ANCC PMHNP Review [Chapter 3] Exam Questions and Answers

ANCC PMHNP Review [Chapter 3] Exam Questions and Answers dimensions of recovery - Answer ️️ -health; home; purpose; community DSM-5 - Answer ️️ -classifies mental illnesses on the basis of specific criteria that have been reliability tested by professionals; multiaxial dx classification dc'd in favor of dimensional assessment; published May, 2013 therapeutic relationship [definition] - Answer ️️ -assumes the client and the nurse enter into a mutual, interactive, interpersonal relationship specifically to focus on the identified needs of the client therapeutic relationship [characteristics] - Answer ️️ -genuineness; acceptance; nonjudgment; authenticity; empathy; respect; professional boundaries therapeutic relationship [key concepts] - Answer ️️ -transference; countertransference transference - Answer ️️ -displacement of feelings for significant people in the client's past onto the PHMNP in the present relationship (client → nurse) countertransference - Answer ️️ -nurse's emotional reaction to the client based on his/her past experience (nurse → client); should be addressed via clinical supervision therapeutic relationship [phases] - Answer ️️ -introduction (orientation) → working (identification and exploitation) → termination (resolution) human development [stages] - Answer ️️ -Erikson: infancy → early childhood → late childhood → school-age → adolesence → early adulthood → middle adulthood → late adulthood infancy stage [age @ start] - Answer ️️ -birth early childhood stage [age @ start] - Answer ️️ -1 yo late childhood stage [age @ start] - Answer ️️ -3 yo school-age stage [age @ start] - Answer ️️ -6 yo adolescence stage [age @ start] - Answer ️️ -12 yo early adulthood stage [age @ start] - Answer ️️ -20 yo middle adulthood stage [age @ start] - Answer ️️ -35 yo late adulthood [age @ start] - Answer ️️ -65 yo psychodynamic theory [definition] - Answer ️️ -focus is on concepts of intrapsychic conflict among structure of mind; initially designed to explain neuroses and conditions of high anxiety (e.g., phobias and hysteria) but later expanded to include normal and abnormal personality development; a la Freud psychodynamic theory [basic tenets] - Answer ️️ -all behavior is purposeful and meaningful; principle of psychic determinism; most mental activity is unconscious b/c would create value conflict if consciously experienced; conscious behaviors and choices are affected by unconscious mental content; childhood experiences shape adult personality; instincts, urges, and fantasies function as *drives* that motivate thoughts, feelings, and behaviors principle of psychic determinism - Answer ️️ -even apparently meaningless, random, or accidental behavior is actually motivated by underlying unconscious mental content typical age of onset [common psychiatric disorders] - Answer ️️ -intellectual disability @ infancy (usually evident @ birth); ADHD @ early childhood (by 12 yo per DSM-5); schizophrenia @ 18 to 25 yo for men and 25 to 35 yo for women; major depression @ late adolescence to young adulthood; dementia most common @ > 85 yo infancy [developmental task] - Answer ️️ -trust vs. mistrust early childhood [developmental task] - Answer ️️ -autonomy vs. shame and doubt late childhood [developmental task] - Answer ️️ -initiative vs. guilt school-age [developmental task] - Answer ️️ -industry vs. inferiority adolescence [developmental task] - Answer ️️ -identity vs. role confusion early adulthood [developmental task] - Answer ️️ -intimacy vs. isolation middle adulthood [developmental task] - Answer ️️ -generativity vs. self-absorption or stagnation late adulthood [developmental task] - Answer ️️ -integrity vs. despair drives [normal types] - Answer ️️ -sex (libido); ag