NSG 526 EXAM 1-with 100% verified solutions
2024-2025
What is not considered a mental disorder?
-An expectable or culturally approved response to a common stressor or loss, such as the death
of a loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and conflicts that are primarily
between the individual and society (unless the behaviors are due to a dysfunction)
What is not considered a mental disorder?
What is considered a mental disorder per the DSM5?
-Associated with significant distress or disability in social, occupation, or other important
activities
-Significant disturbance in cognition, emotion regulation, or behavior that reflects a dysfunction
in the psychological, biological or developmental processes underlying mental functioning
Purpose of Scope of Practice?
-Define NP roles
-Identify competencies assumed to be held by all NPs who function in a particular role -
Varies broadly from state to state
Authoritative statements regarding the quality and type of practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients with various illnesses
-Reflect professional agreement focused on the minimum levels of acceptable performance
-Can be used to legally describe the standard of care that must be met by a provider -May be
precise protocols that must be followed or more general guidelines that recommend actions
Purpose of Psychiatric Interview?
Understand the patient's illness to evaluate the effect on their lives and create a beginning
diagnosis and treatment plan
What is a Therapeutic Alliance?
-Create a relationship with client by being calming, warm, understanding, kind, respectful,
concerned and focused
-Able to help patient better if a therapeutic alliance was formed
Important components of a therapeutic alliance?
-Therapist and patient work collaboratively to create therapeutic change through an
affectionate bond
,-Agreement on goals of therapy
-The therapist's ability to be empathetic and involved in therapy
-The ability of the patient to do the work of therapy
What is Psychotherapy?
Holistic treatment that relies on the nurse's processing of that the patient is experiencing
Peplau's most universal contribution to PMHNPs?
Her application of Sullivan's theory of anxiety to nursing practice
-Described the effects of different levels of anxiety (mild, moderate, severe, and panic) on
perception and learning
-Promoted interventions to lower anxiety, with the aim of improving clients' abilities to think
and function at more satisfactory levels Per Peplau, skills of a MH nurse?
Observation, interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the client's
situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships?
-The processes by which the nurse helps clients make positive changes in their health care
status and well-being
-Believed that illness offered a unique opportunity for experiential learning, personal growth,
and improved coping strategies and that PMH-APRNs play a unique role in facilitating this
growth
Therapeutic Communication Techniques?
-Silence
-Accepting
-Giving recognition
-Giving information
-Offering self
-Giving broad openings
-Offering general leads
-Placing the event in time or sequence
-Making observation
-Encouraging description of perceptions
-Encouraging comparison
-Reflection -Exploring
-Seeking clarification
-Presenting reality
-Voicing doubt
-Verbalizing the implied
, -Attempting to translate into feelings
-Encouraging formulation of a plan of action
-Summarizing
Non-Therapeutic Techniques?
-Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
-Challenging
-Defending
-Requesting an explanation
-Indication the existence of an external source
-Belittling feelings
-Making stereotypical comments
-Giving literal responses
-Introducing an unrelated topic
Four Phases of the Nursing Model?
-Orientation
-Identification
-Exploitation -Resolution
Psychotherapy Process?
-The PMHNP addresses individual and family problems with the patient
-Assess identified problems during the orientation phase
-Determines the underlying healthcare issues with the patient
-Collects psychiatric data
-Establish a trusting relationship
How does the patient recover through adaption?
By applying core principles of psychotherapy, as well as nursing theory
What does the PMHNP need to avoid?
The Psychiatric APN needs to recognize and put aside personal pathology when working with
patients or avoid taking patients with similar problems
Goals for Interpersonal Therapy?
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