526 Exam 1
-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) - ANS-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 developmental processes underlying
mental functioning - ANS-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 - ANS-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 - ANS-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 - ANS-Purpose of Psychiatric Interview?
-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 - ANS-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 - ANS-Important components of a
therapeutic alliance?
Holistic treatment that relies on the nurse's processing of that the patient is experiencing
- ANS-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 clients' abilities to
think and function at more satisfactory levels - ANS-Peplau's most universal contribution
to PMHNPs?
-Observation, interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the
client's situation) - ANS-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 - ANS-What is the main idea for Peplau's Theory of Interpersonal
Relationships?
-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
-Encouraging formulation of a plan of action
-Summarizing - ANS-Therapeutic Communication Techniques?
-Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
-Challenging
-Defending
-Requesting an explanation
-Indication the existence of an external source
-Belittling feelings
-Making stereotypical comments
-Giving literal responses
-Introducing an unrelated topic - ANS-Non-Therapeutic Techniques?
-Orientation
-Identification
-Exploitation
-Resolution - ANS-Four Phases of the Nursing Model?
-The PMHNP addresses individual and family problems with the patient
-Assess identified problems during the orientation phase
-Determines the underlying healthcare issues with the patient
-Collects psychiatric data
-Establish a trusting relationship - ANS-Psychotherapy Process?
By applying core principles of psychotherapy, as well as, nursing theory - ANS-How
does the patient recover through adaption?
Avoid taking patients with similar problems or put aside personal pathology - ANS-What
does the PMHNP need to avoid?
-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) - ANS-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 developmental processes underlying
mental functioning - ANS-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 - ANS-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 - ANS-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 - ANS-Purpose of Psychiatric Interview?
-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 - ANS-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 - ANS-Important components of a
therapeutic alliance?
Holistic treatment that relies on the nurse's processing of that the patient is experiencing
- ANS-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 clients' abilities to
think and function at more satisfactory levels - ANS-Peplau's most universal contribution
to PMHNPs?
-Observation, interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the
client's situation) - ANS-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 - ANS-What is the main idea for Peplau's Theory of Interpersonal
Relationships?
-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
-Encouraging formulation of a plan of action
-Summarizing - ANS-Therapeutic Communication Techniques?
-Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
-Challenging
-Defending
-Requesting an explanation
-Indication the existence of an external source
-Belittling feelings
-Making stereotypical comments
-Giving literal responses
-Introducing an unrelated topic - ANS-Non-Therapeutic Techniques?
-Orientation
-Identification
-Exploitation
-Resolution - ANS-Four Phases of the Nursing Model?
-The PMHNP addresses individual and family problems with the patient
-Assess identified problems during the orientation phase
-Determines the underlying healthcare issues with the patient
-Collects psychiatric data
-Establish a trusting relationship - ANS-Psychotherapy Process?
By applying core principles of psychotherapy, as well as, nursing theory - ANS-How
does the patient recover through adaption?
Avoid taking patients with similar problems or put aside personal pathology - ANS-What
does the PMHNP need to avoid?
