Psychiatric Nursing Exam Questions
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PMH-APRN resources - ANSWER ✓ Useful to be involved yourself as a client in
the psychotherapy process to facilitate self-understanding and clinical skills
Benner's stages of clinical skills - ANSWER ✓ Novice-No experience, governed
by rules, regulations
Advanced beginner- recognizes meaningful aspects of situations, able to make
judgements
Competent - 2-3 years experience, coordinates complex care
Proficient - 3-5 years experience, sees situations as whole, uses and sees long-term
goals
Expert - Performance is fluid, flexible, and efficient; uses intuition
beginning, middle and end - ANSWER ✓ Beginning very brief and sets the stage
for this session (Personal introductions, what to expect)
Middle is the work to achieve the goals of the session (work of the session)
End is the summary and planning for the next session (Clock placed across the
room so the APRN can check the time as the session progresses)
Goals for assessment process - ANSWER ✓ *Engage self and client in process
*Develop empathy and understanding of client
*Collect valid database
*Identify patterns and develop a diagnosis and case formulation
*Instill hope and decrease anxiety
Shea's gates - ANSWER ✓ Transitioning from one topic to another
*Spontaneous gate - client spontaneously moves to a new content area
*Natural gate - involves the APRN cueing off the client statement and making a
bridge to new content
, *Referred gate - the return to a new area of discussion by referring back to a
previous statement made by the client
*Phantom gate - occurs when APRN asks a question totally out of context and this
interrupts the information flow
*Implied gates - join similar regions and can provide expansion
Databases - ANSWER ✓ Often preprinted forms or computerized
*Identifying data *Values
*Chief complaint *Strengths
*Past problems *Mini-mental state exam
*Review of systems *Risk formulation
*Family history *DSM-5 diagnosis
*Personal development *Case formulation
*Adult trauma, self-care ability *Initial treatment Plan
Yalon's Cruative Factors - ANSWER ✓ *Interpersonal learning
*Catharsis
*Group cohesiveness
*Self-understanding
*Socializing techniques
*Existential factors
*Universality
*Instillation of hope
*Altruism
*Corrective family re-enactment
*Guidance
*Identification of initiative behavior
Further testing - ANSWER ✓ May include blood work, neuroinaging, and tests of
electrophysiology, or psychological testing
Acute treatment goals - ANSWER ✓ Are to bring about change in the target
symptoms and provide safety (Target most distressing symptoms)
Therapeutic communication techniques - ANSWER ✓ *Interpretation
*Gentle confrontation (Medication issues explored, exploring behaviors during
sessions