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Midterm & Final Exams: NR605/NR 605 (NEW Updates 2024/2025 BUNDLED TOGETHER Reviews) Weeks 1-8 Covered| Questions and Verified Answers|100% Correct- Chamberlain$17.99
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Midterm & Final Exams: NR605/NR 605 (NEW Updates 2024/2025 BUNDLED TOGETHER Reviews) Weeks 1-8 Covered| Questions and Verified Answers|100% Correct- Chamberlain
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Course
NR605/NR 605
Institution
NR605/NR 605
Midterm & Final Exams: NR605/NR 605 (NEW
Updates 2024/2025 BUNDLED TOGETHER
Reviews) Weeks 1-8 Covered| Questions and
Verified Answers|100% Correct- Chamberlain
Bandura's Self-Efficacy Theory - ANS--relates to a person's sense of
control over their functioning, motivation, behavior, and
...
Midterm & Final Exams: NR605/NR 605 (NEW
Updates 2024/2025 BUNDLED TOGETHER
Reviews) Weeks 1-8 Covered| Questions and
Verified Answers|100% Correct- Chamberlain
Bandura's Self-Efficacy Theory - ANS--relates to a person's sense of
control over their functioning, motivation, behavior, and
environment
-Individuals cultivate efficacy by taking on and mastering new
challenges
-individuals develop confidence as they realize that they can
acquire new skills and achieve goals
-individual's sense of self-efficacy is influenced by their emotional
and psychological state
PMHNP can foster self-efficacy in older adults by: - ANS--
advocating for participation in care planning
-providing opportunities to make choices
-promoting physical activity
-providing health self-management education
-encouraging social interaction
-providing positive feedback
Psychosocial Considerations in Older Adults - ANS--Common life
events experienced by older adults:
• Retirement
• Raising grandchildren
• Caregiving for significant other
• Widowhood
,Older Adults Functional Considerations - ANS--race, gender,
ethnicity & social determinants of health (SDOH)
• economic stability, social & community context, & healthcare
access & quality
‣ contribute to wide variability in health status
-physical changes
• lead to frailty, functional decline, dependency
-higher prevalence of dementia
• raises need for neuropsychological screening
-often seek tx for depression r/t challenges caused by medical
comorbidities & cognitive changes
-may also need support navigating healthcare, housing, & finances
psychotherapy for older adults: Transference/Countertransference
- ANS--Clients may view therapists as they would a child or
grandchild
-therapist may inadvertently project their feelings, biases, or fears
about aging onto the client
-Therapists may have own experiences providing care for an older
adult family member, which could influence the therapist's
perspective
older adults: Common Approaches to Treatment - ANS--cognitive-
behavioral therapy (CBT)
-interpersonal psychotherapy (ITP)
-problem-solving therapy for executive dysfunction (PST-ED)
-cognitive behavioral therapy for mild dementia (CBT-MD)
• for pts with cognitive impairment
-ecosystem-focused therapy (EFT)
• for pts with post-stroke depression
,cognitive-behavioral therapy - ANS--focus on how well individuals
can adapt cognitively and functionally to their environments
-short-term, structured, goal-oriented form of psychotherapy
-stresses necessity of challenging maladaptive thoughts that lead to
behavioral problems
-first emerged in 1955
-most widely practiced psychotherapy
-help clients recognize and address cognitive distortions
• by Albert Ellis, widely known as the grandfather of cognitive
behavior therapy
-Beck
• originally trained in psychoanalysis, pioneered cognitive therapy in
the 1960s, through his research on depression
• also developed the popular Depression Inventory instrument
CBT Relationship to Nursing Theory - ANS--Orem's self-care deficit
nursing theory
• provides a framework to view CBT as a supportive intervention
• fosters effective self-care behaviors
-Roy's Adaptation Theory
• premise that individuals use coping mechanisms to adapt to
stimuli, both internal and external
• share underpinnings with CBT.
Indications for CBT - ANS--treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
, Principles of CBT include: - ANS--way an ind cognitively structures
thoughts about self & the world determines how the ind feels &
behaves
-Dysfunctional thoughts are rooted in irrational assumptions
-Dysfunctional thinking and learned patterns of maladaptive
behavior contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve
symptoms & improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
Role of the Psychotherapist in CBT - ANS--using a structured,
collaborative approach to help clients recognize and reevaluate
cognitive distortions
-help clients:
• better understand the behaviors of others
• develop improved coping skills
-Psychoeducation
-Homework
• to help clients reinforce & build on what was learned during the
therapy session
motivational interviewing (MI) - ANS--helps individuals prepare for
change
-person-centered, evidence-based approach to behavior change
-using a collaborative, goal-oriented communication style
-empowers clients to draw on their meanings & capacities to
facilitate change
• addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical practice working with clients
with substance use disorders in the 1980s
• collaborated with Stephen Rollnick to write book: Motivational
interviewing
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