Therpy/Scope/Ethics Flashcards
It focuses on personal issues that are creating distress.
Could also help with marital conflict.
Interpersonal therapy
This replaces negative thoughts with positive thoughts.
Goal is to replace irrational thinking with rational thinking.
Cognitive therapy
Defining yourself or others in a negative way.
Example: your coworker is lazy because they came to work late. Or calling yourself stupid for failing a test.
Labeling/mislabeling
Jumping to worst possible conclusion in every scenario.
Ex: if I fail boards, I’m going to work at McDonald’s forever.
Catastrophizing definition
This type of therapy teaches patients behavioral techniques like problem solving, role playing, relaxation, skills training and exposure.
Behavioral therapy
Tools include Journaling SH thoughts and doing Cognitive restructuring
Cognitive + Behavioral therapy = CBT
Trying to explore what is responsible for negative thoughts and trying to replace with positive thoughts.
Cognitive Restructure
This therapy is person centered and strives to achieve self actualization and self directed growth.
Humanistic Therapy
This therapy focuses on youth (12-17) who present with antisocial, problematic behavior and with serious criminal offenses.
It reduces barriers that keep families from services.
multisystemic family therapy
- Empowering parents and improving their effectiveness by identifying strengths
- Developing natural support systems and remove barriers.
What do MSFT therapists focus on?
Symptom and problem focus.
Uses paradoxical directive intervention
Strategic therapy
What is paradoxical directive/intervention?
It’s reverse psychology.
Use this technique with caution.
Use when family member is resistant to change.
This therapy focuses to rework for the present situations that have worked previously.
Solution focused therapy
What kind of questions do solution focused therapy asks? ( 3 of them-EMS)
- Exception finding questions
- Miracle questions
- Scaling questions
This type of therapy aims to enhance each family member’s understanding of their respective roles.
Triangles/triangulations
Self differentiation
Family system therapy
This therapy focuses on restructuring family dynamics to effectively address problems.
Hierarchies and boundaries.
Structural family therapy
What is the scope of practice determined by?
Determined by the state legislative statutes (state board of nursing)
If answers say “verify with state board of nursing” (on final test)
Then the answer is correct
On boards, if the answer is reporting colleague to state board of nursing or to manager.
Then it is incorrect.
What is standard of practice (quality of care) determined by?
Determined by ANA.
The client’s rights to assume information that will not be disclosed
Confidentiality definition
When appropriate persons or organizations determine that the need outweighs the principal of confidentiality, it’s an exception: true or false?
True
example: if patient is unconscious and needs to be saved.
You don’t breach confidentiality if a patient is a risk for self or others: true or false
True
If you are meeting a patient for the first time, you need to discuss limits of confidentiality and when it’s mandatory to report.
Answering court orders, subpoenas or summonses is a breach of confidentiality: True or false
False
You can’t lie under oath
It is exception of breach of confidentiality if you give information to attorneys involved in litigation: true or false
True
You are allowed to release records to insurance companies and it is not a breach of confidentiality: True or false
True
Meeting staff requirements for mandatory reporting of disease or condition is a to breach of confidentiality: True or false
False
This is a communication process between provider and client that results in clients’ acceptance or rejection of proposed treatment. (Make sure to explain risks and benefits before medication)
Informed consent
Can patients with dementia give you informed consent?
If they are able to repeat benefits and risks to you than it is informed consent.
If a patient can’t give informed consent due to psychosis, what should you do?
Assess patient for voluntary treatment.
If answers say to forcefully administer medication =
Incorrect answer
Doing what is fair.
Fairness in all aspects of care
Justice definiton
Doing no harm
Ex: Discontinue a medicine that is not effective and may be harmful.
Nonmalificence definition
A patient with substance abuse comes to office and requests stimulants: what should you do? What type of ethical principle are you following?
Don’t grant stimulant but give non stimulant instead.
This is considered nonmalificence
Promoting well being and doing good.
This is defined as an act of charity, mercy, and kindness with a strong connotation of doing good to others including moral obligation.
Beneficence definition
Means faithfulness.
Meets patients reasonable expectations such as being respectful, competent and professional
Fidelity definition
Telling the truth.
Patients need to know the truth about their medical conditions and treatment options
Veracity definition
Right to self determination.
Allows healthcare teams to respect and support a patient’s decision to accept or refuse life sustaining treatments.
Autonomy definition
Least restrictive environment.
Informed consent and confidentiality
Rights of patient’s
A nurse advocate ensures that patients’ Autonomy and self determination is respected.
Client advocacy definition
Individuals are continually learning, designing safe system’s and managing behavioral choices.
What is this called?
Just Culture
Just culture example
Nurse does a medication error, employing just culture would be to assess patient and make sure patient is safe.
A treatment approach that doesn’t focus on symptoms but focuses on fostering and recognizing patient’s ability, interests, and dreams.
Recovery model definition
This recovery is not a step by step process, but based on continual growth, occasional setbacks and from learning experiences.
What is non-linear recovery (recovery model)?
Example of nonlinear recovery (recovery model)
Patient went 2 years without ETOH amd then relapsed.
Ask patient what they learned from experience
Patient is center of the care provided.
What are four components of health policy?
- Process
- Policy reform
- Policy environment
- Policy makers
Health policy: process definition
Formulation, implementation, and evaluation. (FIE)
Changes in programs and practice
policy reform definition
(Health policy)
Area the process takes place in government, media, and public
Policy environment definition.
Health policy: policy makers definition
Key players and stake holders
They assess barriers and facilitators to evidence based practice.
PMHNPs should assess baseline knowledge, beliefs, and practices among providers using a survey.
What do policy makers do?
They assess and address organization barriers and brainstorm with stakeholders.
What else do policy makers do?
This is a type of care delivery that considers patients’ and providers’ satisfaction as well as cost considerations to help people manage their overall health.
Case manager
How do case management and nurses collaborate? (Just read)
Case management allows nurses to demonstrate their value as members of multidisciplinary care teams.
