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PMHNP I - Exam 1 - Therapeutic Relationship and Psychiatric Interview

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Therapeutic Relationship - Mutual, interactive relationship focused on client's needs. Goal directed Theoretical basis Characteristics of a therapeutic relationship: Non-judgmental Respect Empathy Acceptance Genuine Professional boundaries Therapeutic Relationship Steps - Introduction (Or...

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  • February 2, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
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PMHNP I - Exam 1 - Therapeutic
Relationship and Psychiatric Interview
Therapeutic Relationship - ✔✔Mutual, interactive relationship focused on client's needs.

Goal directed

Theoretical basis

Characteristics of a therapeutic relationship:

Non-judgmental

Respect

Empathy

Acceptance

Genuine

Professional boundaries



Therapeutic Relationship Steps - ✔✔Introduction (Orientation), Working (Identification), Termination
(Resolution)



Introduction (Orientation) Step - ✔✔Initiate a trusting, safe environment

Establish boundaries and timeframe for interactions

Diagnostic Criteria

Set treatment goals



Working (Identification) Step - ✔✔Initiate treatment plan

Measure and evaluate care outcomes



Termination (Resolution) Step - ✔✔Measure patient's progress

, Teach patient how to manage symptoms

End relationship



Concordance - ✔✔Way of working together with people

Process of developing a mutually agreed plan

Collaborative process including empowerment, self-determination, and choice

Measure outcomes by looking at compliance and adherence.



Compliance - ✔✔Following instructions

Outcome of concordance



Adherence - ✔✔Process of sticking with the treatment

Following the plan of treatment

Outcome of concordance



Deferential compliant type - ✔✔Medicine taking behavior

Leave all decision making to the provider and complies even with poor insight.



Direct reactive type - ✔✔Medicine taking behavior

Patient is in denial of needing treatment, and if they are taking medicine, will stop once they feel better



Active discernment and optimizing type - ✔✔Medicine taking behavior

This includes people with the ability and will to reflect on past experiences.

2 stages-->

Experimental - reflective stage: The person insightfully and actively experiments to achieve the optimum
medicine regime. This can be carried out unilaterally or in concordance with the prescriber. It may

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