Theoretical Foundations of PMHNPs NU580 Flashcards

(86 cards)

1
Q

What is Justice?

A

fairness

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2
Q

What is Beneficence

A

good

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3
Q

Non-maleficence

A

doing no harm

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4
Q

What is fidelity?

A

dependability: do as you say you will do

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5
Q

What is autonomy?

A

Promote patients to act as their own agent with informed consent

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6
Q

What is veracity

A

Truth

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7
Q

Infant to 18 months

A

trust vs mistrust

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8
Q

18mo to 3 years

A

autonomy vs shame and doubt

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9
Q

3-5 years

A

initiative vs guilt

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10
Q

5-13 years

A

industry vs inferiority

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11
Q

13-21 years

A

identity vs role confusion

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12
Q

21-39 years

A

intimacy vs isolation

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13
Q

40-65 years

A

generativity vs stagnation

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14
Q

65+

A

ego integrity vs despair

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15
Q

who founded cognitive theory

A

jean piaget

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16
Q

who founded interpersonal theory

A

harry stack sullivan

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17
Q

who developed the hierarchy of needs theory

A

abraham maslow

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18
Q

what is the basis of cognitive theory?

A

human development evolves through cognition, learning, and comprehending

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19
Q

What are the characteristics of a therapeutic relationship?

A

genuineness, acceptance, nonjudgmental attitude, authenticity, empathy, respect, professional boundaries

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20
Q

What are the techniques used for therapeutic communication?

A

active listening, facilitative communication techniques, paraphrasing, confrontation, silence, compare symptoms pre and post- ask about function 6 months, cultural considerations, be open, respectful build rapport, and listen

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21
Q

What are facillitative communication techniques?

A

open ended questioning initially, avoid much self-disclosure, use encouraging words, request clarification, summarize key points, follow up with directive and closed questions to help confirm data assessment

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22
Q

Why is facillitative communication used?

A

foster greater disclosure by the patient, allow patient to pace conversation, avoid interruptions, avoid non-stop questions

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23
Q

Possible causes of mental illness

A

environmental, genetic, neurochemical

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24
Q

What is the primary form of assessment?

A

interview

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25
What is included in an interview?
history, phyisical exam, mental status exam, diagnostic and lab tests, get diagnosis or list of differentials
26
What is included in the history?
demographics, chief complaint, history of present illness, past psychiatric history, past medical history, social history, family history, developmental history
27
What is included in an assessment?
History, functional assessment, physical assessment, neurological exam, vital signs, MSE
28
What is included in the MSE?
appearance, behavior, mood, affect, thought process/content
29
Structure of the MSE
orientation, attention, concentration, memory, abstraction, insight, judgement
30
What are some valid tests for cognition?
MOCA, SPMSQ, MSE
31
What are some common lab tests for psych workup?
thyroid, liver, electrolytes, EKG
32
Who founded psychoanalytic therapy?
Sigmund Freud
33
What is psychoanalytic therapy?
change promoted by developing greater insight and awareness of maladaptive defenses; past developmental and psychdynamic factors shape behaviors
34
Who founded cognitive therapy?
Aaron Beck
35
What is cognitive therapy
a person's reaction to an event causes anxiety rather than the event causes anxiety
36
Who founded behavioral therapy?
Arnold Lazarus
37
What is behavioral therapy
Use active behavioral techniques to change maladaptive behavior
38
Who founded dialectical Behavioral Therapy?
Marsha Linehan
39
What is DBT commonly used for?
borderline personality disorder
40
What is DBT?
Focus on regulating emotion, distress tolerance, self management skills, interpersonal effectiveness, and mindfulness with an emphasis on treating therapy interfering behaviors
41
Who founded existential therapy?
Viktor Frankl
42
What is existential therapy?
helps find meaning and purpose, reflection of life
43
Who founded humanistic therapy?
Carl Rogers
44
What is humanistic therapy?
Find meaning, self directed growth and self-actualization, person centered therapy
45
Who founded Eye Movement Desensitization and Reprocessing?
Francine Shapiro
46
EMDR is a form of what larger therapy concept?
Behavioral
47
EMDR is most commonly used for what?
PTSD
48
What are the 4 categories of neurotransmitters?
monoamine, amino acids, cholinergic, peptides
49
What happens once a neurotransmitter gets to post synaptic neuron?
destruction or reuptake
50
What category is Dopemine?
mono amine; catecholamine
51
Where is Dopamine produced?
substantia nigra
52
What removes dopamine from the synaptic cleft
Monoamine oxidase (MAO)
53
Increased levels of dopamine is associated with what conditions?
schizophrnia/psychosis
54
Decreased levels of dopamine is associated with what conditions?
substance abuse, anhedonia (inability to feel pleasure), Parkinson's
55
Where is serotonin produced?
raphe nuclei of the brainstem
56
Serotonin is the key to what?
mood
57
Increased levels of serotonin from medication can cause what?
Seratonin Syndrome
58
What symptoms are characterized in serotonin syndrome?
Shivering, diarrhea, agitation, confusionm headache, tachycardia, hypertension, dilated pupils, loss of coordination, muscle twitching, goose bumps and perspiring heavily
59
Decreased levels of Serotonin can cause what?
Depression OCD, anxiety, and schizophrenia
60
What category is serotonin?
monoamine
61
What category is norepinephrine?
monoamine; catacholamine
62
Where is norepinephrine produced?
locus ceruleus of the pons
63
Increased levels of norepinephrine causes what
?anxiety
64
Decreased levels of norepinephrine causes what?
depression
65
Where is epinephrine produced?
adrenal glands
66
What category is epinephrine?
monoamine; catacholamine
67
Increased level of epinephrine causes what?
fight or flight response
68
What category is glutamate?
amino acid
69
What type of universal neurotransmitter is glutamate?
excitatory
70
Increased levels of glutamate cause what?
Bipolar affective disorder, psychosis from ischemic neurotoxicity/excessiv pruning
71
Decreased levels of glutamate cause what?
memory and learning difficulty or negative symptoms of schizophrenia
72
What category of neurotransmitter is GABA?
Monoamine
73
What does GABA stand for?
gamma-aminobutyric acid
74
What type of universal neurotransmitter is GABA?
inhibitory
75
What types of drugs use GABA as the site of action?
benzodiazepines, alcohol, barbiturates, and other CNS depressants
76
Decreased levels of GABA cause what disorder?
anxiety
77
What category is acetylcholine?
aminoacid cholinergic
78
Increased levels of acetylcholine are associated with what?
Parkinson's
79
Decreased levels of acetylcholine are associated with what?
Alzheimer's and impaired memory
80
neuropeptides modulate what?
Pain
81
Decreased level of neuropeptides is associated with what?
substance abuse
82
Which drug schedule will we never prescribe?
I
83
Which drugs may be called in but patient must also have written prescription?
III
84
WHich schedule of drugs can be obtained only with a written prescription?
II
85
HOw many refills are allowed with Schedule II drugs?
None
86
How many refills are allowed with Schedule III drugs?
5