ANCC PMHNP chapter 5 Exam Questions and Answers

ANCC PMHNP chapter 5 Exam Questions and Answers Epidemiology - Answer ️️ -Study of distribution, incidence, prevalence, duration Incidence rate - Answer ️️ -Number of new cases over specified time (usually 1 year) Prevalence - Answer ️️ -Number of existing cases at a specific time. in 4 adults will be diagnosed with with a psychiatric disorder within their lifetime Interviewing - Answer ️️ -The primary form of assessment and data collection Fundamentals of interviewing during the psych interview - Answer ️️ -Openness, therapeutic communication Establish rapport Critical thinking to identify needs of the client The psychiatric assessment process - Answer ️️ -is a structured,focused, goal-directed, interactional process between the PMHNP and the client and family with multiple components: patient history,physical examination, mental status, diagnostic and laboratory test. Initial assessment of the client - Answer ️️ -focus on the process of differential diagnostic assessment Subsequent assessment - Answer ️️ -focus on monitoring client outcomes, general health status, and on modifying care practices based on clinical outcomes Therapeutic communication - Answer ️️ -takes place betweenthe nurse and client and focuses on the client's thoughts, feelings, behavior, and roles with the expectation that the active listening of the nurse will help the client explore, understand, and change. Communication techniques - Answer ️️ -Broad openings: What brings you here today? Accepting:"I can imagine that it has been very difficult for you." Summarizing: "So let me see if I understand..." Reflection: " You worry about the future" Focusing: "Tell me more about your suicidal thoughts" Validating: "It sounds like you are saying..." Exploring: " How does your depression affect your marriage" Clarifying: Can you tell me how that happened? Sequencing: "Was that before or after the hospital?" Recognizing: " I notice you still have hand tremors" Theming: "We have talked for a while now, and I've noticed that we ...." Culture - Answer ️️ -The pattern of behavior of a group that includes thoughts, customs, beliefs, values, or communication patterns Culture Competence - Answer ️️ -Viewing the patient Viewing the patient has an individual that is unique, and providing care that is sensitive to issues related to culture, race, gender, and sexual orientation Interview styles an culture - Answer ️️ -Interviews and assessments need to be modified based on the culture of the individual. Specifically pay attention to taboos, gender issues, and health beliefs and practices Cultural bound syndrome - Answer ️️ -Specific behaviors related to a person's culture and not linked to a psychiatric disorder Acculturation - Answer ️️ -The process by which the person acquires the culture of the society that he or she inhabits Components of the PMHNP assessment process - Answer ️️ -History of present illness past medical history social history family history developmental history functional assessment physical exam neurological exam sensory functioning motor functioning Mental status exam History of present illness - Answer ️️ -Start with chief complaint - record verbatim Then assess PPQRST: - palliative, proactive, quality, radiation, severity, timing History taking during crisis - Answer ️️ -Focus on most pressing needs. Be alert for impending violence risk. Safety first. Assess alcohol use, mental status, coping skills Functional assessment - Answer ️️ -Assess the patient's ability to perform tasks needed in his or her life. Look at activities of daily living, instrumental activities of daily living, and executive functions. Instrumental activities of daily living are what is needed for independent living: shopping, cooking, etc. Executive functions entail higher functions such as budgeting, balancing checkbook and filing taxes Cranial Nerves - Answer ️️ -OOOTTAFAGV