Exam 1 Clinical Modalities (SOLVED!)

Purpose of the Psychiatric Interview correct answers focuses on the client's biopsychosocial history and current mental status. Formulating the client's psychiatric diagnosis is an integral part of the psychiatric evaluation. During the assessment, the PMH-APRN must keep an open mind and avoid settling on a definitive diagnosis early in the interview. All aspects of the holistic assessment must be considered Therapeutic alliance correct answers a cooperative working relationship between client and therapist, considered by many to be an essential aspect of successful therapy. Derived from the concept of the psychoanalytic working alliance, the therapeutic alliance comprises bonds, goals, and tasks. Bonds are constituted by the core conditions of therapy, the client's attitude toward the therapist, and the therapist's style of relating to the client; goals are the mutually negotiated, understood, agreed upon, and regularly reviewed aims of the therapy; and tasks are the activities carried out by both client and therapist Biopsychosocial history correct answers a comprehensive assessment of the client's lifetime biologic, psychological, and social functioning The content of the psychiatric interview is as follows correct answers Identifying data, chief complaint, HPI, psychiatric hx, alcohol and substance use hx, medical hx, family hx, developmental hx, social hx, occupational and educational hx, culture, spirituality and values Psychotherapy correct answers holistic treatment that relies on the nurse's processing of what the patient is experiencing. During the Psychotherapy process the Psychiatric APN correct answers addresses individual and family problems with the patient; assesses identified problems during the orientation phase of the therapeutic relationship; determines the underlying healthcare issues with the patient; collects psychiatric data; and establishes a trusting relationship The Psychiatric APN needs to recognize and put aside correct answers personal pathology when working with patients or avoid taking patients with similar problems Interpersonal Therapy Goals correct answers a time-limited, focused, evidence-based approach to treat mood disorders. The main goal of IPT is to improve the quality of a client's interpersonal relationships and social functioning to help reduce their distress Group Therapy correct answers The primary purpose of group therapy is to facilitate changes by the patient in order to address identified problems. The group should be able to share the group experience and the leader should assure dominant members are brought to the attention of the group so they are able to address issues within the process. A person explaining to the group ways that person is able to cope with things is called an "information giver". A technique where special favors or awards are given to assure patient participation and involvement in group therapy is called Reinforcement