NR605 / NR 605 Diagnosis & Management in Psychiatric-Menta
Health across the Lifespan I Practicum
Midterm Exam Weeks 1 - 4 Covered - Chamberlain
1. Psychotherapy
Answer
nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family ther-
apists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention, empow-
erment, achievement of collaborative goals set by the client & therapist.
2. Methods of Collaboration:
Answer
Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
,common goals, role ambiguity, generational differences, and lack of undergraduate
nursing education on intraprofessional practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, physical/occupational
therapy, and social services, along with others to ensure care is delivered safely
• Potential barrier: lack of training
3. Role of PMHNPs in Psychotherapy
Answer
unique, full-spectrum approach
-may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency department, inpatient,
and outpatient settings
4. Holistic Paradigm of Healing
Answer
holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and therapist
• Emotional connection in the relationship is critical to the success of psychotherapy
,• PMHNP approaches the nurse-client relationship with acceptance, empathy, pa-
tience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and disharmony in the
present moment
• achieves acceptance of the present, they may be able to let go of resistance, relax, and
release fears
, 5. Theoretical Models in Psychotherapy:
Answer
Maslow's Hierarchy of Needs
Health Belief Model Transtheoretical
Model of Change
6. Maslow's Hierarchy of Needs
:Answer
framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and
belonging, and esteem) are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need
(B-need)
• Once D-needs are met, clients can focus on self-actualization and personal growth
• As the B-need is met, motivation for further growth increases
7. self-actualized person
Answer
: is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy,
creativity, and maturity
Health across the Lifespan I Practicum
Midterm Exam Weeks 1 - 4 Covered - Chamberlain
1. Psychotherapy
Answer
nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family ther-
apists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention, empow-
erment, achievement of collaborative goals set by the client & therapist.
2. Methods of Collaboration:
Answer
Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
,common goals, role ambiguity, generational differences, and lack of undergraduate
nursing education on intraprofessional practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, physical/occupational
therapy, and social services, along with others to ensure care is delivered safely
• Potential barrier: lack of training
3. Role of PMHNPs in Psychotherapy
Answer
unique, full-spectrum approach
-may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency department, inpatient,
and outpatient settings
4. Holistic Paradigm of Healing
Answer
holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and therapist
• Emotional connection in the relationship is critical to the success of psychotherapy
,• PMHNP approaches the nurse-client relationship with acceptance, empathy, pa-
tience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and disharmony in the
present moment
• achieves acceptance of the present, they may be able to let go of resistance, relax, and
release fears
, 5. Theoretical Models in Psychotherapy:
Answer
Maslow's Hierarchy of Needs
Health Belief Model Transtheoretical
Model of Change
6. Maslow's Hierarchy of Needs
:Answer
framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and
belonging, and esteem) are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need
(B-need)
• Once D-needs are met, clients can focus on self-actualization and personal growth
• As the B-need is met, motivation for further growth increases
7. self-actualized person
Answer
: is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy,
creativity, and maturity
