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NR 605 Midterm Exam latest 2024 Guaranteed pass (Diagnosis management in psychiatric)
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NR 605 Midterm Exam latest 2024Guaranteed pass (Diagnosis
management in psychiatric)
Psychotherapy
-nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family therapists, counselors, and
PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the client & therapist.
Methods of Collaboration
Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and common goals, role
ambiguity, generational differences, and lack of undergraduate nursing education on intraprofessional
practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, physical/occupational therapy, and social
services, along with others to ensure care is delivered safely
• Potential barrier: lack of training
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Role of PMHNPs in Psychotherapy
-unique, full-spectrum approach
-may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency department, inpatient, and outpatient
settings
Holistic Paradigm of Healing
-holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and therapist
• Emotional connection in the relationship is critical to the success of psychotherapy
• PMHNP approaches the nurse-client relationship with acceptance, empathy, patience, and kindness to
create a space for healing
-psychotherapy can help the individual accept dysregulation and disharmony in the present moment
• achieves acceptance of the present, they may be able to let go of resistance, relax, and release fears
Theoretical Models in Psychotherapy
Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
,Maslow's Hierarchy of Needs
framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and belonging, and esteem)
are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need (B-need)
• Once D-needs are met, clients can focus on self-actualization and personal growth
• As the B-need is met, motivation for further growth increases
self-actualized person
is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and
maturity
Maslow's Hierarchy of Needs Pyramid
TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the family, and of health, of property
, Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
Health Belief Model
-used to explain and predict health behaviors
-a person's belief about a perceived threat of illness combined with belief in the effectiveness of the
recommended action predict the person's willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
Transtheoretical Model of Change
assumes that behavior changes take place over time and that people move through stages of decision-
making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
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