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Exam (elaborations)

526 Exam 1

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-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 con-flicts that are primarily between the individual and society (unless the behaviors are due to a dysfunction) - answer-What is not considered a mental disorder? -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 develop-mental processes underlying mental functioning - answer-What is considered a mental disorder per the DSM5? -Define NP roles -Identify competencies assumed to be held by all NPs who function in a particular role -Varies broadly from state to state - answer-Purpose of Scope of Practice? -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 - answer-Purpose of Standard of Practice? Understand the patient's illness to evaluate the effect on their lives and create a beginning diagnosis and treatment plan - answer-Purpose of Psychiatric Interview? -Create a relationship with client by being calming, warm, understand-ing, kind, respectful, concerned and focused -Able to help patient better if a therapeutic alliance was formed - an-swer-What is a Therapeutic Alliance? -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 - answer-Important components of a therapeutic alliance? Holistic treatment that relies on the nurse's processing of that the pa-tient is experiencing - answer-What is Psychotherapy? -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 cli-ents' abilities to think and function at more satisfactory levels - answer-Peplau's most universal contribution to PMHNPs? -Observation, interpretation, and intervention (The PMHNP observes and listens to the client, developing impres-sions about the client's situation) - answer-Per Peplau, skills of a MH nurse? -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 - answer-What is the main idea for Peplau's Theory of Interpersonal Relation-ships? -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

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