Chapter 6: Psychological approaches to the acute patient Which of the following is important when working with staff dealing with suicidal or self-harming patients? Long periods of silence One-to-one supervision Mindfulness exercises Cognitive-behavioural therapy Psychological assessment involves which of the following? Forming a developmental history Exploring the patient’s medical history Explaining a link between the current admission and the patient’s life history Exploring the patient’s underlying personality structure Evoking emotions from a patient’s childhood traumas What is ego functioning? The area of personality involved in adapting to internal drives and environmental demands A method for aiding a stage of development A method to reduce psychological barriers A method to boost self-confidence Which of the following techniques might be used within an anger management group? Flip chart Role plays Abreaction techniques Picture tasks Minimising consequences of behaviour Which of the following are key factors of psychotherapy applicable to a psychiatric intensive care setting? Emotional needs to be taken into account Physical needs to be taken into account Caution in not unravelling fragile defences Supporting the building up of ego resources Which of the following are the main aims of an anger management group? Educate about the positive effects of expressed anger Increase understanding about anger Empower patients with the choice to control anger Punish negative behaviour Provide information for multidisciplinary management Which of the following factors have an important role in the formation of hopelessness? Problematic relationships Poor management of behaviour Hostility Poor living skills Abusive relationships Which of the following are subscales of the Reasons for Living Scale? Moral objections Resposibility to family Fear of social approval Fear of death Related concerns Which of the following are basic pointers indicating weakened ego functioning? Poor emotional boundaries Poor communication skills Poor control of basic impulses Poor tolerance of emotional pressure Poor living skills Linehan et al (1983) developed which scale? Hopelessness Scale Quality of Life Scale Perceptions of Living Scale Reasons for Living Scale Suicide Probability Scale Which of the following can help a violent patient manage their own feelings and urges? Strengthening coping skills Helping to develop resilience Encouraging the use of anxiety charts Increasing impulsivity Beck et al (1985, 1989, 1990) have shown hopelessness to be a significant predictor of completed suicide up to how many years later? 1 5 10 15 20 Which of the following is an essential feature in the assessment and management of suicidal ideation and intent which should be closely monitored? Loss of appetite Hopelessness Mindfullness Anxiety Poverty of speech Which of the following are within the role of a psychologist within a PICU? Research studies Prescribe medication Staff support Psychological assessment Loading …
