common method for adolescent suicide - CORRECT ANSWERS Firearm Piaget's stages of cognitive development - CORRECT ANSWERS sensorimotor, preoperational, concrete operational, formal operational Piaget - CORRECT ANSWERS Believed Humans developed through learning, comprehending and cognition Indicators of Child abuse - CORRECT ANSWERS Unexplained Fxs, Burns, Bites, Injuries in VARIOUS STAGES OF Healing, Evidence of Neglect (Poor Dental Issues), Bruising on padded parts of the body In Strategic Therapy - CORRECT ANSWERS Originated by Jay Haley is a method for which interventions are both symptom and problem-focused -Symptoms are viewed as metaphors and reflect problems in the hierarchal structure xd

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Where do you see working on Long term plan - CORRECT ANSWERS Termination Phase When do you see Regression of Symptoms within a patient client relationship - CORRECT ANSWERS Termination Phase Cranial Nerves - CORRECT ANSWERS See Image Benzropine drug class - CORRECT ANSWERS Anticholinergic First Line Treatment for EPS Haldol - CORRECT ANSWERS Haloperidol_ Monitor for Pneumonia and oculogyric crisis in the older adult The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. - CORRECT ANSWERS The Future of Nursing Article A set of performance expectations for the 21st-century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. - CORRECT ANSWERS Article: Crossing the Quality Chasm Wernicke's encephalopathy - CORRECT ANSWERS What encephalopathy causes ocular palsies, confusion, and gait abnormalities related to a lesion in the CNS caused by an exhaustion of VB1? Korsakoff's syndrome symptoms - CORRECT ANSWERS Difficulty in acquiring new information or learning new skills Change in personality. At one extreme may show apathy or at the other, talkative and repetitive behaviour.C onfabulation.

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Alcoholic hallucinosis - CORRECT ANSWERS involves auditory and visual hallucinations, usually accusatory or threatening ones. During acute intoxication or withdrawal Normal appearance except for auditory ,visual , tactile hallucinations Treatment : antipsychotics Delerium tremens - CORRECT ANSWERS Begin 48-72 hours after cessation of drinking; characterized by hallucinations, disorientation, and clouding of the sensorium; hyperventilation leading to respiratory alkalosis, hypovolemia, hypomagnesia, and hypophosphatemia SAM-e is an herbal supplement used for - CORRECT ANSWERS depression OA and liver disease Due to the risk of hypomania, hyperactive muscle movements, and possible serotonin syndrome which herbal supplement should not be prescribed to bipolar clients - CORRECT ANSWERS SAM-e Yin and Yang - CORRECT ANSWERS cold and wet/ hot and dry In family systems morphogenesis describes what - CORRECT ANSWERS a family's tendency to adapt to change when changes are necessary in family systems mophostasis describes what - CORRECT ANSWERS a family's tendency to remain stable in the midst of change Creator of the family systems therapy model - CORRECT ANSWERS Murray Bowen Creator of the structural family therapy model - CORRECT ANSWERS Salvador Minuchin Creator of strategic therapy model - CORRECT ANSWERS Jay Haley

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Creator of the separation and individualization stages - CORRECT ANSWERS Margaret Mahler Margaret Mahler's Separation-Individualization Theory of Child Development Stages

• CORRECT ANSWERS The normal autistic phase 0-4 weeks- shows little social engagement. The normal symbiotic phase 1-6m- the child gains awareness of caregivers but has no sense of individuality. The separation-individuation phase (broken down over time) - as the child begins to develop a sense of self, separate from the mother. The normal autistic phase occurs during the first weeks of life and shows little social engagement. However, Mahler abandoned this phase later in her career. The normal symbiotic phase lasts through the first six months of life, and occurs when the child gains awareness of caregivers but has no sense of individuality. :Differentiation 5- 10m or "hatching," occurs when the child first gains awareness that he or she is separate from the mother. Practicing 10-16m occurs as the child becomes a toddler, gaining motor skills that enable the child to explore the world independently from his or her caregivers. Rapprochement 10-24m marks a "backing off" from separation, as the child becomes anxious about separating from his or her mother and tries to regain closeness. This can lead to separation anxiety and abandonment fears. As a child develops language skills, this phase winds down. Object Constancy 24-36m The following herbal is used for anxiety - CORRECT ANSWERS belladonna The following herbal is used for sedation - CORRECT ANSWERS catnip The following herbal is used for sedation and anxiety - CORRECT ANSWERS chamomile The following herbal is used for delerium, dementia, sexual dysfunction caused by SSRIs - CORRECT ANSWERS ginko

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The following herbal is used for depression and fatigue - CORRECT ANSWERS gensing the following herbal is used for sedation - CORRECT ANSWERS valarian root