PMHNP- UPDATED Version 2022
Apraxia - unable to plan or do motor movement
Interpersonal Nursing - Hildegard Peplau
Deontological Theory - An action is judged as good or bad based on the act itself regardless of the
outcomes
Teleological Theory - Action is judged as good or bad based on the outcome or consequences
Virtue Ethics - Actions are chosen based on the moral virtues or character of the person making the
decision
4 elements of negligence - 1. Duty - NP had a duty to exercise reasonable care
2. Breach of Duty - The NP violated the applicable standard of care
3. Proximate cause- Causal relationship between breach in care and client's injury
4. Damages - client suffers permanent and substantial damages
Client advocacy includes - participating in professional nursing organizations
Time until PTSD diagnosis can be given ? - 1 month - prior is acute stress disorder (3 days to 1 month)
According to Erikson, when does somatization disorder occur? - initiative v guilt
overall goal of case management - promote quality, cost-effective outcomes
,environment - includes physical and psychosocial factors
highest risk for homeless - single parent household, usually a female . teen moms also
Elements of working phase of therapy - - clarifying client expectations
- implementing treatment plan
- measuring and evaluating outcomes of care
- here, client transference occurs and client is resistant to care practices and change
Elements of termination phase - - reviewing client's progress
- establishing long term plan of care
- focusing on self-management strategies
- client often resistance to termination, shows regression and re-emergence of symptoms
Trust v. Mistrust - - first stage
- birth to 1
- Ability to form meaning relationships and hope for the future, trust in others
-
Trust v. mistrust failures results in? - poor relationships, lack of future hope, suspicion of others
- development of addiction, psychosis, depression
Autonomy v. Shame and Doubt - - 1 to 3 years
- Self- control, self-esteem and will power
- lack of fulfillment leads to poor self-control, low self-esteem, lack of independence
- paranoia, OCD, impulsivity
Initiative v. Guilt - - 3 to 6
,- self- directed behavior, goal formation, sense of purpose
- lack of self-initiated behavior
- lack of goal orientation
- conversion disorder
Industry v. Inferiority - - 6 to 12
- ability to work; sense of competency and achievement
- problems are sense of inferiority and difficulty with working/learning
- problems with creative inhibition
Indentity v. Role Confusion - - 12 to 20
- personal sense of identity
- identity confusion, poor self-identification in group settings
Intimacy v. Isolation - - 20 to 35 years
- committed relationships and capacity to love
- problems are emotional isolation and egocentrism
Generavity v. self-absorption - -35-65 years
- ability to give time and talents to others
-ability to care for others
- problems here are self-absorption, inability to grow and change as a person, inability to care for others
Integrity v despair - Late adulthood
- fulfillment and comfort with life
- willingness to face death
- insight on life's events
- problems here can be bitterness, sense of dissatisfaction with life, despair over impending death
, Who should and shouldn't get the shingles vaccine - - anyone 60 and over who had the chicken pox
- do not give to immunocompromised /HIV?AIDS or people on high dose steroids
10 year plan for nursing's plan toward computer literacy? - TIGER
O'Connor v. Donaldson - Established that mental illness alone is not enough for involuntary
hospitalization -- mentally ill cannot be confined against their will if they can survive on their own
Rennie V. Klein - patients have the right to refuse any treatment
Roger v. Oken - patient can refuse treatment but guardian may authorize their treatment
Durham v. United States - not responsible if crime was committed due to mental illness
HITECH included under which bill? - American Recovery and reinvestment act
Oral phase - - birth to 1
Anal phase - - 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness
Phallic - - 3 to 5/6
- identify with the same sex parent
- come to terms with the oedipal complex
- penis was interest of both of male and female kids
- unconscious fantasies of sex with opposite sex parent
Latency - - 5/6 to adolescence
Apraxia - unable to plan or do motor movement
Interpersonal Nursing - Hildegard Peplau
Deontological Theory - An action is judged as good or bad based on the act itself regardless of the
outcomes
Teleological Theory - Action is judged as good or bad based on the outcome or consequences
Virtue Ethics - Actions are chosen based on the moral virtues or character of the person making the
decision
4 elements of negligence - 1. Duty - NP had a duty to exercise reasonable care
2. Breach of Duty - The NP violated the applicable standard of care
3. Proximate cause- Causal relationship between breach in care and client's injury
4. Damages - client suffers permanent and substantial damages
Client advocacy includes - participating in professional nursing organizations
Time until PTSD diagnosis can be given ? - 1 month - prior is acute stress disorder (3 days to 1 month)
According to Erikson, when does somatization disorder occur? - initiative v guilt
overall goal of case management - promote quality, cost-effective outcomes
,environment - includes physical and psychosocial factors
highest risk for homeless - single parent household, usually a female . teen moms also
Elements of working phase of therapy - - clarifying client expectations
- implementing treatment plan
- measuring and evaluating outcomes of care
- here, client transference occurs and client is resistant to care practices and change
Elements of termination phase - - reviewing client's progress
- establishing long term plan of care
- focusing on self-management strategies
- client often resistance to termination, shows regression and re-emergence of symptoms
Trust v. Mistrust - - first stage
- birth to 1
- Ability to form meaning relationships and hope for the future, trust in others
-
Trust v. mistrust failures results in? - poor relationships, lack of future hope, suspicion of others
- development of addiction, psychosis, depression
Autonomy v. Shame and Doubt - - 1 to 3 years
- Self- control, self-esteem and will power
- lack of fulfillment leads to poor self-control, low self-esteem, lack of independence
- paranoia, OCD, impulsivity
Initiative v. Guilt - - 3 to 6
,- self- directed behavior, goal formation, sense of purpose
- lack of self-initiated behavior
- lack of goal orientation
- conversion disorder
Industry v. Inferiority - - 6 to 12
- ability to work; sense of competency and achievement
- problems are sense of inferiority and difficulty with working/learning
- problems with creative inhibition
Indentity v. Role Confusion - - 12 to 20
- personal sense of identity
- identity confusion, poor self-identification in group settings
Intimacy v. Isolation - - 20 to 35 years
- committed relationships and capacity to love
- problems are emotional isolation and egocentrism
Generavity v. self-absorption - -35-65 years
- ability to give time and talents to others
-ability to care for others
- problems here are self-absorption, inability to grow and change as a person, inability to care for others
Integrity v despair - Late adulthood
- fulfillment and comfort with life
- willingness to face death
- insight on life's events
- problems here can be bitterness, sense of dissatisfaction with life, despair over impending death
, Who should and shouldn't get the shingles vaccine - - anyone 60 and over who had the chicken pox
- do not give to immunocompromised /HIV?AIDS or people on high dose steroids
10 year plan for nursing's plan toward computer literacy? - TIGER
O'Connor v. Donaldson - Established that mental illness alone is not enough for involuntary
hospitalization -- mentally ill cannot be confined against their will if they can survive on their own
Rennie V. Klein - patients have the right to refuse any treatment
Roger v. Oken - patient can refuse treatment but guardian may authorize their treatment
Durham v. United States - not responsible if crime was committed due to mental illness
HITECH included under which bill? - American Recovery and reinvestment act
Oral phase - - birth to 1
Anal phase - - 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness
Phallic - - 3 to 5/6
- identify with the same sex parent
- come to terms with the oedipal complex
- penis was interest of both of male and female kids
- unconscious fantasies of sex with opposite sex parent
Latency - - 5/6 to adolescence
