NR-605 Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum
Midterm Exam (Weeks 1 – 4)
Question:
Treatment Hierarchy Framework
Answer:
therapeutic aims at the base of the model must be addressed before the client can move up the triangle
Top: Stabilization
Internal resources External resources
Bottom: Foundational needs
Question:
Strategies to support resource development and stabilization:
Answer:
-case management 1 / 4
-provision of safety -stress management -management of physiological arousal -exercise -cognitive or dialectical behavioral therapy -role play
Question:
Processing
Answer:
involves helping clients explore the meaning of adverse life events -adapting memory, cognition, behavior, affect, and beliefs surrounding traumatic events • achieve positive change
Question:
Cultural Considerations
Answer:
Culture shapes one's perceptions, attributions, emotions, and judgments in ways that are both conscious and unconscious -PMHNP must consider ethnicity, religion, race, class, cultural identity, and the cultural explanations of illness to effectively diagnose and treat mental health conditions 2 / 4
-Outline for Cultural Formulation includes an assessment of the following
categories:
• cultural identity of the individual • cultural conceptualizations of distress • psychosocial stressors and cultural features of vulnerability and resilience • cultural features of the relationship between the individual and clinician • overall cultural assessment
Question:
Illness Perception
Answer:
psychodynamic approach -attributes mental illness to environmental and psychosocial problems
biophysiological model -attributes mental illnesses to chemical imbalances of neurotransmitters
Question:
Epigenetics
Answer:
the study of how the environment and other factors change the way genes are expressed
- / 4
Question:
Documentation requirements
Answer:
-standard format of chief complaint, history of present illness, review of systems, past psychiatric history, mental status exam, diagnostic formulation, and treatment plan
-Psychotherapy sessions must include the following:
• target symptoms • goals of therapy • method of monitoring outcomes • frequency of treatment • clinical records to support relevant medical history • results of diagnostic tests or • procedures • prognosis or progress to date • estimated duration of treatment
Question:
Reimbursement
Answer:
Clinical procedural terminology (CPT) codes -standardized codes used to communicate services completed to Medicare and other insurance companies for reimbursement -PMHNPs can bill for stand-alone psychotherapy using psychiatry specialty codes
- / 4