Theoretical Foundations of PMHNPs NU580 Flashcards
What is Justice?
fairness
What is Beneficence
good
Non-maleficence
doing no harm
What is fidelity?
dependability: do as you say you will do
What is autonomy?
Promote patients to act as their own agent with informed consent
What is veracity
Truth
Infant to 18 months
trust vs mistrust
18mo to 3 years
autonomy vs shame and doubt
3-5 years
initiative vs guilt
5-13 years
industry vs inferiority
13-21 years
identity vs role confusion
21-39 years
intimacy vs isolation
40-65 years
generativity vs stagnation
65+
ego integrity vs despair
who founded cognitive theory
jean piaget
who founded interpersonal theory
harry stack sullivan
who developed the hierarchy of needs theory
abraham maslow
what is the basis of cognitive theory?
human development evolves through cognition, learning, and comprehending
What are the characteristics of a therapeutic relationship?
genuineness, acceptance, nonjudgmental attitude, authenticity, empathy, respect, professional boundaries
What are the techniques used for therapeutic communication?
active listening, facilitative communication techniques, paraphrasing, confrontation, silence, compare symptoms pre and post- ask about function 6 months, cultural considerations, be open, respectful build rapport, and listen
What are facillitative communication techniques?
open ended questioning initially, avoid much self-disclosure, use encouraging words, request clarification, summarize key points, follow up with directive and closed questions to help confirm data assessment
Why is facillitative communication used?
foster greater disclosure by the patient, allow patient to pace conversation, avoid interruptions, avoid non-stop questions
Possible causes of mental illness
environmental, genetic, neurochemical
What is the primary form of assessment?
interview
What is included in an interview?
history, phyisical exam, mental status exam, diagnostic and lab tests, get diagnosis or list of differentials
What is included in the history?
demographics, chief complaint, history of present illness, past psychiatric history, past medical history, social history, family history, developmental history
What is included in an assessment?
History, functional assessment, physical assessment, neurological exam, vital signs, MSE
What is included in the MSE?
appearance, behavior, mood, affect, thought process/content
Structure of the MSE
orientation, attention, concentration, memory, abstraction, insight, judgement
What are some valid tests for cognition?
MOCA, SPMSQ, MSE
What are some common lab tests for psych workup?
thyroid, liver, electrolytes, EKG
Who founded psychoanalytic therapy?
Sigmund Freud
What is psychoanalytic therapy?
change promoted by developing greater insight and awareness of maladaptive defenses; past developmental and psychdynamic factors shape behaviors
Who founded cognitive therapy?
Aaron Beck