NR548 Exam 2 Questions and Answers Already Passed
Question :Psychiatric interview
CORRECT ANSWER :the process by which psychiatric
assessment is conducted-primary tasks• building a therapeutic alliance between the PMHNP & client• obtaining a database of psychiatric info about the client• establishing a dx• negotiating a tx plan
Question :Therapeutic Alliance
CORRECT ANSWER :a feeling that you should create over
the course of the diagnostic interview, a sense of rapport, trust, and warmth-most important goal of the interview process-the cooperative working relationship between the therapist and client• begins during the initial or opening phase of the interview-fundamental component of successful therapy• Without trust, adherence to treatment recommendations may be compromised• interview may not elicit the information needed to formulate an appropriate dx & plan of care without rapport & trust
Question :Creating rapport: tips
CORRECT ANSWER :-Be Yourself-Be Warm, Courteous,
and Emotionally Sensitive-Actively Defuse the Strangeness of the Clinical Situation-Give Your Patient the Opening Word-Gain Your Patient's Trust by Projecting Competence
Question :How to approach threatening topics
(sensitive/embarrassing material)
CORRECT ANSWER :-Normalization-Symptom
Expectation-Symptom Exaggeration-Reduction of Guilt-Use Familiar Language When Asking about Behaviors
Question :Normalization
CORRECT ANSWER :Introducing Q with some type of
normalizing statement-two principal ways to do this: 1. start
the question by implying that the behavior is a normal or
understandable response to a mood or situation• ex:
Sometimes when people are very depressed, they think of hurting themselves. Has this been true for you? 2. Begin by describing another patient (or patients) who has engaged in
the behavior, showing your patient that she is not alone• ex:
I've talked to several patients who've said that their depression causes them to have strange experiences, like hearing voices
or thinking that strangers are laughing at them. Has that been happening to you?
Question :Symptom Expectation
CORRECT ANSWER :communicate that a behavior is in
some way normal or expected-Phrase your Q's to imply that you already assume the patient has engaged in some behavior and that you will not be offended by a positive response-high
index of suspicion of some self-destructive activity-Ex:
patient is profoundly depressed and has expressed feelings of hopelessness. You suspect suicidality, but you sense that the patient may be too ashamed to admit it. Rather than gingerly asking "Have you had any thoughts that you'd be better off dead?" you might decide to use symptom expectation. "What kinds of ways to hurt yourself have you thought about?" *reserve this technique for situations in which it seems appropriate
Question :Symptom Exaggeration
CORRECT ANSWER :suggesting a frequency of a
problematic behavior that is higher than your expectation, so that the patient feels that their actual, lower frequency of the
behavior will not be perceived by you as being "bad."-helpful in clarifying the severity of symptoms *reserve this technique for situations in which it seems appropriate
Question :Reduction of guilt
CORRECT ANSWER :seeks to directly reduce a patient's
guilt about a specific behavior in order to discover what they have been doing-useful in obtaining a hx of domestic violence & other antisocial behavior Domestic Violence-"Have you ever been in situations where fights occurred and you were affected?" • If patient answers "yes," you can flesh out whether role was being a witness, victim, or perpetrator
Question :According to Peplau's Theory of Interpersonal
Relations, establishing early rapport allows the role of the
nurse to evolve from stranger to:
CORRECT ANSWER :resource person, teacher, leader,
surrogate, technical expert, and counselor