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Exam (elaborations)

PMHNP ANCC Review(2022)with complete solutions.

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Characteristics of a Therapeutic Relationship Genuineness Acceptance Nonjudgement Authenticity Empathy Respect Professional boundaries Single most important goal in transformation of mental health care in the past two decades Recovery 00:05 01:38 Sadness can be pathologi...

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  • June 22, 2022
  • 38
  • 2021/2022
  • Exam (elaborations)
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PMHNP ANCC Review
Characteristics of a Therapeutic Relationship - Answer Genuineness
Acceptance
Nonjudgement
Authenticity
Empathy
Respect
Professional boundaries

Single most important goal in transformation of mental health care in the past two
decades - Answer Recovery

Sadness can be pathological when... - Answer It is disproportionate to events and
sustained over a significant time period;
It significantly impairs normal social functioning (occupational, social, school, relational)
or somatic functioning (eating, sleep); it is apparently unrelated to any identifiable event
or situation in a person's life

Psychodynamic Theories - Answer Object Loss Theory
Aggression-Turned-Inward Theory
Cognitive Theory (Beck 1979)
Learned Helplessness-Hopelessness Theory

Benefits of Group Therapy - Answer (ISCC) Insight, Social Skills, Cost-effective,
Community

Increases insight about oneself

Increases social skills

Is cost-effective

Develops a sense of community

Who created Humanistic Therapy? - Answer Carl Rogers

Person-Centered Therapy is also known as - Answer Humanistic Therapy

Who created DBT? - Answer Marsha Linehan (born 1943)

Who developed definition of group phases? - Answer Tuckman

Name the group phases - Answer Pregroup
Forming
Storming
Norming
Performing

,PMHNP ANCC Review
Adjourning

Pregroup Phase - Answer Leader considers direction and framework of the group

Purpose, goals, membership size, pregroup interview, informed consent

Forming Phase - Answer Members worried about self-disclosure and being rejected.

Goals and expectations identified, boundaries established

Development of trust and rapport very important in this phase

Storming Phase - Answer Members resistant; may use testing behaviors.

Issues begin to surface related to inclusion, control, affection

Leader's tasks: Allow expression of positive and negative feelings, assist group in
understanding underlying conflict, examine nonproductive behaviors

Norming Phase - Answer Resistance to group overcome by members

Strong attraction to group and others emerges

Open and spontaneous communication occurs

Group norms established

Performing Phase - Answer Group's work becomes more focused.

Creative problem-solving & solutions emerge

Experiential learning takes place.

Group energy directed towards completion of goals

Adjourning Phase - Answer Preparation made to end group

Members & leaders express their feelings about each other and termination

Discussion about what was learned and what issues still exist takes place

When does work of termination begin (what group stage)? - Answer First stage

Solution-Focused Therapy - what techniques are involved? - Answer Miracle Questions

Exception-finding questions

,PMHNP ANCC Review
Scaling questions

Focus of Solution-Focused Therapy - Answer To rework for the present situation
solutions that have worked in the past

Strategic Therapy - techniques? - Answer Straightforward directives

Paradoxical directives

Reframing belief systems

Family Systems Theory - Answer One could not understand any family member (part)
without understanding how all family members operate together (system)

Family Homeostasis - Answer Tendency of families to resist change and to maintain a
steady state

Morphogenesis - Answer A family's tendency to adapt to change when changes are
necessary

Morphostasis - Answer Family's tendency to remain stable in the midst of change

Who created Family Systems Therapy? - Answer Murray Bowen

Family Systems Therapy - summarize - Answer Originated by: Murray Bowen

Focus on: Chronic anxiety within families

Treatment goals: Increase family's awareness of each member's function within the
family and increase levels of self-differentiation (level at which one's sense of self-worth
is not dependent on external relationships)

Cognitive Therapy - creator? - Answer Aaron Beck, 1979

Primary Prevention - what is it? - Answer Aimed at decreasing the incidence (number of
new cases) of mental disorders

Examples of Primary Prevention? - Answer Helping people avoid stressors or cope with
them more adaptively:

Smoking prevention classes

Stress management classes for grad students

D.A.R.E.

, PMHNP ANCC Review
Secondary Prevention - what is it? - Answer Aimed at decreasing the prevalence
(number of existing cases) of mental disorders

Examples of Secondary Prevention - Answer Early case finding

Screening

Prompt & effective treatment

Examples: Telephone hotlines, crisis intervention, disaster responses

Tertiary Prevention - what is it? - Answer Aimed at decreasing the disability and severity
of a mental disorder

Examples of Tertiary Prevention? - Answer Rehabilitation Services

Avoidance or postponement of complications

Day treatment programs, case management for physical/housing/vocational needs,
social skills training

Common indicators of physical child abuse - Answer Hx of unexplained multiple
fractures

Burns, hand or bite marks

Injuries at various stages of healing

Evidence of neglect

Bruising on padded parts of body

Repression - Answer involuntary or unconscious exclusion of painful/disturbing thoughts
or feelings from awareness.

Suppression - Answer intentional or conscious exclusion of painful or disturbing
thoughts or emotions from awareness

Strategies to Manage Flashbacks - Answer Identify phenomenon as a flashback or
dissociative period

Use grounding techniques (bring person's level of awareness to immediate therapeutic
environment) - rubbing upholstery, stomping one's feet, good eye contact, proper room
lighting, deep breathing, walking outside, supportive self-talk

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