NURSING COMMUNICATION APPROACH TO
EVIDENCE BASED CARE BY ELIZABETH
VARCAROLIS 2026 EXAM
◉ evidence-based practice model. Answer: A medical model in
which the treatment approach involves Scientific evidence for
psychologic and sociologic treatments as well as Neurobiology of
psychiatric disorders and Psychopharmacology.
◉ Trauma-informed care model. Answer: Integration of trauma into
clinical programming ("what has happened to you?" rather than
"what's wrong with you?"). Avoidance of new trauma in treatment
(restraints, coercion). A collaborative therapeutic relationship. Focus
on empowerment and cultural respect.
◉ What are the five A's?. Answer: 1. ASK a question
2. AQUIRE literature
3. APPRAISE literature
4. APPLY the evidence
5. ASSESS the performance
,◉ Three areas inherent in the "art" of nursing are:. Answer: caring,
attending, patient advocacy
◉ What is caring?. Answer: Caring is the most natural and the most
fundamental aspect of human existence. Caring is giving of self while
preserving the importance of self.
◉ What is the leading cause of disability in the United States?.
Answer: Major depressive disorder (Affects nearly twice as many
women as men)
◉ What frequently co-occurs with depressive disorders, eating
disorders, and/or substance abuse?. Answer: Anxiety Disorder
◉ What typically develops in adolescence and about 1 in 3 develop
agoraphobia?. Answer: Panic Disorder
◉ Mental Health Parity Act. Answer: U.S. insurers must offer same
benefits at same level of coverage for mental illness as for other
conditions
◉ what did the Affordable Care Act do when it banned annual dollar
limits?. Answer: It eliminated pre-existing condition exclusions,
improving equal coverage
, ◉ What are some factors that can affect the mental health of an
individual?. Answer: Biological, genetics, hormones, religion, culture,
community, personality traits, health practices and beliefs,
environmental experiences, economics, negative influences,
psychosocial stressors, impaired parenting, etc.
◉ What is a negative stereotype that leads to an attitude or belief
that would cause one to view a person with mental illness as
inferior, dangerous, or unstable?. Answer: Stigma
◉ Psychosocial processes that lead to stigmatization include:.
Answer: Stereotyping, labeling, separating, and status loss or
discrimination in a context of power imbalance, social isolation, and
reduced opportunities.
◉ Considering the total environment (people, setting, structures),
this type of therapy can help the patient increase self-esteem and
decrease social isolation. Answer: Milieu Therapy
◉ What is the DSM-5 used for?. Answer: to diagnose a psychiatric
disorder
◉ What are the three components of Freud's psychoanalytic theory?.
Answer: Id, Ego, and Superego