NSG 526 EXAM 1 UPDATED EXAM
WITH VERIFIED S0LUTI0NS.
H0w is a S0APIER n0te different fr0m a S0AP? - c0rrect answers -
It adds 2 additi0nal elements
I: Implementati0n c0nsiderati0n 0f the services pr0vided E:
the evaluati0n 0f service pr0visi0n
R: client's resp0nse t0 the diagn0stic pr0cess, treatment planning,
and interventi0n eff0rts
Phases 0f the therapeutic patient/nurse relati0nship? - c0rrect
answers -0rientati0n
-establish rapp0rt
-set parameters
-purp0se 0f meeting
-f0rmal/inf0rmal c0ntracts 0f resp0nsibilities
-terminati0n begins
W0rking
-maintain relati0nship
-gather further data
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-pr0m0te clients pr0blem s0lving skills, self esteem, use 0f
language
-facilitate changes
-0verc0me resistance behavi0rs
-evaluate pr0blems and g0als
Terminati0n
-deal with intense feelings regarding the experience
-summarize g0als and 0bjectives
-evaluate 0utc0me attainment
-review patient's plan f0r future
-finalize terminati0n
The PMHNPs r0le in relati0nship building, maintaining and
terminating? - c0rrect answers -Building
-define the structure, size, c0mp0siti0n, purp0se and time 0f gr0up
-task and maintenance functi0ns may be discussed and
dem0nstrated
W0rking
-facilitates c0mmunicate and ensures that meetings begin and
end 0n time
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Terminati0n
-ensure each member summarized individual acc0mplishments
-gives p0sitive and negative feedback regarding the gr0up
experience
What are the psychiatric sympt0ms measurement scales? -
c0rrect answers --questi0nnaires, interviews, checklists, 0utc0me
assessments
-standardized assessments ensure c0nsistent, c0mprehensive
evaluati0ns
-establish baseline f0r f0ll0w ups
(healthcare administrat0rs and pay0rs are increasingly requiring
standardized assessments t0 justify services 0r quality 0f care)
What is the H0lmes and Rahe Stress Scale? - c0rrect answers -A
s0cial readjustment rating scale that lists 43 life events ass0ciated
with varying am0unts 0f disrupti0n and stress in average pe0ple's
lives.
-Each event, called a life change unit (LCU), has a different
"weight" f0r stress
-The m0re events the patient adds, the higher the sc0re
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-The higher the sc0re, and the larger the weight 0f the event, the
m0re likely the patient will bec0me ill
-Each event has a dedicated number 0f LCUs (i.e. death 0f
sp0use is 100 LCUs)
-Accumulati0n 0f 200 0r m0re LCUs in a single year increases the
risk 0f devel0ping a psych0s0matic dis0rder in that year
What is n0t c0nsidered a mental dis0rder? - c0rrect answers --An
expectable 0r culturally appr0ved resp0nse t0 a c0mm0n stress0r
0r l0ss, such as the death 0f a l0ved 0ne
-S0cially deviant behavi0r (i.e. p0litical, religi0us, 0r sexual) and
c0nflicts that are primarily between the individual and s0ciety
(unless the behavi0rs are due t0 a dysfuncti0n)
What is c0nsidered a mental dis0rder per the DSM5? - c0rrect
answers --Ass0ciated with significant distress 0r disability in
s0cial, 0ccupati0n, 0r 0ther imp0rtant activities
-Significant disturbance in c0gniti0n, em0ti0n regulati0n, 0r
behavi0r that reflects a dysfuncti0n in the psych0l0gical, bi0l0gical
0r devel0pmental pr0cesses underlying mental functi0ning
Purp0se 0f Sc0pe 0f Practice? - c0rrect answers --Define NP r0les