NR605 Midterm Exam
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1. Psychotherapy -nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage
and family therapists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse pre-
vention, empowerment, achievement of collaborative goals set by the
client & therapist.
2. Methods of Collaboration Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same
profession
• Potential barriers: tension, large team size, high turnover, lack of fa-
miliarity and common goals, role ambiguity, generational differences,
and lack of undergraduate nursing education on intraprofessional
practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, phys-
ical/occupational therapy, and social services, along with others to
ensure care is delivered safely
• Potential barrier: lack of training
3. Role of PMHNPs in Psy- -unique, full-spectrum approach
chotherapy -may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency depart-
ment, inpatient, and outpatient settings
, NR605 Midterm Exam
Study online at https://quizlet.com/_e20e5a
4. Holistic Paradigm of -holistic model of care with a focus on healing
Healing -Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and
spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and
therapist
• Emotional connection in the relationship is critical to the success of
psychotherapy
• PMHNP approaches the nurse-client relationship with acceptance,
empathy, patience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and
disharmony in the present moment
• achieves acceptance of the present, they may be able to let go of
resistance, relax, and release fears
5. Theoretical Models in Maslow's Hierarchy of Needs
Psychotherapy Health Belief Model
Transtheoretical Model of Change
6. Maslow's Hierarchy of framework for understanding client motivation
Needs -first four levels of need in the hierarchy (physiological needs, safety,
love and belonging, and esteem) are sometimes referred to as defi-
ciency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or
being need (B-need)
• Once D-needs are met, clients can focus on self-actualization and
personal growth
• As the B-need is met, motivation for further growth increases
7. self-actualized person
, NR605 Midterm Exam
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is self-fulfilled
-Qualities exhibited by the self-actualized person include indepen-
dence, autonomy, creativity, and maturity
8. Maslow's Hierarchy of TOP: Self-actualization
Needs Pyramid -Morality, creativity, spontaneity, lack of prejudice, acceptance of
facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the
family, and of health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
9. Health Belief Model -used to explain and predict health behaviors
-a person's belief about a perceived threat of illness combined with
belief in the effectiveness of the recommended action predict the
person's willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
, NR605 Midterm Exam
Study online at https://quizlet.com/_e20e5a
10. Transtheoretical Model assumes that behavior changes take place over time and that people
of Change move through stages of decision-making to make changes to behav-
ior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
11. Nancy is a 64-year-old Ask Nancy to create a list of reasons that she wants to lose weight.
who is wondering if los-
ing weight might bene- Rationale: Creating a list of reasons to lose weight would be appropri-
fit her self-esteem and ate for the contemplation phase. Obtaining medical clearance for ex-
self-confidence. Based ercise is a part of the preparation phase of the Transtheoretical Model
on the transtheoretical of Change. Exploring emotional responses to being overweight would
model of change, which be appropriate for the precontemplation phase. Addressing rewards
of the following actions for reinforcement of behaviors would occur in the action phase.
by the PMHNP would be
appropriate for Nancy if
she is in the contempla-
tion stage of change?
Ask Nancy to create a list
of reasons that she wants
to lose weight.
Refer Nancy to her pri-
mary provider to obtain
medical clearance for an
exercise program.
Study online at https://quizlet.com/_e20e5a
1. Psychotherapy -nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage
and family therapists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse pre-
vention, empowerment, achievement of collaborative goals set by the
client & therapist.
2. Methods of Collaboration Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same
profession
• Potential barriers: tension, large team size, high turnover, lack of fa-
miliarity and common goals, role ambiguity, generational differences,
and lack of undergraduate nursing education on intraprofessional
practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, phys-
ical/occupational therapy, and social services, along with others to
ensure care is delivered safely
• Potential barrier: lack of training
3. Role of PMHNPs in Psy- -unique, full-spectrum approach
chotherapy -may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency depart-
ment, inpatient, and outpatient settings
, NR605 Midterm Exam
Study online at https://quizlet.com/_e20e5a
4. Holistic Paradigm of -holistic model of care with a focus on healing
Healing -Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and
spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and
therapist
• Emotional connection in the relationship is critical to the success of
psychotherapy
• PMHNP approaches the nurse-client relationship with acceptance,
empathy, patience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and
disharmony in the present moment
• achieves acceptance of the present, they may be able to let go of
resistance, relax, and release fears
5. Theoretical Models in Maslow's Hierarchy of Needs
Psychotherapy Health Belief Model
Transtheoretical Model of Change
6. Maslow's Hierarchy of framework for understanding client motivation
Needs -first four levels of need in the hierarchy (physiological needs, safety,
love and belonging, and esteem) are sometimes referred to as defi-
ciency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or
being need (B-need)
• Once D-needs are met, clients can focus on self-actualization and
personal growth
• As the B-need is met, motivation for further growth increases
7. self-actualized person
, NR605 Midterm Exam
Study online at https://quizlet.com/_e20e5a
is self-fulfilled
-Qualities exhibited by the self-actualized person include indepen-
dence, autonomy, creativity, and maturity
8. Maslow's Hierarchy of TOP: Self-actualization
Needs Pyramid -Morality, creativity, spontaneity, lack of prejudice, acceptance of
facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the
family, and of health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
9. Health Belief Model -used to explain and predict health behaviors
-a person's belief about a perceived threat of illness combined with
belief in the effectiveness of the recommended action predict the
person's willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
, NR605 Midterm Exam
Study online at https://quizlet.com/_e20e5a
10. Transtheoretical Model assumes that behavior changes take place over time and that people
of Change move through stages of decision-making to make changes to behav-
ior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
11. Nancy is a 64-year-old Ask Nancy to create a list of reasons that she wants to lose weight.
who is wondering if los-
ing weight might bene- Rationale: Creating a list of reasons to lose weight would be appropri-
fit her self-esteem and ate for the contemplation phase. Obtaining medical clearance for ex-
self-confidence. Based ercise is a part of the preparation phase of the Transtheoretical Model
on the transtheoretical of Change. Exploring emotional responses to being overweight would
model of change, which be appropriate for the precontemplation phase. Addressing rewards
of the following actions for reinforcement of behaviors would occur in the action phase.
by the PMHNP would be
appropriate for Nancy if
she is in the contempla-
tion stage of change?
Ask Nancy to create a list
of reasons that she wants
to lose weight.
Refer Nancy to her pri-
mary provider to obtain
medical clearance for an
exercise program.
