Psychiatric Nursing Questions

Psychiatric Nursing Questions
This quiz will cover the following topics, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook excerpts:

Topics

1. The Nurse Psychotherapist and a Framework for Practice

1. Confidentiality Limits in Psychotherapy: Ethics Checklists for Mental Health Professionals

1. Assessment and Diagnosis

1. The Initial Contact and Maintaining the Frame

1. Cognitive Behavioral Therapy

1. Supportive and Psychodynamic Psychotherapy

1. Stabilization for Trauma and Dissociation

1. Motivational Interviewing

1. Psychotherapeutic Approaches for Addictions and Related Disorders

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice(2nd ed.). New York, NY: Springer Publishing Company.

1. Chapter 1, “The Nurse Psychotherapist and a Framework for Practice”

1. Chapter 3, “Assessment and Diagnosis”

1. Chapter 4, “The Initial Contact and Maintaining the Frame”

1. Chapter 5, “Supportive and Psychodynamic Psychotherapy”

1. Chapter 7, “Motivational Interviewing” (pp.299-312)

1. Chapter 8, “Cognitive Behavioral Therapy”

1. Chapter 13, “Stabilization for Trauma and Dissociation”

1. Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders”

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001

Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

Question 1

1. After informing a prospective patient about limits of confidentiality, the patient consents to the “conditions” of confidentiality and signs an informed consent form. Several weeks later, a lawyer representing the patient’s spouse for a court case, asks the PMHNP for the disclosure of information about the patient. The PMHNP should:

A. Disclose all patient information as requested
B. Refuse to disclose any confidential information
C. Limit disclosure to the extent legally possible
D. Ignore the request based on ethical reasons

1 points

Question 2

1. The PMHNP is meeting with a new patient who is a young veteran back from serving two tours overseas. When reviewing the patient’s health history file that was sent from the VA, the PMHNP learns that several months ago, the patient was diagnosed with PTSD, but never followed up with treatment for it. After a comprehensive mental health assessment, the PMHNP confirms the PTSD diagnosis and understands that which therapeutic approach will be the most effective as a first-line treatment modality?

A. Performing a psychiatric debriefing on the patient
B. Employing cognitive behavioral therapy with the patient
C. Using psychodynamic psychotherapy with the patient
D. None of the above

1 points

Question 3

1. One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest to follow sleep restriction therapy?

A. “Restrict sleep for 24 hours.”
B. “Restrict the amount of time you spend in bed.”
C. “Restrict the amount of exercise you do prior to going to bed.”
D. “Restrict the amount of food you eat before bedtime.”

1 points

Question 4

1. The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon review, the PMHNP notes that the peer often begins patient sessions late, as well as ends them later than scheduled. The PMHNP also found a comment in the chart regarding the patient sending text messages while in the middle of the session. Based on these findings, the feedback that the PMHNP will provide to the peer involves which therapeutic principle?

A. Assessing safety
B. Applying therapeutic communication
C. Using empathy
D. Maintaining the frame 32.The PMHNP is mentoring a student. After working with a patient during a session, the student laments about all the things she should have, or could have, said to the patient. “I feel guilty that I didn’t speak up more about the patient’s concern toward her son,” says the student. The PMHNP understands that the student is exhibiting signs of which therapeutic concept?