NSG 526 (EXAM 1) WITH QUESTIONS AND ANSWERS Latest Update 2023/2024

NSG 526 EXAM 1 2023/2024 1. -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 not considered a mental disorder? 2. -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: What is considered a mental disor- der per the DSM5? 3. -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 Scope of Practice? 4. -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 accept- able 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 Standard of Practice? 5. Understand the patient's illness to evaluate the effect on their lives and create a beginning diagnosis and treatment plan: Purpose of Psychiatric Inter- view? 6. -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: What is a Therapeutic Alliance? 7. -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: Important components of a therapeutic alliance? 8. Holistic treatment that relies on the nurse's processing of that the patient is experiencing: What is Psychotherapy? 9. -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: Peplau's most uni- versal contribution to PMHNPs? 10. -Observation, interpretation, and intervention (The PMHNP observes and listens to the client, developing impressions about the client's situation): Per Peplau, skills of a MH nurse? 11. -The processes by which the nurse helps clients make positive changes in their health care status and well-being -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: What is the main idea for Peplau's Theory of Interpersonal Relationships? 12. -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: Therapeutic Communication Techniques? 13. -Reassuring -Approving -Disapproving -Rejecting -Advising -Probing -Challenging -Defending -Requesting an explanation -Indication the existence of an external source -Belittling feelings -Making stereotypical comments -Giving literal responses -Introducing an unrelated topic: Non-Therapeutic Techniques? 14. -Orientation -Identification -Exploitation -Resolution: Four Phases of the Nursing Model? 15. -The PMHNP addresses individual and family problems with the patient -Assess identified problems during the orientation phase -Determines the underlying healthcare issues with the patient -Collects psychiatric data -Establish a trusting relationship: Psychotherapy Process? 16. By applying core principles of psychotherapy, as well as, nursing theory- : How does the patient recover through adaption? 17. Avoid taking patients with similar problems or put aside personal pathol- ogy: What does the PMHNP need to avoid? 18. -Focus on difficulties patient is experiencing in current relationships and the ways the relationships can be handled -Change pattern of communication -Alter expectations within relationships -Use social supports to help patients deal with stressors and improve their environment -Relieve symptoms -Build social skills: Goals for Interpersonal Therapy? 19. -Complicated bereavement/grief -Marital and interpersonal conflicts, such as role disputes -Life events, such as role transitions -Isolation, lack of support, interpersonal deficits: Indications for Interpersonal Therapy? 20. Therapist identifies depressive symptoms, evaluates patient, generates a diagnosis, obtain information on how the patient handles relationships: Early Phase of Interpersonal Therapy? 21. Patient and therapist derive more specific strategies to deal with stres- sors: Middle Phase of Interpersonal Therapy? 22. -Consolidate gains -Foster independence in the person -Review risk of relapse and reappearance of depressive symptoms -To contract again for continuation of treatment as needed: Termination Phase of Interpersonal Therapy? 23. Facilitate changes by the patient in order to address identified problems- : Purpose of Group Therapy? 24. Assure dominant members are brought to the attention of the group, so they are able to address issues within the process: Role of leader in group therapy? 25. A person explaining to the group ways that person is able to cope with things: Role of information giver in group therapy? 26. A technique where special favors or awards are given to assure patient participation and involvement in group therapy: Role of Reinforcement in group therapy? 27. Increase subjectivity about thoughts governing their behavior. This is done by: -homework assignments -dream description -looking at ideas and beliefs the patient has about themselves: Goal of Cog- nitive Behavioral Therapy (CBT)? 28. -Encouraging patient to analyze early parental relationships -Underlying meaning of behavior -Identification of negative thoughts -Effect of thoughts on feelings and behaviors: CBT Interventions? 29. -Anxiety -Bipolar Disorder -Eating Disorders -Borderline Personality Disorder: Interpersonal Therapy (IPT) is useful for? 30. 1. Infancy (birth to 18 months) 2. Childhood (18 months to 6 yrs.) 3. Juvenile (6 to 9 yrs.) 4. Preadolescence (9-12 yrs.) 5. Early Adolescence (12-14 yrs.) 6. Late Adolescence (14-21 yrs.): Stages of Development? 31. Gratification of needs: Characteristic of Infancy? 32. Delayed gratification: Characteristic of Childhood? 33. Formation of peer group: Characteristic of Juvenile? 34. Developing relationships within same gender: Characteristic of Preadoles- cence? 35. Identity: Characteristic of Early Adolescence? 36. Forming lasting and intimate relationships: Characteristic of Late Adoles- cence? 37. -Good