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WILKES NSG 526 EXAM 1 QUESTIONS WITH ANSWERS GRADED A+
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WILKES NSG 526 EXAM 1 QUESTIONS WITH ANSWERS GRADED A+
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Page 1 of 67WILKES NSG 526 EXAM 1 QUESTIONS WITH
ANSWERS GRADED A+
What is considered a mental disorder per the DSM5? - answer--
Associated with significant distress or disability in social, occupation, or
other important activities
-Significant disturbance in cognition, emotion regulation, or behavior that
reflects a dysfunction in the psychological, biological or developmental
processes underlying mental functioning
Purpose of Scope of Practice? - answer--Define NP roles
-Identify competencies assumed to be held by all NPs who function in a
particular role
-Varies broadly from state to state
What is not considered a mental disorder? - answer--An expectable or
culturally approved response to a common stressor or loss, such as the
death of a loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and conflicts
that are primarily between the individual and society (unless the
behaviors are due to a dysfunction)
Purpose of Standard of Practice? - answer--Authoritative statements
regarding the quality and type of practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients
with various illnesses
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-Reflect professional agreement focused on the minimum levels of
acceptable performance
-Can be used to legally describe the standard of care that must be met by
a provider
-May be precise protocols that must be followed or more general
guidelines that recommend actions
Purpose of Psychiatric Interview? - answer-Understand the patient's
illness to evaluate the effect on their lives and create a beginning
diagnosis and treatment plan
What is a Therapeutic Alliance? - answer--Create a relationship with
client by being calming, warm, understanding, kind, respectful, concerned
and focused
-Able to help patient better if a therapeutic alliance was formed
Important components of a therapeutic alliance? - answer--Therapist and
patient work collaboratively to create therapeutic change through an
affectionate bond
-Agreement on goals of therapy
-The therapist's ability to be empathetic and involved in therapy
-The ability of the patient to do the work of therapy
What is Psychotherapy? - answer-Holistic treatment that relies on the
nurse's processing of that the patient is experiencing
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Peplau's most universal contribution to PMHNPs? - answer--Her
application of Sullivan's theory of anxiety to nursing practice
-Described the effects of different levels of anxiety (mild, moderate,
severe, and panic) on perception and learning
-Promoted interventions to lower anxiety, with the aim of improving
clients' abilities to think and function at more satisfactory levels
Per Peplau, skills of a MH nurse? - answer--Observation, interpretation,
and intervention
(The PMHNP observes and listens to the client, developing impressions
about the client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships?
- answer--The processes by which the nurse helps clients make positive
changes in their health care status and well-being
-Believed that illness offered a unique opportunity for experiential
learning, personal growth, and improved coping strategies and that PMH-
APRNs play a unique role in facilitating this growth
Therapeutic Communication Techniques? - answer--Silence
-Accepting
-Giving recognition
-Giving information
-Offering self
-Giving broad openings
-Offering general leads
-Placing the event in time or sequence
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-Making observation
-Encouraging description of perceptions
-Encouraging comparison
-Reflection
-Exploring
-Seeking clarification
-Presenting reality
-Voicing doubt
-Verbalizing the implied
-Attempting to translate into feelings
-Encouraging formulation of a plan of action
-Summarizing
Non-Therapeutic Techniques? - answer--Reassuring
-Approving
-Disapproving
-Rejecting
-Advising
-Probing
-Challenging
-Defending
-Requesting an explanation
-Indication the existence of an external source
-Belittling feelings
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