NR605/NR 605 Midterm Exam | Diagnosis &
Management in Psychiatric-Mental Health across
the Lifespan Questions & Answers
Save
Terms in this set (158)
Psychotherapy -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 therapists,
counselors, and PMHNPs
-may include individual, couple, family, or group
sessions
-Goals: symptom reduction, improvement in
functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the
client & therapist.
,Methods of Collaboration 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
Role of PMHNPs in Psychotherapy -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
,Holistic Paradigm of Healing -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, patience, 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
Theoretical Models in Psychotherapy Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
, Maslow's Hierarchy of Needs 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
self-actualized person is self-fulfilled
-Qualities exhibited by the self-actualized person
include independence, autonomy, creativity, and
maturity
Maslow's Hierarchy of Needs TOP: Self-actualization
Pyramid -Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection
with others
Safety
-Security of body, of employment, of resources, of
morality, of the family, and of health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
Management in Psychiatric-Mental Health across
the Lifespan Questions & Answers
Save
Terms in this set (158)
Psychotherapy -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 therapists,
counselors, and PMHNPs
-may include individual, couple, family, or group
sessions
-Goals: symptom reduction, improvement in
functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the
client & therapist.
,Methods of Collaboration 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
Role of PMHNPs in Psychotherapy -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
,Holistic Paradigm of Healing -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, patience, 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
Theoretical Models in Psychotherapy Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
, Maslow's Hierarchy of Needs 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
self-actualized person is self-fulfilled
-Qualities exhibited by the self-actualized person
include independence, autonomy, creativity, and
maturity
Maslow's Hierarchy of Needs TOP: Self-actualization
Pyramid -Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection
with others
Safety
-Security of body, of employment, of resources, of
morality, of the family, and of health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
