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Tusaie - Advanced Practice Psychiatric Nursing questions and answers
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Tusaie - Advanced Practice Psychiatric Nursing questions and answers
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Tusaie - Advanced PracticePsychiatric Nursing questions
and answers 2025-2026(latest
update with verified solutions)
Integrative mental health treatment - answer Prospective,
relationship-based, client centered, holistic approach that focuses
on client's priorities for well-being and preventing, managing, and
rehabilitating disease
*broad and comprehensive, rather than reductionist and focused on
the effects of a specific treatment on a specific symptom
*Does not consist of haphazard selection of techniques
*Looks beyond confines of a single perspective
*Clinicians begin developing a conceptual framework that fits for
themselves and their clients - synthesizes several theoretical
approaches
*Developing an integrated perspective is a lifelong process that is
the produce of a great deal of study, clinical practice, and theorizing
*Signs and symptoms are interpreted differently across cultures
Rationale for integrated treatment - answer *Nursing practice is
holistic and the phenomena of interest include not only symptoms
but also health risks and promotion
*Underlying holistic theory remains as the foundation for any
intervention
*Scope of practice in PMH-APRN is continually expanding in
response to the context of practice, knowledge base evolution, and
ongoing need for clients holistic care
*The increasing cost of health care is reaching a level where it will
soon not be sustainable
,Recovery After an Initial Schizophrenia Episode (RAISE) project -
answer Low-dose medication
Family psychoeducation
Supported education/employment
Individualized resilience training
Other interventions to focus on more than psychotic symptoms and
medications
National Institute of Mental Health - answer Research Domain
Criteria (RDoC) project that may lead to revolutionary, integrated
diagnostics
Psychotherapy and behavior changes - answer Psychophysiological
pathways underlying symptoms are increasing understood to be
nonlinear and multidimensional -
Mechanistic world views - answer chose conventional medical
treatments
Systems view - answer chose complementary and alternative
treatment
thinking patterns, genomes and derivatives - answer are being
used to make treatment decisions with the expectation of
personalized treatment informed by each person's unique
information
Holistic thinking - answer Conceptualize symptoms across
diagnostic categories
*No objective test to differentiate one diagnosis from another
*signs and symptoms of psychiatric problems overlap
, Neurotransmitter pathways - answer serotonin, dopamine,
norepinephrine, glutamate, gamma-aminobutyric acid
Common neurobiological pathways - answer Neurotransmitter
pathways
Structural abnormalities identified on neuroimaging
Genetic predispositions cross diagnostic categories
Homeostasis - answer Natural healing powers of the individual
Neuroplasticity - answer Process of neuroplasticity,
synaptogenesis, dendritic spines, and neurogenesis, or modification
of and individuals brain structure may be the central process for
therapeutic change
Combination of psychotherapy and pharmacotherapy - answer
Resulted in more improvement than expected
Evidence-based practices - answer Many question the wisdom of
evidence
*Circular model would involve a multiplicity of methods, using
different designs, counterbalancing their individual strengths and
weaknesses to arrive at a pragmatic but rigorous evidence base for
clinical innovation
*Methods should not be viewed as in terms of intrinsic worth but as
valuable in relation to the question being asked
integrated treatment continuum - answer *Degree of risk is
determined
*Progression to minimal, moderate, and severe level of symptoms
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