36 Questions
What is the core principle of absolute worth in Carl Rogers' theory?
Every individual has inherent value and dignity.
What is an example of affirmation in Carl Rogers' theory?
The counselor acknowledges the patient's feelings and perspective.
What is the primary goal of an APRN when treating a patient with behavioral health disorders?
To develop a treatment plan with the patient
What is a characteristic of nicotine intake via cigarettes?
Arterial uptake with quick neurological response
How does an APRN demonstrate autonomy in Carl Rogers' theory?
By respecting the patient's autonomy and decision-making
What is the most appropriate initial response to a patient experiencing withdrawal symptoms after a relapse?
Ask about their readiness to change the behavior
What strength of nicotine patch would be prescribed for a patient smoking 20 cigarettes per day?
21 milligrams
Which of the following will NOT assist the APRN in reducing health inequalities in a clinical setting?
Prescribing the newest medication to anyone regardless of cost
What is the purpose of MSE components in psychiatric disease diagnosis?
To support specific psychiatric disease diagnosis
What therapeutic modality does the instruction 'Pay attention to only what is happening in the present moment' utilize?
Mindfulness-based therapy
What is a characteristic of nicotine intake via patches?
Venous uptake with delayed onset of action
What is the primary goal of nicotine replacement therapy?
To manage withdrawal symptoms
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'?
Disagreeing, judging, criticizing or blaming
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'?
Reflection
Which of the following is NOT a necessary factor for resilience to develop in a person who has experienced trauma?
Revisiting the past experience
In the Transtheoretical model (TTM) of behavioral health, what stage involves considering both the pros and cons of the behavioral health?
Contemplation
What categorizes segments of populations based on where they are in the process of change according to the Transtheoretical model (TTM) of behavioral health?
Stages of change
Which of the following best describes a toxic stressor?
Experience that engages strong and prolonged activation of the body's stress management system
What is the primary goal of performing a medication reconciliation with an outside pharmacy?
To identify potential medication errors
What can be inferred about the patient's recent medication changes based on the scenario?
The patient's dose was recently increased for depression
What is the correct response to a patient who seems hesitant to discuss their issues?
Has something happened that we need to discuss more in detail?
What does MSE in the context of a patient's exam refer to?
Mental Status Exam
What should be the priority action when a patient on SSRI regimen becomes more energized after a dose increase?
Increase vigilance regarding suicide potential.
What does a positive CAGE screening questionnaire indicate?
Alcohol abuse
What is the primary purpose of SBIRT in a patient with suspected substance use disorder?
To evaluate the patient's consumption and identify a treatment plan
How would you document a patient's affect if they exhibit rapid mood swings during an assessment?
Labile
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?
Extrapyramidal symptoms (EPS)
Where does the mini-mental exam implementation belong to in the SOAP note?
Subjective
What components of MSE do the terms 'loose association', 'flights of ideas', or 'blocking' describe?
Thought process
Which of the following medications does not require periodic blood level monitoring?
Wellbutrin
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?
Screen for substance use disorder
Which of the following is an intrinsic component of a suicide assessment protective factor?
Coping skills, problem-solving skills, ability to change
What is the most effective way to start a conversation about nicotine cessation with a patient who smells of cigarette smoke?
I noticed you smell like cigarette smoke, would you like to talk about quitting?
What is a common side effect of chlorpromazine, an antipsychotic medication?
Extrapyramidal symptoms (EPS)
What would be an important assessment to conduct for a patient who has difficulty sleeping and increased periods of agitation?
Screen for substance use disorder
What is a key factor in a suicide assessment?
Coping skills, problem-solving skills, ability to change
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
Test your understanding of the role of Advanced Practice Registered Nurses (APRNs) in treating patients with behavioral health disorders, including diagnosis, management, and limitations.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
