NSG526 / NSG 526 Clinical |! |! |! |! |!
Modalities Exam 1 w ith accur ate |! |! |! |! |!
answ er s
DSM 5 classification of Psychiatric illness - Correct answer ✔The
|! |! |! |! |! |! |! |! |! |!
DSM-5 is a diagnostic manual. It does not provide theories of
|! |! |! |! |! |! |! |! |! |! |!
cause, management, or treatment options. It lists 22 major
|! |! |! |! |! |! |! |! |!
categories of mental disorders with more than 150 individual |! |! |! |! |! |! |! |! |!
illnesses. The DSM-5 is organized in an attempt to follow the
|! |! |! |! |! |! |! |! |! |! |!
lifespan with neurodevelopmental disorders that occur early in
|! |! |! |! |! |! |! |!
life listed first and neurocognitive disorders that occur at the end
|! |! |! |! |! |! |! |! |! |!
of life listed last. It is organized this way to assist the diagnostic
|! |! |! |! |! |! |! |! |! |! |! |! |!
decision-making process.
|! |!
What constitutes a mental disorder? - Correct answer ✔-a
|! |! |! |! |! |! |! |! |!
syndrome characterized by clinically significant disturbance in an
|! |! |! |! |! |! |!
individual's cognition, emotion regulation, or behavior that
|! |! |! |! |! |! |! |!
reflects a dysfunction in the psychological, biological, or
|! |! |! |! |! |! |! |!
developmental processes underlying mental functioning |! |! |! |!
-associated with significant distress or disability in social, |! |! |! |! |! |! |! |!
occupational, or other important activities |! |! |! |!
-an expectable or culturally approved response to a common
|! |! |! |! |! |! |! |! |!
stressor or loss, such as the death of a loved one, is not a
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
mental disorder |!
Scope and standards of Practice - Correct answer ✔● Define NP
|! |! |! |! |! |! |! |! |! |! |!
roles and actions
|! |! |!
,● Identifies competencies assumed to be held by all NPs who
|! |! |! |! |! |! |! |! |! |! |!
function in a particular role |! |! |! |! |!
● Varies broadly from state to state
|! |! |! |! |! |! |!
● Advanced practice PMHNP standards are identified in
|! |! |! |! |! |! |! |!
Psychiatric-Mental Health Nursing: Scope and Standards of |! |! |! |! |! |! |!
Practice
Standard of Practice - Correct answer ✔● 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
|! |! |! |!
Purpose of the Psychiatric Interview - Correct answer ✔to gather
|! |! |! |! |! |! |! |! |! |!
information necessary to understand, diagnose, and treat the |! |! |! |! |! |! |! |!
client. Per textbook (Perese)-The purpose of the psychiatric
|! |! |! |! |! |! |! |!
interview are to understand the patient's illness to evaluate the
|! |! |! |! |! |! |! |! |! |!
effect of the illness on the patient's life and create a beginning
|! |! |! |! |! |! |! |! |! |! |! |!
diagnosis and treatment plan |! |! |!
Therapeutic alliance - Correct answer ✔The clinician uses his or |! |! |! |! |! |! |! |! |! |!
her therapeutic self-calm, warm, understanding, kind, respectful,
|! |! |! |! |! |! |!
, concerned, and focused to create a therapeutic alliance. It is |! |! |! |! |! |! |! |! |! |!
through the therapeutic alliance in the context of an ongoing
|! |! |! |! |! |! |! |! |! |!
relationship that the clinician is able to help the patient change. |! |! |! |! |! |! |! |! |! |! |!
The patient has likely had questions in his or her mind and since
|! |! |! |! |! |! |! |! |! |! |! |!
deciding to seek help such as "Will I be safe or threatened, or
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
will I be rejected?" and "Can this person help me?"
|! |! |! |! |! |! |! |! |!
Therapeutic alliance - Correct answer ✔An important part in |! |! |! |! |! |! |! |! |!
building a therapeutic relationship is to help the patient feel
|! |! |! |! |! |! |! |! |! |!
accepted. Regardless of the patient's actual presentation, the
|! |! |! |! |! |! |! |!
clinician should assume that the patient is anxious and seek to
|! |! |! |! |! |! |! |! |! |! |!
maintain the anxiety within workable limits. The clinician needs
|! |! |! |! |! |! |! |! |!
to demonstrate empathy which is the ability to understand what
|! |! |! |! |! |! |! |! |! |!
the patient feels, by using empathetic statements such as "It
|! |! |! |! |! |! |! |! |! |!
sounds to me as if you have been feeling some very painful
|! |! |! |! |! |! |! |! |! |! |! |!
emotions."
Important components of therapeutic alliance - Correct answer
|! |! |! |! |! |! |! |!
✔1. The therapist and patient work collaboratively to create
|! |! |! |! |! |! |! |! |!
therapeutic change through an affectionate bond |! |! |! |! |! |!
2. Agreement on goals of therapy
|! |! |! |! |! |!
3. The therapist's ability to be empathetic and involved in
|! |! |! |! |! |! |! |! |! |!
therapy |!
4. The ability of the patient to do the work of therapy
|! |! |! |! |! |! |! |! |! |! |!
the key to successful psychotherapy - Correct answer
|! |! |! |! |! |! |! |!
✔therapeutic alliance |!
-It is the strength of the bond and connection that can be built
|! |! |! |! |! |! |! |! |! |! |! |! |!
between you and your therapist over time. Without a trusting
|! |! |! |! |! |! |! |! |! |!
Modalities Exam 1 w ith accur ate |! |! |! |! |!
answ er s
DSM 5 classification of Psychiatric illness - Correct answer ✔The
|! |! |! |! |! |! |! |! |! |!
DSM-5 is a diagnostic manual. It does not provide theories of
|! |! |! |! |! |! |! |! |! |! |!
cause, management, or treatment options. It lists 22 major
|! |! |! |! |! |! |! |! |!
categories of mental disorders with more than 150 individual |! |! |! |! |! |! |! |! |!
illnesses. The DSM-5 is organized in an attempt to follow the
|! |! |! |! |! |! |! |! |! |! |!
lifespan with neurodevelopmental disorders that occur early in
|! |! |! |! |! |! |! |!
life listed first and neurocognitive disorders that occur at the end
|! |! |! |! |! |! |! |! |! |!
of life listed last. It is organized this way to assist the diagnostic
|! |! |! |! |! |! |! |! |! |! |! |! |!
decision-making process.
|! |!
What constitutes a mental disorder? - Correct answer ✔-a
|! |! |! |! |! |! |! |! |!
syndrome characterized by clinically significant disturbance in an
|! |! |! |! |! |! |!
individual's cognition, emotion regulation, or behavior that
|! |! |! |! |! |! |! |!
reflects a dysfunction in the psychological, biological, or
|! |! |! |! |! |! |! |!
developmental processes underlying mental functioning |! |! |! |!
-associated with significant distress or disability in social, |! |! |! |! |! |! |! |!
occupational, or other important activities |! |! |! |!
-an expectable or culturally approved response to a common
|! |! |! |! |! |! |! |! |!
stressor or loss, such as the death of a loved one, is not a
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
mental disorder |!
Scope and standards of Practice - Correct answer ✔● Define NP
|! |! |! |! |! |! |! |! |! |! |!
roles and actions
|! |! |!
,● Identifies competencies assumed to be held by all NPs who
|! |! |! |! |! |! |! |! |! |! |!
function in a particular role |! |! |! |! |!
● Varies broadly from state to state
|! |! |! |! |! |! |!
● Advanced practice PMHNP standards are identified in
|! |! |! |! |! |! |! |!
Psychiatric-Mental Health Nursing: Scope and Standards of |! |! |! |! |! |! |!
Practice
Standard of Practice - Correct answer ✔● 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
|! |! |! |!
Purpose of the Psychiatric Interview - Correct answer ✔to gather
|! |! |! |! |! |! |! |! |! |!
information necessary to understand, diagnose, and treat the |! |! |! |! |! |! |! |!
client. Per textbook (Perese)-The purpose of the psychiatric
|! |! |! |! |! |! |! |!
interview are to understand the patient's illness to evaluate the
|! |! |! |! |! |! |! |! |! |!
effect of the illness on the patient's life and create a beginning
|! |! |! |! |! |! |! |! |! |! |! |!
diagnosis and treatment plan |! |! |!
Therapeutic alliance - Correct answer ✔The clinician uses his or |! |! |! |! |! |! |! |! |! |!
her therapeutic self-calm, warm, understanding, kind, respectful,
|! |! |! |! |! |! |!
, concerned, and focused to create a therapeutic alliance. It is |! |! |! |! |! |! |! |! |! |!
through the therapeutic alliance in the context of an ongoing
|! |! |! |! |! |! |! |! |! |!
relationship that the clinician is able to help the patient change. |! |! |! |! |! |! |! |! |! |! |!
The patient has likely had questions in his or her mind and since
|! |! |! |! |! |! |! |! |! |! |! |!
deciding to seek help such as "Will I be safe or threatened, or
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
will I be rejected?" and "Can this person help me?"
|! |! |! |! |! |! |! |! |!
Therapeutic alliance - Correct answer ✔An important part in |! |! |! |! |! |! |! |! |!
building a therapeutic relationship is to help the patient feel
|! |! |! |! |! |! |! |! |! |!
accepted. Regardless of the patient's actual presentation, the
|! |! |! |! |! |! |! |!
clinician should assume that the patient is anxious and seek to
|! |! |! |! |! |! |! |! |! |! |!
maintain the anxiety within workable limits. The clinician needs
|! |! |! |! |! |! |! |! |!
to demonstrate empathy which is the ability to understand what
|! |! |! |! |! |! |! |! |! |!
the patient feels, by using empathetic statements such as "It
|! |! |! |! |! |! |! |! |! |!
sounds to me as if you have been feeling some very painful
|! |! |! |! |! |! |! |! |! |! |! |!
emotions."
Important components of therapeutic alliance - Correct answer
|! |! |! |! |! |! |! |!
✔1. The therapist and patient work collaboratively to create
|! |! |! |! |! |! |! |! |!
therapeutic change through an affectionate bond |! |! |! |! |! |!
2. Agreement on goals of therapy
|! |! |! |! |! |!
3. The therapist's ability to be empathetic and involved in
|! |! |! |! |! |! |! |! |! |!
therapy |!
4. The ability of the patient to do the work of therapy
|! |! |! |! |! |! |! |! |! |! |!
the key to successful psychotherapy - Correct answer
|! |! |! |! |! |! |! |!
✔therapeutic alliance |!
-It is the strength of the bond and connection that can be built
|! |! |! |! |! |! |! |! |! |! |! |! |!
between you and your therapist over time. Without a trusting
|! |! |! |! |! |! |! |! |! |!
