ANCC PMHNP Review [Chapter 3] Exam 100% Solved(Guaranteed Sucess)Questions and answers •

dimensions of recovery - correct answer...health; home; purpose; community DSM-5 - correct answer...classifies mental illnesses on the basis of specific criteria that have been reliability tested by professionals; multiaxial dx classification dc'd in favor of dimensional assessment; published May, 2013 therapeutic relationship [definition] - correct answer...assumes the client and the nurse enter into a mutual, interactive, interpersonal relationship specifically to focus on the identified needs of the client therapeutic relationship [characteristics] - correct answer...genuineness; acceptance; nonjudgment; authenticity; empathy; respect; professional boundaries therapeutic relationship [key concepts] - correct answer...transference; countertransference transference - correct answer...displacement of feelings for significant people in the client's past onto the PHMNP in the present relationship (client → nurse) countertransference - correct answer...nurse's emotional reaction to the client based on his/her past experience (nurse → client); should be addressed via clinical supervision therapeutic relationship [phases] - correct answer...introduction (orientation) → working (identification and exploitation) → termination (resolution) human development [stages] - correct answer...Erikson: infancy → early childhood → late childhood → school-age → adolesence → early adulthood → middle adulthood → late adulthood infancy stage [age @ start] - correct answer...birth early childhood stage [age @ start] - correct answer...1 yo late childhood stage [age @ start] - correct answer...3 yo school-age stage [age @ start] - correct answer...6 yo adolescence stage [age @ start] - correct answer...12 yo early adulthood stage [age @ start] - correct answer...20 yo middle adulthood stage [age @ start] - correct answer...35 yo late adulthood [age @ start] - correct answer...65 yo psychodynamic theory [definition] - correct answer...focus is on concepts of intrapsychic conflict among structure of mind; initially designed to explain neuroses and conditions of high anxiety (e.g., phobias and hysteria) but later expanded to include normal and abnormal personality development; a la Freud psychodynamic theory [basic tenets] - correct answer...all behavior is purposeful and meaningful; principle of psychic determinism; most mental activity is unconscious b/c would create value conflict if consciously experienced; conscious behaviors and choices are affected by unconscious mental content; childhood experiences shape adult personality; instincts, urges, and fantasies function as *drives* that motivate thoughts, feelings, and behaviors principle of psychic determinism - correct answer...even apparently meaningless, random, or accidental behavior is actually motivated by underlying unconscious mental content typical age of onset [common psychiatric disorders] - correct answer...intellectual disability @ infancy (usually evident @ birth); ADHD @ early childhood (by 12 yo per DSM-5); schizophrenia @ 18 to 25 yo for men and 25 to 35 yo for women; major depression @ late adolescence to young adulthood; dementia most common @ > 85 yo infancy [developmental task] - correct answer...trust vs. mistrust early childhood [developmental task] - correct answer...autonomy vs. shame and doubt late childhood [developmental task] - correct answer...initiative vs. guilt school-age [developmental task] - correct answer...industry vs. inferiority adolescence [developmental task] - correct answer...identity vs. role confusion early adulthood [developmental task] - correct answer...intimacy vs. isolation middle adulthood [developmental task] - correct answer...generativity vs. self-absorption or stagnation late adulthood [developmental task] - correct answer...integrity vs. despair drives [normal types] - correct answer...sex (libido); aggression drives [definition] - correct answer...instincts, urges, and fantasies discharged and gratified at specific stages of psychosexual development drives [resolution process] - correct answer...drive discharged → tension created → feelings experience → behaviors enacted → gratification achieved primary psychic structures - correct answer...the id, ego, and superego; commonly come into conflict over what to do to achieve gratification; while the exact nature of the conflict is often unconscious, the conflict itself is experienced consciously as anxiety and dealt w/through the use of defense mechanisms id - correct answer...contains primary drives which are largely unconscious, sexual, or aggressive in content and infantile in nature; operates on pleasure principle and seeks immediate gratification; is present @ birth and motivates early infantile actions; says "I want" ego - correct answer...contains concept of external reality; the rational mind which is responsible for logical and abstract thinking; functions in adaptation; mediates between the demands of drives and environmental reality; operates on the reality principle; begins to develop @ birth as infant struggles to deal w/environment; responsible for use of defense mechanisms; says "I think, I evaluate" superego - correct answer...is the ego-ideal; contains sense of conscience or right versus wrong alongside aspirations, ideals, and moral values; regulated by guilt and shame; begins to fully develop around 6 yo as child comes into contact w/external reality figures such as other parents, schoolteachers, coaches, and religious figures; says "I should or ought" defense mechanisms [definition] - correct answer...a function of the ego; unconsciously called into action; used to ↓ anxiety; become part of the personality; maintain a sense of safety; promote self-esteem and a sense of well-being; may be used episodically or habitually; may be used constantly and become fixed, as seen in neurosis defense mechanisms [types] - correct answer...denial; projection; regression; repression; reaction formation; rationalization; undoing; intellectualization; suppression; sublimation; altruism denial - correct answer...avoidance of unpleasant realities by unconsciously ignoring their existence