NSG 526 Exam 1 Questions and Correct
Answers
What is not considered a mental disorder? Ans: — -An expectable
or culturally approved response to a common stressor or loss,
such as the death of a loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and
conflicts that are primarily between the individual and society
(unless the behaviors are due to a dysfunction)
What is considered a mental disorder per the DSM5? Ans: — -
Associated with significant distress or disability in social,
occupation, or other important activities
-Significant disturbance in cognition, emotion regulation, or
behavior that reflects a dysfunction in the psychological, biological
or developmental processes underlying mental functioning
Purpose of Scope of Practice? Ans: — -Define NP roles
-Identify competencies assumed to be held by all NPs who function
in a particular role
-Varies broadly from state to state
Purpose of Standard of Practice? Ans: — -Authoritative statements
regarding the quality and type of practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to
clients with various illnesses
-Reflect professional agreement focused on the minimum levels of
acceptable performance
-Can be used to legally describe the standard of care that must be
met by a provider
-May be precise protocols that must be followed or more general
guidelines that recommend actions
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Purpose of Psychiatric Interview? Ans: — Understand the patient's
illness to evaluate the effect on their lives and create a beginning
diagnosis and treatment plan
What is a Therapeutic Alliance? Ans: — -Create a relationship with
client by being calming, warm, understanding, kind, respectful,
concerned and focused
-Able to help patient better if a therapeutic alliance was formed
Important components of a therapeutic alliance? Ans: — -
Therapist and patient work collaboratively to create therapeutic
change through an affectionate bond
-Agreement on goals of therapy
-The therapist's ability to be empathetic and involved in therapy
-The ability of the patient to do the work of therapy
What is Psychotherapy? Ans: — Holistic treatment that relies on
the nurse's processing of that the patient is experiencing
Peplau's most universal contribution to PMHNPs? Ans: — -Her
application of Sullivan's theory of anxiety to nursing practice
-Described the effects of different levels of anxiety (mild,
moderate, severe, and panic) on perception and learning
-Promoted interventions to lower anxiety, with the aim of
improving clients' abilities to think and function at more
satisfactory levels
Per Peplau, skills of a MH nurse? Ans: — -Observation,
interpretation, and intervention
(The PMHNP observes and listens to the client, developing
impressions about the client's situation)
What is the main idea for Peplau's Theory of Interpersonal
Relationships? Ans: — -The processes by which the nurse helps
clients make positive changes in their health care status and well-
being
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-Believed that illness offered a unique opportunity for experiential
learning, personal growth, and improved coping strategies and
that PMH-APRNs play a unique role in facilitating this growth
Therapeutic Communication Techniques? Ans: — -Silence
-Accepting
-Giving recognition
-Giving information
-Offering self
-Giving broad openings
-Offering general leads
-Placing the event in time or sequence
-Making observation
-Encouraging description of perceptions
-Encouraging comparison
-Reflection
-Exploring
-Seeking clarification
-Presenting reality
-Voicing doubt
-Verbalizing the implied
-Attempting to translate into feelings
-Encouraging formulation of a plan of action
-Summarizing
Non-Therapeutic Techniques? Ans: — -Reassuring
-Approving
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