PMHNP I - Exam 1 - Therapeutic
Relationship and Psychiatric Interview
Therapeutic Relationship - ✔✔Mutual, interactive relationship focused on client's needs.
Goal directed
Theoretical basis
Characteristics of a therapeutic relationship:
Non-judgmental
Respect
Empathy
Acceptance
Genuine
Professional boundaries
Therapeutic Relationship Steps - ✔✔Introduction (Orientation), Working (Identification), Termination
(Resolution)
Introduction (Orientation) Step - ✔✔Initiate a trusting, safe environment
Establish boundaries and timeframe for interactions
Diagnostic Criteria
Set treatment goals
Working (Identification) Step - ✔✔Initiate treatment plan
Measure and evaluate care outcomes
Termination (Resolution) Step - ✔✔Measure patient's progress
, Teach patient how to manage symptoms
End relationship
Concordance - ✔✔Way of working together with people
Process of developing a mutually agreed plan
Collaborative process including empowerment, self-determination, and choice
Measure outcomes by looking at compliance and adherence.
Compliance - ✔✔Following instructions
Outcome of concordance
Adherence - ✔✔Process of sticking with the treatment
Following the plan of treatment
Outcome of concordance
Deferential compliant type - ✔✔Medicine taking behavior
Leave all decision making to the provider and complies even with poor insight.
Direct reactive type - ✔✔Medicine taking behavior
Patient is in denial of needing treatment, and if they are taking medicine, will stop once they feel better
Active discernment and optimizing type - ✔✔Medicine taking behavior
This includes people with the ability and will to reflect on past experiences.
2 stages-->
Experimental - reflective stage: The person insightfully and actively experiments to achieve the optimum
medicine regime. This can be carried out unilaterally or in concordance with the prescriber. It may
Relationship and Psychiatric Interview
Therapeutic Relationship - ✔✔Mutual, interactive relationship focused on client's needs.
Goal directed
Theoretical basis
Characteristics of a therapeutic relationship:
Non-judgmental
Respect
Empathy
Acceptance
Genuine
Professional boundaries
Therapeutic Relationship Steps - ✔✔Introduction (Orientation), Working (Identification), Termination
(Resolution)
Introduction (Orientation) Step - ✔✔Initiate a trusting, safe environment
Establish boundaries and timeframe for interactions
Diagnostic Criteria
Set treatment goals
Working (Identification) Step - ✔✔Initiate treatment plan
Measure and evaluate care outcomes
Termination (Resolution) Step - ✔✔Measure patient's progress
, Teach patient how to manage symptoms
End relationship
Concordance - ✔✔Way of working together with people
Process of developing a mutually agreed plan
Collaborative process including empowerment, self-determination, and choice
Measure outcomes by looking at compliance and adherence.
Compliance - ✔✔Following instructions
Outcome of concordance
Adherence - ✔✔Process of sticking with the treatment
Following the plan of treatment
Outcome of concordance
Deferential compliant type - ✔✔Medicine taking behavior
Leave all decision making to the provider and complies even with poor insight.
Direct reactive type - ✔✔Medicine taking behavior
Patient is in denial of needing treatment, and if they are taking medicine, will stop once they feel better
Active discernment and optimizing type - ✔✔Medicine taking behavior
This includes people with the ability and will to reflect on past experiences.
2 stages-->
Experimental - reflective stage: The person insightfully and actively experiments to achieve the optimum
medicine regime. This can be carried out unilaterally or in concordance with the prescriber. It may
