ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS,
LATEST UPDATE 2025
What is considered a mental disorder per the DSM5? - CORRECT ANSWER -
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
Purpose of Scope of Practice? - CORRECT ANSWER -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 Standard of Practice? - CORRECT ANSWER -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 acceptable
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 Psychiatric Interview? - CORRECT ANSWER Understand the patient's
illness to evaluate the effect on their lives and create a beginning diagnosis and
treatment plan
What is a Therapeutic Alliance? - CORRECT ANSWER -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
Important components of a therapeutic alliance? - CORRECT ANSWER -
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
What is Psychotherapy? - CORRECT ANSWER Holistic treatment that relies on
the nurse's processing of that the patient is experiencing
,Peplau's most universal contribution to PMHNPs? - CORRECT ANSWER -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
Per Peplau, skills of a MH nurse? - CORRECT ANSWER -Observation,
interpretation, and intervention
(The PMHNP observes and listens to the client, developing impressions about the
client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships? - CORRECT
ANSWER -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
Therapeutic Communication Techniques? - CORRECT ANSWER -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
Non-Therapeutic Techniques? - CORRECT ANSWER -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
Four Phases of the Nursing Model? - CORRECT ANSWER -Orientation
-Identification
-Exploitation
-Resolution
Psychotherapy Process? - CORRECT ANSWER -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
How does the patient recover through adaption? - CORRECT ANSWER By
applying core principles of psychotherapy, as well as, nursing theory
What does the PMHNP need to avoid? - CORRECT ANSWER Avoid taking
patients with similar problems or put aside personal pathology
Goals for Interpersonal Therapy? - CORRECT ANSWER -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
Indications for Interpersonal Therapy? - CORRECT ANSWER -Complicated
bereavement/grief
-Marital and interpersonal conflicts, such as role disputes
-Life events, such as role transitions
-Isolation, lack of support, interpersonal deficits