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Mind & body practices in the treatment of adolescent anxiety

doi: 10.1097/01.NPR.0000544288.42520.8c
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INSTRUCTIONS Mind & body practices in the treatment of adolescent anxiety

TEST INSTRUCTIONS

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PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Mind & body practices in the treatment of adolescent anxiety

Purpose: To provide an overview of the mind and body practices of biofeedback, mindfulness, yoga, and hypnosis for the treatment of anxiety in adolescents. Learning Objectives/Outcomes: After completing this continuing-education activity, you should be able to: 1. Recall the prevalence and clinical presentation of anxiety in adolescents, current therapies, and the role of the pediatric NP in its treatment. 2. Summarize the practices of biofeedback, mindfulness, yoga, and hypnosis and the evidence for the use of each in the treatment of anxiety in adolescent patients.

  1. Which of the following is defined as the anticipation of a threat?
    1. anxiety
    2. fear
    3. trigger
  2. Specific anxiety disorders are differentiated from each other by the
    1. age of the individual.
    2. severity of the symptoms.
    3. fears or triggers that produce symptoms.
  3. Unlike normative fear and anxiety, clinical or pathologic anxiety is
    1. situational.
    2. disruptive.
    3. uncomfortable.
  4. An overestimation of risk or danger is most closely associated with
    1. normative anxiety.
    2. clinical anxiety.
    3. panic attack.
  5. The American Academy of Child and Adolescent Psychiatry recommends that clinicians practice developmentally appropriate anxiety screening
    1. once at age 13 and as needed thereafter.
    2. if behavioral red flags are assessed.
    3. during routine mental health assessments.
  6. The most common practices in the treatment of adolescent anxiety include
    1. psychoanalysis.
    2. brief intense psychotherapy.
    3. cognitive behavioral therapy.
  7. The pharmacologic treatment of choice for adolescent anxiety is
    1. selective serotonin reuptake inhibitors.
    2. benzodiazepines.
    3. psychostimulants.
  8. Heart rate monitoring, neurofeedback, skin conductance levels, skin temperature measurements, and electromyography for muscle tension awareness are all components of
    1. biofeedback.
    2. mindfulness.
    3. hypnosis.
  9. Mindfulness training involves the refinement of
    1. physiologic parameters.
    2. consciousness.
    3. cognition.
  10. Buddhist Vipassana meditation emphasizes sensory detachment through reducing bias, remaining nonjudgmental, and focusing on
    1. separation from negative outlooks.
    2. building inner strength.
    3. increasing perceptions of self-worth.
  11. High-risk populations that have demonstrated positive effects from mindfulness therapy include teens with
    1. phobias.
    2. psychosis.
    3. social anxiety.
  12. The practice of yoga incorporates physical postures, mindful meditation, and
    1. neurofeedback.
    2. dissociation.
    3. breathing control.
  13. Beneficial effects of yoga that have been demonstrated among the student population include
    1. increased heart rate.
    2. emotional regulation.
    3. academic achievement.
  14. Which mind and body practice can help reduce the stress response by creating an altered state of consciousness that aids in forming a mind-body connection?
    1. biofeedback
    2. yoga
    3. hypnosis
  15. Telehypnosis has been shown to be an effective tool for high school students in the management of
    1. test anxiety.
    2. anxiety-related absenteeism.
    3. panic attacks.
  16. Which of the following statements accurately reflects current literature regarding mind-body practices for adolescent anxiety?
    1. A growing body of evidence supports mind and body practices as low-risk and cost-effective.
    2. The literature supports its use in supervised clinical settings only.
    3. Numerous randomized studies and ample longitudinal data endorse them as first-line interventions.
  17. As of 2014, 55% of adolescents with mental health disorders
    1. received mental health treatment from their primary care providers.
    2. did not receive any form of professional mental health care.
    3. had ineffectively treated debilitating symptoms.
  18. The authors recommend that NPs mitigate one risk factor for mental health disorders by addressing their adolescent patients'
    1. academic pressures.
    2. physical insecurities.
    3. sleep.
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