Nursing Exam Questions With Verified
Answers.
Integrative mental health treatment - answer✔✔Prospective, relationship-based, client centered,
holistic approach that focuses on client's priorities for well-being and preventing, managing, and
rehabilitating disease
*broad and comprehensive, rather than reductionist and focused on the effects of a specific
treatment on a specific symptom
*Does not consist of haphazard selection of techniques
*Looks beyond confines of a single perspective
*Clinicians begin developing a conceptual framework that fits for themselves and their clients -
synthesizes several theoretical approaches
*Developing an integrated perspective is a lifelong process that is the produce of a great deal of
study, clinical practice, and theorizing
*Signs and symptoms are interpreted differently across cultures
Rationale for integrated treatment - answer✔✔*Nursing practice is holistic and the phenomena
of interest include not only symptoms but also health risks and promotion
*Underlying holistic theory remains as the foundation for any intervention
*Scope of practice in PMH-APRN is continually expanding in response to the context of
practice, knowledge base evolution, and ongoing need for clients holistic care
*The increasing cost of health care is reaching a level where it will soon not be sustainable
Recovery After an Initial Schizophrenia Episode (RAISE) project - answer✔✔Low-dose
medication
Family psychoeducation
Supported education/employment
Individualized resilience training
Other interventions to focus on more than psychotic symptoms and medications
EXAM STUDY MATERIALS July 23, 2024 4:26 PM
, National Institute of Mental Health - answer✔✔Research Domain Criteria (RDoC) project that
may lead to revolutionary, integrated diagnostics
Psychotherapy and behavior changes - answer✔✔Psychophysiological pathways underlying
symptoms are increasing understood to be nonlinear and multidimensional -
Mechanistic world views - answer✔✔chose conventional medical treatments
Systems view - answer✔✔chose complementary and alternative treatment
thinking patterns, genomes and derivatives - answer✔✔are being used to make treatment
decisions with the expectation of personalized treatment informed by each person's unique
information
Holistic thinking - answer✔✔Conceptualize symptoms across diagnostic categories
*No objective test to differentiate one diagnosis from another
*signs and symptoms of psychiatric problems overlap
Neurotransmitter pathways - answer✔✔serotonin, dopamine, norepinephrine, glutamate,
gamma-aminobutyric acid
Common neurobiological pathways - answer✔✔Neurotransmitter pathways
Structural abnormalities identified on neuroimaging
Genetic predispositions cross diagnostic categories
Homeostasis - answer✔✔Natural healing powers of the individual
Neuroplasticity - answer✔✔Process of neuroplasticity, synaptogenesis, dendritic spines, and
neurogenesis, or modification of and individuals brain structure may be the central process for
therapeutic change
Combination of psychotherapy and pharmacotherapy - answer✔✔Resulted in more improvement
than expected
Evidence-based practices - answer✔✔Many question the wisdom of evidence
*Circular model would involve a multiplicity of methods, using different designs,
counterbalancing their individual strengths and weaknesses to arrive at a pragmatic but rigorous
evidence base for clinical innovation
*Methods should not be viewed as in terms of intrinsic worth but as valuable in relation to the
question being asked
integrated treatment continuum - answer✔✔*Degree of risk is determined
*Progression to minimal, moderate, and severe level of symptoms
EXAM STUDY MATERIALS July 23, 2024 4:26 PM