APRN Role in Behavioral Health Disorders
36 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • 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?

  • 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?

    <p>Arterial uptake with quick neurological response</p> Signup and view all the answers

    How does an APRN demonstrate autonomy in Carl Rogers' theory?

    <p>By respecting the patient's autonomy and decision-making</p> Signup and view all the answers

    What is the most appropriate initial response to a patient experiencing withdrawal symptoms after a relapse?

    <p>Ask about their readiness to change the behavior</p> Signup and view all the answers

    What strength of nicotine patch would be prescribed for a patient smoking 20 cigarettes per day?

    <p>21 milligrams</p> Signup and view all the answers

    Which of the following will NOT assist the APRN in reducing health inequalities in a clinical setting?

    <p>Prescribing the newest medication to anyone regardless of cost</p> Signup and view all the answers

    What is the purpose of MSE components in psychiatric disease diagnosis?

    <p>To support specific psychiatric disease diagnosis</p> Signup and view all the answers

    What therapeutic modality does the instruction 'Pay attention to only what is happening in the present moment' utilize?

    <p>Mindfulness-based therapy</p> Signup and view all the answers

    What is a characteristic of nicotine intake via patches?

    <p>Venous uptake with delayed onset of action</p> Signup and view all the answers

    What is the primary goal of nicotine replacement therapy?

    <p>To manage withdrawal symptoms</p> Signup and view all the answers

    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'?

    <p>Disagreeing, judging, criticizing or blaming</p> Signup and view all the answers

    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'?

    <p>Reflection</p> Signup and view all the answers

    Which of the following is NOT a necessary factor for resilience to develop in a person who has experienced trauma?

    <p>Revisiting the past experience</p> Signup and view all the answers

    In the Transtheoretical model (TTM) of behavioral health, what stage involves considering both the pros and cons of the behavioral health?

    <p>Contemplation</p> Signup and view all the answers

    What categorizes segments of populations based on where they are in the process of change according to the Transtheoretical model (TTM) of behavioral health?

    <p>Stages of change</p> Signup and view all the answers

    Which of the following best describes a toxic stressor?

    <p>Experience that engages strong and prolonged activation of the body's stress management system</p> Signup and view all the answers

    What is the primary goal of performing a medication reconciliation with an outside pharmacy?

    <p>To identify potential medication errors</p> Signup and view all the answers

    What can be inferred about the patient's recent medication changes based on the scenario?

    <p>The patient's dose was recently increased for depression</p> Signup and view all the answers

    What is the correct response to a patient who seems hesitant to discuss their issues?

    <p>Has something happened that we need to discuss more in detail?</p> Signup and view all the answers

    What does MSE in the context of a patient's exam refer to?

    <p>Mental Status Exam</p> Signup and view all the answers

    What should be the priority action when a patient on SSRI regimen becomes more energized after a dose increase?

    <p>Increase vigilance regarding suicide potential.</p> Signup and view all the answers

    What does a positive CAGE screening questionnaire indicate?

    <p>Alcohol abuse</p> Signup and view all the answers

    What is the primary purpose of SBIRT in a patient with suspected substance use disorder?

    <p>To evaluate the patient's consumption and identify a treatment plan</p> Signup and view all the answers

    How would you document a patient's affect if they exhibit rapid mood swings during an assessment?

    <p>Labile</p> Signup and view all the answers

    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?

    <p>Extrapyramidal symptoms (EPS)</p> Signup and view all the answers

    Where does the mini-mental exam implementation belong to in the SOAP note?

    <p>Subjective</p> Signup and view all the answers

    What components of MSE do the terms 'loose association', 'flights of ideas', or 'blocking' describe?

    <p>Thought process</p> Signup and view all the answers

    Which of the following medications does not require periodic blood level monitoring?

    <p>Wellbutrin</p> Signup and view all the answers

    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?

    <p>Screen for substance use disorder</p> Signup and view all the answers

    Which of the following is an intrinsic component of a suicide assessment protective factor?

    <p>Coping skills, problem-solving skills, ability to change</p> Signup and view all the answers

    What is the most effective way to start a conversation about nicotine cessation with a patient who smells of cigarette smoke?

    <p>I noticed you smell like cigarette smoke, would you like to talk about quitting?</p> Signup and view all the answers

    What is a common side effect of chlorpromazine, an antipsychotic medication?

    <p>Extrapyramidal symptoms (EPS)</p> Signup and view all the answers

    What would be an important assessment to conduct for a patient who has difficulty sleeping and increased periods of agitation?

    <p>Screen for substance use disorder</p> Signup and view all the answers

    What is a key factor in a suicide assessment?

    <p>Coping skills, problem-solving skills, ability to change</p> Signup and view all the answers

    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.

    Quiz Team

    Related Documents

    Zoom Questions.docx

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser