NR548 Exam 2 Questions and Answers Already Passed

1 NR548 Exam 2 Questions and Answers Already Passed What does a Psychiatric Interview involve? ✔✔A Psychiatric Interview is the method used to conduct a psychiatric assessment. It f ocuses on: - Forming a therapeutic connection between the PMHNP and the client - Gathering comprehensive psychiatric information about the client - Establishing a diagnosis - Developing a treatment plan What is meant by Therapeutic Alliance? ✔✔Therapeutic Alliance is the rapport, trust, and warmth developed during the diagnostic interview. It is the key objective of the interview process and represents the collaborative relationship between the therapist and the client. This bond starts during the initial phase of the interview and is crucial for effective therapy. Without it, treatment adherence may falter, and essential information for an accurate diagnosis and care plan may not be obtained. What are some effective strategies for creating rapport? ✔✔To build rapport, consider these strategies: 2 - Be Genuine : Show your true self. - Display Warmth, Courtesy, and Emotional Sensitivity : Be approachable and considerate. - Ease the Clinical Atmosphere : Make the setting feel less fo rmal. - Allow the Client to Speak First : Let the client initiate conversation. - Project Professionalism and Competence : Instill confidence in your abilities. How should one address sensitive or embarrassing topics in a psychiatric interview? ✔✔To address delicate topics, you might use: - Normalization : Present the behavior as common. - Symptom Expectation : Assume some level of the behavior. - Symptom Exaggeration : Suggest the behavior occurs more frequently than expected. - Minimizing Guilt : Reduce any feelings of shame. - Use Familiar Language : Discuss behaviors using everyday terms. What is the approach of Normalization in interviews? ✔✔Normalization involves framing questions with a statement that the behavior is typical or understandable. Two main methods are: 3 1. Implying Normalcy : Start the question by suggesting that the behavior is a normal response to a condition or situation. For example, "It's common for people who are very depressed to think about self -harm. Has this been your experience?" 2. Referencing Others : Describe similar behaviors seen in other patients to make the client feel less isolated. For instance, "I've heard from several people who experience depression that they sometimes have unus ual perceptions or feel persecuted. Have you experienced anything like that?" What is the Symptom Expectation technique? ✔✔Symptom Expectation involves suggesting that certain behaviors are expected or typical. Frame your questions to imply you already anticipate the behavior and are open to discussing it. For instance, if a patient shows signs of deep depression and you sus pect they may have thoughts of self -harm, you might say, "What kinds of ways have you thought about hurting yourself?" rather than asking hesitantly. When is Symptom Exaggeration useful? ✔✔Symptom Exaggeration involves proposing that the frequency o f a problematic behavior is higher than what you actually suspect. This technique can help patients feel that their lower frequency of the behavior will not be judged harshly. Use this approach to clarify the severity of symptoms when appropriate. 4 Reduction of guilt ✔✔seeks to directly reduce a patient's guilt about a specific behavior in order to discover what they have been doing -useful in obtaining a hx of domestic violence & other antisocial behavior Domestic Violence -"Have y ou ever been in situations where fights occurred and you were affected?" • If patient answers "yes," you can flesh out whether role was being a witness, victim, or perpetrator According to Peplau's Theory of Interpersonal Relations, establishing early rap port allows the role of the nurse to evolve from stranger to: ✔✔resource person, teacher, leader, surrogate, technical expert, and counselor Establishing the Relationship ✔✔-Trust is essential for a therapeutic alliance -First impressions are important -PMHNP should take time to make introductions and ensure the client is comfortable -Ask general questions to arrive at an empathic understanding of how the client feels -Listen carefully and communicate an appreciation for the client's concerns