Recovery
Recovery is the single most important goal in the transformation of mental health care of the past 2 decades. Four major dimensions of recovery include: health, home, purpose, and community (U.S. Department of Health and Human Services [DHHS], Substance and Mental Health Services Administ...
ANCC PMHNP CHPT 3 EXAM
QUESTIONS AND ANSWERS
Recovery - answer Recovery is the single most important goal in the transformation of mental
health care of the past 2 decades. Four major dimensions of recovery include: health, home,
purpose, and community (U.S. Department of Health and Human Services [DHHS], Substance
and Mental Health Services Administration, 2015).
PMHNP interventions follow evidence-based practice guidelines, are always client goal-directed,
and take into account the client's ethnicity and culture.
PMHNPs help clients to recognize strengths, set attainable goals, and have hope for their future.
A key part of the PMHNP's work is to use empirical evidence in educating their clients, clients'
families, and the community about mental health, psychiatric illness, and effective management
of illness.
The PMHNP oversees and guides the psychiatric-mental health nurse in designing evidence-
based health information and educational programs that are geared to consumer learning
needs, ability, and readiness to learn.
PMHNPs care for people with co-occurring medical and psychiatric disorders.
Principles of mental health recovery are integrated into all levels of mental healthcare
(American Psychiatric Nurses Association [APNA], 2012).
CLASSIFICATION OF PSYCHIATRIC DISORDERS: DSM-5 - answer CLASSIFICATION OF PSYCHIATRIC
DISORDERS: DSM-5
,Prior to May of 2013, psychiatric disorders were classified using standard criteria of the
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; American Psychiatric
Association [APA], 2000).
Unlike previous editions, the DSM-5 does not use multiaxial classifications (APA, 2013).
The DSM-5 classifies mental illnesses on the basis of specific criteria that have been tested for
reliability when used by mental health professionals.
Assumes the client and nurse enter into a mutual, interactive, interpersonal relationship
specifically to focus on the identified needs of the client
Therapeutic relationships are focused on the client's needs, and are goal-directed, theory-
based, and open to supervision.
The following are a few characteristics of a therapeutic relationship:
* Genuineness
* Acceptance
* Nonjudgment
* Authenticity
* Empathy
* Respect
* Professional boundaries
* The therapeutic relationship has specific and sequential phases (see Table 3-1).
* Transference and countertransference are key concepts in the nurse-client relationship.
, ** Transference: Displacement of feelings for significant people in the client's past onto the
PMHNP in the present relationship
** Countertransference: The nurse's emotional reaction to the client based on her or his past
experiences
Signs indicating the presence of countertransference in the PMHNP include:
* Intense emotional reactions, positive or negative, on first contact with client;
* Recurrent anxiety or uneasiness while dealing with the client;
* Uncharacteristic carelessness in interaction and follow-up with client;
* Difficulty empathizing;
* Resistance to others treating or interacting with the client;
* Preoccupation with or dreaming about the client;
* Frequently running overtime or cutting time short with client;
* Depression or other strong emotions during or after interaction with client; and
* Feedback from others over involvement with client.
The PMHNP is expected to monitor her or his reaction to clients to
constantly assess for the presence of countertransference.
If identified, countertransference is usually dealt with through the
supervisory process and in talking to coworkers about the issues.
* Provided in peer-peer or peer-supervisor relationship
* Examines interpersonal dynamics inherent in the PMHNP's relationship with clients
PHASES OF A THERAPEUTIC NURSE-CLIENT RELATIONSHIP - answer PHASES OF A THERAPEUTIC
NURSE-CLIENT RELATIONSHIP
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