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PMHNP Boards > Therpy/Scope/Ethics > Flashcards

Therpy/Scope/Ethics Flashcards

1
Q

It focuses on personal issues that are creating distress.
Could also help with marital conflict.

A

Interpersonal therapy

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2
Q

This replaces negative thoughts with positive thoughts.
Goal is to replace irrational thinking with rational thinking.

A

Cognitive therapy

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3
Q

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.

A

Labeling/mislabeling

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4
Q

Jumping to worst possible conclusion in every scenario.
Ex: if I fail boards, I’m going to work at McDonald’s forever.

A

Catastrophizing definition

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5
Q

This type of therapy teaches patients behavioral techniques like problem solving, role playing, relaxation, skills training and exposure.

A

Behavioral therapy

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6
Q

Tools include Journaling SH thoughts and doing Cognitive restructuring

A

Cognitive + Behavioral therapy = CBT

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7
Q

Trying to explore what is responsible for negative thoughts and trying to replace with positive thoughts.

A

Cognitive Restructure

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8
Q

This therapy is person centered and strives to achieve self actualization and self directed growth.

A

Humanistic Therapy

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9
Q

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.

A

multisystemic family therapy

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10
Q
  1. Empowering parents and improving their effectiveness by identifying strengths
  2. Developing natural support systems and remove barriers.
A

What do MSFT therapists focus on?

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11
Q

Symptom and problem focus.
Uses paradoxical directive intervention

A

Strategic therapy

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12
Q

What is paradoxical directive/intervention?

A

It’s reverse psychology.
Use this technique with caution.
Use when family member is resistant to change.

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13
Q

This therapy focuses to rework for the present situations that have worked previously.

A

Solution focused therapy

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14
Q

What kind of questions do solution focused therapy asks? ( 3 of them-EMS)

A
  1. Exception finding questions
  2. Miracle questions
  3. Scaling questions
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15
Q

This type of therapy aims to enhance each family member’s understanding of their respective roles.
Triangles/triangulations
Self differentiation

A

Family system therapy

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16
Q

This therapy focuses on restructuring family dynamics to effectively address problems.
Hierarchies and boundaries.

A

Structural family therapy

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17
Q

What is the scope of practice determined by?

A

Determined by the state legislative statutes (state board of nursing)

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18
Q

If answers say “verify with state board of nursing” (on final test)

A

Then the answer is correct

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19
Q

On boards, if the answer is reporting colleague to state board of nursing or to manager.

A

Then it is incorrect.

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20
Q

What is standard of practice (quality of care) determined by?

A

Determined by ANA.

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21
Q

The client’s rights to assume information that will not be disclosed

A

Confidentiality definition

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22
Q

When appropriate persons or organizations determine that the need outweighs the principal of confidentiality, it’s an exception: true or false?

A

True
example: if patient is unconscious and needs to be saved.

23
Q

You don’t breach confidentiality if a patient is a risk for self or others: true or false

A

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.

24
Q

Answering court orders, subpoenas or summonses is a breach of confidentiality: True or false

A

False
You can’t lie under oath

25
Q

It is exception of breach of confidentiality if you give information to attorneys involved in litigation: true or false

A

True

26
Q

You are allowed to release records to insurance companies and it is not a breach of confidentiality: True or false

A

True

27
Q

Meeting staff requirements for mandatory reporting of disease or condition is a to breach of confidentiality: True or false

A

False

28
Q

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)

A

Informed consent

29
Q

Can patients with dementia give you informed consent?

A

If they are able to repeat benefits and risks to you than it is informed consent.

30
Q

If a patient can’t give informed consent due to psychosis, what should you do?

A

Assess patient for voluntary treatment.

31
Q

If answers say to forcefully administer medication =

A

Incorrect answer

32
Q

Doing what is fair.
Fairness in all aspects of care

A

Justice definiton

33
Q

Doing no harm
Ex: Discontinue a medicine that is not effective and may be harmful.

A

Nonmalificence definition

34
Q

A patient with substance abuse comes to office and requests stimulants: what should you do? What type of ethical principle are you following?

A

Don’t grant stimulant but give non stimulant instead.
This is considered nonmalificence

35
Q

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.

A

Beneficence definition

36
Q

Means faithfulness.
Meets patients reasonable expectations such as being respectful, competent and professional

A

Fidelity definition

37
Q

Telling the truth.
Patients need to know the truth about their medical conditions and treatment options

A

Veracity definition

38
Q

Right to self determination.
Allows healthcare teams to respect and support a patient’s decision to accept or refuse life sustaining treatments.

A

Autonomy definition

39
Q

Least restrictive environment.
Informed consent and confidentiality

A

Rights of patient’s

40
Q

A nurse advocate ensures that patients’ Autonomy and self determination is respected.

A

Client advocacy definition

41
Q

Individuals are continually learning, designing safe system’s and managing behavioral choices.
What is this called?

A

Just Culture

42
Q

Just culture example

A

Nurse does a medication error, employing just culture would be to assess patient and make sure patient is safe.

43
Q

A treatment approach that doesn’t focus on symptoms but focuses on fostering and recognizing patient’s ability, interests, and dreams.

A

Recovery model definition

44
Q

This recovery is not a step by step process, but based on continual growth, occasional setbacks and from learning experiences.

A

What is non-linear recovery (recovery model)?

45
Q

Example of nonlinear recovery (recovery model)

A

Patient went 2 years without ETOH amd then relapsed.
Ask patient what they learned from experience
Patient is center of the care provided.

46
Q

What are four components of health policy?

A
  1. Process
  2. Policy reform
  3. Policy environment
  4. Policy makers
47
Q

Health policy: process definition

A

Formulation, implementation, and evaluation. (FIE)

48
Q

Changes in programs and practice

A

policy reform definition
(Health policy)

49
Q

Area the process takes place in government, media, and public

A

Policy environment definition.

50
Q

Health policy: policy makers definition

A

Key players and stake holders

51
Q

They assess barriers and facilitators to evidence based practice.
PMHNPs should assess baseline knowledge, beliefs, and practices among providers using a survey.

A

What do policy makers do?

52
Q

They assess and address organization barriers and brainstorm with stakeholders.

A

What else do policy makers do?

53
Q

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.

A

Case manager

54
Q

How do case management and nurses collaborate? (Just read)

A

Case management allows nurses to demonstrate their value as members of multidisciplinary care teams.

PMHNP Boards (12 decks)

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