NSG 526 Exam 1
What is not considered a mental disorder? ANS: -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)
What is considered a mental disorder per the DSM5? ANS: -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
Purpose of Scope of Practice? ANS: -Define NP roles
-Identify competencies assumed to be held by all NPs who function in a particular role
-Varies broadly from state to state
Purpose of Standard of Practice? ANS: -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
Purpose of Psychiatric Interview? ANS: Understand the patient's illness to evaluate the effect on their
lives and create a beginning diagnosis and treatment plan
What is a Therapeutic Alliance? ANS: -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
Important components of a therapeutic alliance? ANS: -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
What is Psychotherapy? ANS: Holistic treatment that relies on the nurse's processing of that the patient
is experiencing
Peplau's most universal contribution to PMHNPs? ANS: -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
Per Peplau, skills of a MH nurse? ANS: -Observation, interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships? ANS: -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
Therapeutic Communication Techniques? ANS: -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
Non-Therapeutic Techniques? ANS: -Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
What is not considered a mental disorder? ANS: -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)
What is considered a mental disorder per the DSM5? ANS: -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
Purpose of Scope of Practice? ANS: -Define NP roles
-Identify competencies assumed to be held by all NPs who function in a particular role
-Varies broadly from state to state
Purpose of Standard of Practice? ANS: -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
Purpose of Psychiatric Interview? ANS: Understand the patient's illness to evaluate the effect on their
lives and create a beginning diagnosis and treatment plan
What is a Therapeutic Alliance? ANS: -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
Important components of a therapeutic alliance? ANS: -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
What is Psychotherapy? ANS: Holistic treatment that relies on the nurse's processing of that the patient
is experiencing
Peplau's most universal contribution to PMHNPs? ANS: -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
Per Peplau, skills of a MH nurse? ANS: -Observation, interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships? ANS: -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
Therapeutic Communication Techniques? ANS: -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
Non-Therapeutic Techniques? ANS: -Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
