TEST BANK FOR NURSING RESEARCH IN CANADA 5 TH EDITION BY MINA SINGH,ALL CHAPTERS INCLUDED, LATEST EXAM WITH QUESTION AND CORRECT ANSWERS. PMH-APRN resources - correct answer-Useful to be involved yourself as a client in the psychotherapy process to fa

TEST BANK FOR NURSING RESEARCH IN CANADA 5 TH EDITION BY MINA SINGH,ALL CHAPTERS INCLUDED, LATEST EXAM WITH QUESTION AND CORRECT ANSWERS. PMH-APRN resources - correct answer-Useful to be involved yourself as a client in the psychotherapy process to facilitate self-understanding and clinical skills Benner's stages of clinical skills - correct answer-Novice-No experience, governed by rules, regulations Advanced beginner- recognizes meaningful aspects of situations, able to make judgements Competent - 2-3 years experience, coordinates complex care Proficient - 3-5 years experience, sees situations as whole, uses and sees long-term goals Expert - Performance is fluid, flexible, and efficient; uses intuition beginning, middle and end - correct answer-Beginning very brief and sets the stage for this session (Personal introductions, what to expect) Middle is the work to achieve the goals of the session (work of the session) End is the summary and planning for the next session (Clock placed across the room so the APRN can check the time as the session progresses) Goals for assessment process - correct answer-*Engage self and client in process *Develop empathy and understanding of client *Collect valid database *Identify patterns and develop a diagnosis and case formulation *Instill hope and decrease anxiety Shea's gates - correct answer-Transitioning from one topic to another *Spontaneous gate - client spontaneously moves to a new content area *Natural gate - involves the APRN cueing off the client statement and making a bridge to new content *Referred gate - the return to a new area of discussion by referring back to a previous statement made by the client *Phantom gate - occurs when APRN asks a question totally out of context and this interrupts the information flow *Implied gates - join similar regions and can provide expansion Databases - correct answer-Often preprinted forms or computerized *Identifying data *Values *Chief complaint *Strengths *Past problems *Mini-mental state exam *Review of systems *Risk formulation *Family history *DSM-5 diagnosis *Personal development *Case formulation *Adult trauma, self-care ability *Initial treatment Plan Integrative mental health treatment - correct answer-Prospective, relationship-based, client centered, holistic approach that focuses on client's priorities for well-being and preventing, managing, and rehabilitating disease *broad and comprehensive, rather than reductionist and focused on the effects of a specific treatment on a specific symptom *Does not consist of haphazard selection of techniques *Looks beyond confines of a single perspective *Clinicians begin developing a conceptual framework that fits for themselves and their clients - synthesizes several theoretical approaches *Developing an integrated perspective is a lifelong process that is the produce of a great deal of study, clinical practice, and theorizing *Signs and symptoms are interpreted differently across cultures Rationale for integrated treatment - correct answer-*Nursing practice is holistic and the phenomena of interest include not only symptoms but also health risks and promotion *Underlying holistic theory remains as the foundation for any intervention *Scope of practice in PMH-APRN is continually expanding in response to the context of practice, knowledge base evolution, and ongoing need for clients holistic care *The increasing cost of health care is reaching a level where it will soon not be sustainable Recovery After an Initial Schizophrenia Episode (RAISE) project - correct answer-Low-dose medication Family psychoeducation Supported education/employment Individualized resilience training Other interventions to focus on more than psychotic symptoms and medications National Institute of Mental Health - correct answer-Research Domain Criteria (RDoC) project that may lead to revolutionary, integrated diagnostics Psychotherapy and behavior changes - correct answer-Psychophysiological pathways underlying symptoms are increasing understood to be nonlinear and multidimensional - Mechanistic world views - correct answer-chose conventional medical treatments Systems view - correct answer-chose complementary and alternative treatment thinking patterns, genomes and derivatives - correct answer-are being used to make treatment decisions with the expectation of personalized treatment informed by each person's unique information Holistic thinking - correct answer-Conceptualize symptoms across diagnostic categories *No objective test to differentiate one diagnosis from another *signs and symptoms of psychiatric problems overlap Neurotransmitter pathways - correct answer-serotonin, dopamine, norepinephrine, glutamate, gammaaminobutyric acid Common neurobiological pathways - correct answer-Neurotransmitter pathways Structural abnormalities identified on neuroimaging Genetic predispositions cross diagnostic categories Homeostasis - correct answer-Natural healing powers of the individua