NR605 NR 605 Midterm Exam Review

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NR605/ NR 605 Midterm Exam Review Weeks 1 - 4 Covered Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum

1. 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 ther- apists, counselors, and PMHNPs -may include individual, couple, family, or group sessions -Goals: symptom reduction, improvement in functioning, relapse prevention, empow- erment, achievement of collaborative goals set by the client & therapist.

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2. 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

3. 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

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• 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, pa- tience, 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 3 / 4

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5. Theoretical Models in Psychotherapy: Maslow's Hierarchy of Needs

Health Belief Model Transtheoretical Model of Change

6. 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

7. self-actualized person: is self-fulfilled

-Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and maturity

• Maslow's Hierarchy of Needs Pyramid: TOP: Self-actualization

-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts

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