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What is not considered a mental disorder? - ANSWERS--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 considered a mental disorder per the DSM5? - ANSWERS--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? - ANSWERS--Define NP roles
-Identify competencies assumed to be held by all NPs who function in a particular role
-Varies broadly from state to state
Purpose of Standard of Practice? - ANSWERS--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? - ANSWERS-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? - ANSWERS--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? - ANSWERS--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? - ANSWERS-Holistic treatment that relies on the nurse's
processing of that the patient is experiencing
Peplau's most universal contribution to PMHNPs? - ANSWERS--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? - ANSWERS--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? - ANSWERS-
-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? - ANSWERS--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