WGU - D344 - Section 1 Questions with 100% corrrect answers + rationales

Transference

Displacement of feelings for significant people in the client's past onto the PMHNP in the present relationship

Countertransference

The nurse's emotional reaction to the client based on her or his past experiences

Reflection

-Redirecting the idea back to the patient for classification of important emotional overtones, feelings, and experiences

Interpretation

Putting into words what the patient is implying or feeling

Characteristics of a therapeutic relationship

-Genuiness

-Acceptance

-Nonjudgment

-Authenticity

-Empathy

-Respect

-Professional boundaries

Phases of a therapeutic nurse-client relationship

-Intro: Create a trusting environment, establish professional boundaries, establish length of interaction, providing diagnostic evaluation, setting mutually agreed-upon treatment objectives

-Working (Identification and exploration): clarifying client expectations and mutually set goals, implementing treatment plan, monitoring health, undertaking preventative health care, measuring/evaluating outcomes of care, reprioritizing plan and objectives as indicated

-Termination: Reviewing clinet's progress towards objectives, establishing long-term plan of care, focusing on self-management strategies, disengaging from the relationship, referring to other services as needed

Denial

Avoidance of unpleasant realities by UNCONSCIOUSLY ignoring their existence

Projection

unconscious rejection of emotionally unacceptable features and attributing them to others

Regression

-Return to more comfortable thoughts, behaviors, or feelings used in earlier stages of development in response to current conflict, stress, or threat

Repression

-Unconscious exclusion of unwanted, disturbing emotions, thoughts, or impulses from conscious awareness

Reaction formation

-Often called overcompensation; unacceptable feelings, thoughts, or behaviors are pushed from conscious awareness by displaying and acting on the opposite feeling, thought, or behavior

Rationalization

-Justification of illogical, unreasonable ideas, feelings, or actions by developing an acceptable explanation that satisfies the person

Undoing

behaviors that attempt to make up for or undo an unacceptable action, feeling, or impulse

Intellectualization

attempts to master current stressor or conflict by expansion of knowledge, explanation, or understanding

Suppression

conscious analog of repression; conscious denial of a disturbing situation, feeling, or event

Sublimation

Unconscious process of substitution of socially acceptable, constructive activity for strong unacceptable impulse

Altruism

-Meeting the needs of others in order to discharge drives, conflicts, or stressors

Motivational Interviewing

-Focused, goal-directive therapy

-Builds on the transtheoretical model of change

-Motivation is elicited from the client

-Non-confrontation, non-adversarial

3 Goals/Tasks of a psychiatric interview

-Establishing a traditional biomedical diagnosis

-Understanding the biopsychosocial dimensions of the person

-Building rapport

CAGE-AID

-Screening tool used to gather data about the client's substance use

Vanderbilt Screening

-Screening for ADHD

Connor's Scale

-Screening for ADHD

PHQ-9

-Screening for identifying and diagnosing major depression

Beck Inventory

-Assess the severity of depression

EDPS

-Identifying postpartum depression

Brief psychiatric rating scale

-Tool used to measure severity of acute psychiatric symptoms in individuals with psychosis

Mood Disorder Questionnaire

-Screens for bipolar disorder

GAD-7

-Assess level and extent of anxiety

Y-BOCS

-Assessment scale for OCD

Loose Associations

disorganized thinking that jumps from one idea to another with little or no evident relation between the thoughts

Flight of ideas

rapidly changing or disjointed thoughts

Word salad

Incoherent mixture of words, phrases, and sentences

Neologism

-Word created by speaker

Thought blocking

Interruption of a thought process before it is carried through to completion

Insight

-Frontal lobe function represented by the capacity of the individual to appraise whether one's thoughts, feelings, perceptions, and planned actions are appropriate and realistic

Diagnostic overshadowing

-Automatically attributing a client's physical symptoms to their mental illness

Projective tests

-tests designed to reveal inner aspects of individuals' personalities by analysis of their responses to a standard series of ambiguous stimuli

-Example: Rorschach test

Reliability

-The degree that a test measures what it purports to measure, consistently

Validity

-Does the test measure what it purports to measure