Podcast
Questions and Answers
What is the core principle of absolute worth in Carl Rogers' theory?
What is the core principle of absolute worth in Carl Rogers' theory?
- Circumstances can affect an individual's worth.
- Every individual has inherent value and dignity. (correct)
- Individuals must earn respect and dignity.
- Behavior can impact an individual's dignity.
What is an example of affirmation in Carl Rogers' theory?
What is an example of affirmation in Carl Rogers' theory?
- The counselor provides advice on how to change behavior.
- The counselor provides feedback on the patient's behavior.
- The counselor judges the patient's actions.
- The counselor acknowledges the patient's feelings and perspective. (correct)
What is the primary goal of an APRN when treating a patient with behavioral health disorders?
What is the primary goal of an APRN when treating a patient with behavioral health disorders?
- To diagnose and treat the disorder
- To prescribe medication and monitor side effects
- To develop a treatment plan with the patient (correct)
- To counsel the patient and provide education
What is a characteristic of nicotine intake via cigarettes?
What is a characteristic of nicotine intake via cigarettes?
How does an APRN demonstrate autonomy in Carl Rogers' theory?
How does an APRN demonstrate autonomy in Carl Rogers' theory?
What is the most appropriate initial response to a patient experiencing withdrawal symptoms after a relapse?
What is the most appropriate initial response to a patient experiencing withdrawal symptoms after a relapse?
What strength of nicotine patch would be prescribed for a patient smoking 20 cigarettes per day?
What strength of nicotine patch would be prescribed for a patient smoking 20 cigarettes per day?
Which of the following will NOT assist the APRN in reducing health inequalities in a clinical setting?
Which of the following will NOT assist the APRN in reducing health inequalities in a clinical setting?
What is the purpose of MSE components in psychiatric disease diagnosis?
What is the purpose of MSE components in psychiatric disease diagnosis?
What therapeutic modality does the instruction 'Pay attention to only what is happening in the present moment' utilize?
What therapeutic modality does the instruction 'Pay attention to only what is happening in the present moment' utilize?
What is a characteristic of nicotine intake via patches?
What is a characteristic of nicotine intake via patches?
What is the primary goal of nicotine replacement therapy?
What is the primary goal of nicotine replacement therapy?
What type of MI roadblock is the statement 'I don't know. It sounds to me like you are not following your diet. And that is causing the weight gain not the medications'?
What type of MI roadblock is the statement 'I don't know. It sounds to me like you are not following your diet. And that is causing the weight gain not the medications'?
Which MOTIVATIONAL INTERVIEWING component is exemplified in the statement 'What I hear you saying is that your family is very concerned about your tobacco use'?
Which MOTIVATIONAL INTERVIEWING component is exemplified in the statement 'What I hear you saying is that your family is very concerned about your tobacco use'?
Which of the following is NOT a necessary factor for resilience to develop in a person who has experienced trauma?
Which of the following is NOT a necessary factor for resilience to develop in a person who has experienced trauma?
In the Transtheoretical model (TTM) of behavioral health, what stage involves considering both the pros and cons of the behavioral health?
In the Transtheoretical model (TTM) of behavioral health, what stage involves considering both the pros and cons of the behavioral health?
What categorizes segments of populations based on where they are in the process of change according to the Transtheoretical model (TTM) of behavioral health?
What categorizes segments of populations based on where they are in the process of change according to the Transtheoretical model (TTM) of behavioral health?
Which of the following best describes a toxic stressor?
Which of the following best describes a toxic stressor?
What is the primary goal of performing a medication reconciliation with an outside pharmacy?
What is the primary goal of performing a medication reconciliation with an outside pharmacy?
What can be inferred about the patient's recent medication changes based on the scenario?
What can be inferred about the patient's recent medication changes based on the scenario?
What is the correct response to a patient who seems hesitant to discuss their issues?
What is the correct response to a patient who seems hesitant to discuss their issues?
What does MSE in the context of a patient's exam refer to?
What does MSE in the context of a patient's exam refer to?
What should be the priority action when a patient on SSRI regimen becomes more energized after a dose increase?
What should be the priority action when a patient on SSRI regimen becomes more energized after a dose increase?
What does a positive CAGE screening questionnaire indicate?
What does a positive CAGE screening questionnaire indicate?
What is the primary purpose of SBIRT in a patient with suspected substance use disorder?
What is the primary purpose of SBIRT in a patient with suspected substance use disorder?
How would you document a patient's affect if they exhibit rapid mood swings during an assessment?
How would you document a patient's affect if they exhibit rapid mood swings during an assessment?
What is the likely cause of a patient's tremors at rest, facial ticks, tongue rolling, and eye twitching after an increase in antipsychotic medication?
What is the likely cause of a patient's tremors at rest, facial ticks, tongue rolling, and eye twitching after an increase in antipsychotic medication?
Where does the mini-mental exam implementation belong to in the SOAP note?
Where does the mini-mental exam implementation belong to in the SOAP note?
What components of MSE do the terms 'loose association', 'flights of ideas', or 'blocking' describe?
What components of MSE do the terms 'loose association', 'flights of ideas', or 'blocking' describe?
Which of the following medications does not require periodic blood level monitoring?
Which of the following medications does not require periodic blood level monitoring?
What would be an appropriate additional assessment screening for a patient who has difficulty sleeping, increased periods of agitation, and inability to fulfill roles at home or work?
What would be an appropriate additional assessment screening for a patient who has difficulty sleeping, increased periods of agitation, and inability to fulfill roles at home or work?
Which of the following is an intrinsic component of a suicide assessment protective factor?
Which of the following is an intrinsic component of a suicide assessment protective factor?
What is the most effective way to start a conversation about nicotine cessation with a patient who smells of cigarette smoke?
What is the most effective way to start a conversation about nicotine cessation with a patient who smells of cigarette smoke?
What is a common side effect of chlorpromazine, an antipsychotic medication?
What is a common side effect of chlorpromazine, an antipsychotic medication?
What would be an important assessment to conduct for a patient who has difficulty sleeping and increased periods of agitation?
What would be an important assessment to conduct for a patient who has difficulty sleeping and increased periods of agitation?
What is a key factor in a suicide assessment?
What is a key factor in a suicide assessment?
Study Notes
APRN Role in Behavioral Health
- Manage comorbidities
- Explain anatomy in layman's terms
- Comprehend DSM-5 limitations
Referring Patients with Behavioral Health Issues
- APRNs should not make a diagnosis on their own
Using DSM-5 in Mental Health Disorder Treatment
- Refer to DSM-5 when treating clients with mental health disorders for:
- Factors to be considered
Affirmation in Carl Rogers' Theory
- Definition: Acknowledging and validating an individual's experiences, feelings, and perspectives without necessarily agreeing with them
- Example: Recognizing a patient's frustration about feeling misunderstood by their parents
Extrapyramidal Symptoms (EPS)
- Symptoms: tremors at rest, facial ticks, tongue rolling, and eye twitching
- Cause: Medication side effect (e.g., chlorpromazine for schizophrenia)
Psychotropic Medication Monitoring
- Medications that require periodic blood level monitoring:
- Lithium carbonate
- Depakote
- Tegretol
- Medications that do not require periodic blood level monitoring:
- Wellbutrin
Substance Use Disorder Screening
- Indicators:
- Difficulty sleeping
- Increased periods of agitation
- Inability to fulfill roles at home or work
- Additional assessment screening: Screen for substance use disorder
Suicide Assessment Protective Factors
- Intrinsic component: Coping skills, problem-solving skills, ability to change
Nicotine Cessation Counseling
- Most effective statement to start the conversation: "I can imagine that one of the hardest things to do in this world is stop smoking"
- Difference between nicotine intake via cigarettes versus patches:
- Inhalation of nicotine via cigarette: arterial uptake with quick neurological response
- Nicotine patches: venous uptake with delayed onset of action
Tobacco Cessation Counseling
- Initial response to a patient who relapsed after being clean: "How ready are you to change this behavior?"
- Prescribing nicotine patches:
- 21 milligrams for a patient smoking 20 cigarettes per day
Mental Status Examination (MSE) Components
- Necessary for supporting specific psychiatric disease diagnosis
- Includes:
- Appearance
- Behavior
- Cognition
- Mood
- Thought process
Therapeutic Modalities
- Mindfulness: paying attention to the present moment
- Motivational Interviewing (MI): utilizing techniques like reflection and open-ended questions
Health Inequalities
- Factor that will not assist in reducing health inequalities: Prescribing the newest medication to anyone regardless of cost
Resilience Development
- Necessary factors:
- Mindfulness
- Self-care behaviors
Transtheoretical Model (TTM) of Behavioral Health
- Stages of change: categorizes segments of populations based on where they are in the process of change
- Contemplation stage: considering both the pros and cons of the behavioral health change
Toxic Stressors
- Definition: Experience that engages strong and prolonged activation of the body's stress management system
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your understanding of the role of Advanced Practice Registered Nurses (APRNs) in treating patients with behavioral health disorders, including diagnosis, management, and limitations.
