exam 1 learning objectives
distinguish between the role of the registered nurse and advanced-practice
nurse - correct answer ✔Basic Level (PMH-RN)
- 2 yrs full-time work, 2000 clinical hours, 30 hours CEU followed by
certification exam to add "BC" to RN title (RN-BC)
- care coordination
- health teaching
- health maintenance
- milieu therapy
- assess and report response to medication and other treatments
advanced-practice (PMH-APRN)
- psychiatric mental health advanced practice registered nurse Master of
Science or Clinical Doctorate (DNP)
- everything the Basic Level can do, PLUS:
- medication rx + treatment
- psychotherapy
- consultation
Identify how the Diagnostic and Statistical Manual, fifth edition (DSM-5), is
used for diagnosing psychiatric conditions. - correct answer ✔- categorizing
and diagnosing mental illness based on symptoms.
- classifies disorders, not people (i.e. not "a schizophrenic" but "an individual
with schizophrenia"
,- examples of disorder classifications: neurodevelopmental disorders,
depressive disorders, anxiety disorders, dissociative disorders, schizophrenia
spectrum disorders.
- used in inpatient, outpatient, partial hospitalization, consultation-liaison,
clinics, private practice, primary care, and community settings
Compare and contrast a DSM-5 medical diagnosis with a nursing diagnosis -
correct answer ✔DSM-5 Medical Diagnosis:
- used to diagnose a psychiatric disorder
- associated with present symptoms
Nursing Diagnosis:
- provides the framework for identifying appropriate nursing interventions for
dealing with the patient's reaction to the disorder.
- A nursing diagnosis is a clinical judgment concerning a human response to
health conditions/life processes, or vulnerability for that response by an
individual, family, group, or community.
- considers past, present, and potential responses to actual mental health
problems
what is the cognitive theory / therapy? - correct answer ✔Cognitive therapies'
approach is getting at people's thoughts, which are thought to be precursors
to feelings and behaviors.
The focus of the therapies is to change cognitive distortions- thoughts that
aren't based in fact or that are irrational. The goal is to replace those thoughts
with more realistic appraisals.
, Recognizing the interplay between events, negative thinking, and negative
responses; helping the patient identify negative thought patterns.
These include things like black or white/all or nothing thinking. Not being able
to see a range of possibilities. Seeing someone as "good" or "bad" when the
reality is that people can be both "good" AND "bad" at different times.
Overgeneralizing- having a bad experience with a person and applying that
experience to all people (e.g. negative interaction with a cashier at a particular
grocery store and then remarking "I won't go back there, everyone who works
there is an idiot".
Catastrophizing: not doing well on an exam and immediately thinking you're
going to fail out of nursing school.
Help me make connections & make more rational thought patterns.
what is the humanistic theory? - correct answer ✔Maslow
emphasis on human potential and the patient's strengths.
Need to meet basic needs (at least partially) before higher up needs can
emerge.
Prioritizing: establishes what is most important in the sequencing of nursing
actions ... prioritizing nursing actions in the nurse-patient relationship
- Physio + safety needs are focus on our work/esp in inpatient
People motivated by unmet needs.
distinguish between the role of the registered nurse and advanced-practice
nurse - correct answer ✔Basic Level (PMH-RN)
- 2 yrs full-time work, 2000 clinical hours, 30 hours CEU followed by
certification exam to add "BC" to RN title (RN-BC)
- care coordination
- health teaching
- health maintenance
- milieu therapy
- assess and report response to medication and other treatments
advanced-practice (PMH-APRN)
- psychiatric mental health advanced practice registered nurse Master of
Science or Clinical Doctorate (DNP)
- everything the Basic Level can do, PLUS:
- medication rx + treatment
- psychotherapy
- consultation
Identify how the Diagnostic and Statistical Manual, fifth edition (DSM-5), is
used for diagnosing psychiatric conditions. - correct answer ✔- categorizing
and diagnosing mental illness based on symptoms.
- classifies disorders, not people (i.e. not "a schizophrenic" but "an individual
with schizophrenia"
,- examples of disorder classifications: neurodevelopmental disorders,
depressive disorders, anxiety disorders, dissociative disorders, schizophrenia
spectrum disorders.
- used in inpatient, outpatient, partial hospitalization, consultation-liaison,
clinics, private practice, primary care, and community settings
Compare and contrast a DSM-5 medical diagnosis with a nursing diagnosis -
correct answer ✔DSM-5 Medical Diagnosis:
- used to diagnose a psychiatric disorder
- associated with present symptoms
Nursing Diagnosis:
- provides the framework for identifying appropriate nursing interventions for
dealing with the patient's reaction to the disorder.
- A nursing diagnosis is a clinical judgment concerning a human response to
health conditions/life processes, or vulnerability for that response by an
individual, family, group, or community.
- considers past, present, and potential responses to actual mental health
problems
what is the cognitive theory / therapy? - correct answer ✔Cognitive therapies'
approach is getting at people's thoughts, which are thought to be precursors
to feelings and behaviors.
The focus of the therapies is to change cognitive distortions- thoughts that
aren't based in fact or that are irrational. The goal is to replace those thoughts
with more realistic appraisals.
, Recognizing the interplay between events, negative thinking, and negative
responses; helping the patient identify negative thought patterns.
These include things like black or white/all or nothing thinking. Not being able
to see a range of possibilities. Seeing someone as "good" or "bad" when the
reality is that people can be both "good" AND "bad" at different times.
Overgeneralizing- having a bad experience with a person and applying that
experience to all people (e.g. negative interaction with a cashier at a particular
grocery store and then remarking "I won't go back there, everyone who works
there is an idiot".
Catastrophizing: not doing well on an exam and immediately thinking you're
going to fail out of nursing school.
Help me make connections & make more rational thought patterns.
what is the humanistic theory? - correct answer ✔Maslow
emphasis on human potential and the patient's strengths.
Need to meet basic needs (at least partially) before higher up needs can
emerge.
Prioritizing: establishes what is most important in the sequencing of nursing
actions ... prioritizing nursing actions in the nurse-patient relationship
- Physio + safety needs are focus on our work/esp in inpatient
People motivated by unmet needs.
