PMH Exam 1 (Chapters 1, 2, 3, 4, 6 ) Questions & Answers Solved 100% Correct!!
Psych-MH Nurses Answer- · Promote mental health through assessment, diagnosis,
and treatment of behavioral and mental disorders
· Use nursing, psychosocial, neurobiological theories and research
· Work with people throughout the life span
· Work in a variety of settings and among varied populations
· We focus on "the patient's response to their condition"
A psych RN's primary concern is Answer- patient safety (if this is an option on an exam this is the answer)
Therapeutic Relationships + Communication Answer- · Critical to our ability to connect with people
· Each person bring their own experiences + worldwide
· Real and perceived ideas about people influence our interactions
PMH-RN Description Answer- o 2 years full-time work, 2000 clinical hours, 30 hours
CEU followed by certification exam to add "BC" to the RN title (RN-BC)
-not everyone goes after this because not many things change
PMH-RN Role Answer- - Care Coordination
- Health Teaching
- Health Maint.
- Milieu Therapy
- Assess and report response to medication and other treatments
PMH-APRN Description Answer- o Psychiatric mental health advanced practice registered nurse Master of Science or Clinical Doctorate (DNP)
PMH-APRN Role Answer- - All of those listed under PMH-RN plus
- Medication Rx and Treatment
- Psychotherapy
- Consultation
Diagnostic and Statistical Manual (DSM-5) Answer- Categorizing + diagnosing mental illness based on symptoms, "medical" diagnosis
NANDA Nursing Diagnosis Book Answer- Psych "nursing" diagnosis Nursing Intervention Classification (NIC) Answer- determine appropriate interventions
Nursing Outcomes Classification (NOC) Answer- determine desired outcomes based on medical & nursing diagnoses
Mental Health - Mental Illness Continuum Answer- · Variations and fluctuations based on multiple factors
· Ex. many people are farther to the right than usual given the global pandemic
Different Aspects of Mental Health Answer- Doing well: Grow emotionally, control over behaviors, healthy self-esteem, realistic goals, high functioning individual
Factors that Contribute to Mental Health Answer- · Diathesis-stress model
· "refrigerator mother"
Diathesis-stress model Answer- Most psychiatric disorders result from a combination of genetic vulnerability and negative environmental stressors
o Diathesis = biological
o Stress = environmental/exposure
"refrigerator mother" Answer- the (outdated) idea that cold and distant mothers caused schizophrenia and autism
Resilience Answer- · Ability and capacity to secure resources needed to support well-being
· Ability to "bounce back" during/after a stressful event
· Characterized by
o Optimism/being able to see a positive feature
- This can sometimes go away during a period of mental illness
o Sense of mastery
o Competence (ability to complete tasks, feel like you have knowledge or skills to be productive)
· Essential to recovery
· Research showed that all it takes is one adult to show a child unconditional love and support to produce resiliency
Which nursing interventions below are only within the scope of practice for an advanced practice PMH nurse? Select all the apply
o Consultation
o Health Teaching
o Milieu Therapy
o Psychotherapy
o Coordination of Care Answer- o Consultation
o Health Teaching
o Milieu Therapy
o Psychotherapy
o Coordination of Care
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