NUR 4290 STUDY GUIDE 2026 EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔surgeons general report on mental health - ✔✔-mental health part of overall health
-there exists effective mental health treatments
✔✔human genome project - ✔✔1990-2003 identify genes and sequence , store
information and analytic tools , address ethical , legal and social issues
most psychiatric disorders result from mutative / defective genes **
✔✔presidents new freedom commision on mental health - ✔✔** transforming mental
health system , finally did early mental health screening/assessment and referral in
children b/c thats where the most change can happen and a lot of children go
undiagnosed
maladaptive ways of coping if children not dx early ex) can turn to alcohol / marijuana
✔✔Institue of Medicine (IOM)/ national academy of medicine - ✔✔*the future of nursing
focus on education = providing education for patient teaching , teach back
✔✔QSEN (Quality and Safety Education for Nurses) - ✔✔Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
came to be b/c of pt Betsy received 4x nml dose of chemo and passed away
*focus on safety!
✔✔mental health parity act - ✔✔requires insurance companies to offer the same level of
coverage for mental health care that they provide for medical and surgical care
✔✔Wellstone-Domenici Parity Act of 2008 - ✔✔required that any plan providing mental
health coverage must do so in a manner that functionally equivalent or on par with
coverage of other health conditions (substance abuse)
✔✔Patient Protection and Affordable Care Act - ✔✔insurance has to cover mental
illness and substance abuse no matter employee number
✔✔#1 disability in america = - ✔✔depression!
6.7%
,✔✔epidemiology of mental health disorders - ✔✔annually 1 in 4 adults have a mental
disorder in the US
often comorbid disorders (ex depression and anxiety)
✔✔DSMV-5 TR - ✔✔Diagnostic and Statistical Manual of Mental Disorders text revised
ICD codes now used
✔✔levels of psychiatric nursing care - ✔✔basic- graduate of a nursing program, can
seek certification as part of professional development
advanced - CNS (clinical nurse specialist) and NP , certification and or licensure-
therapy, may have prescriptive privileges
✔✔future challenges for mental health / looking ahead - ✔✔acuity, placements ,
coverage and length of stay
demand for mental health professionals , growth of psych workforce not kept pace w
demand
aging population
cultural diversity
technology
advocacy
✔✔medical specialty derived from the - ✔✔*study, dx , tx and prevention of mental
disorders
observing , treating and taking into effect dx while treating pt
✔✔theories of practice - ✔✔1. nursing across the lifespan
2. psychosocial (own psychology and interacting w people in their environment
3. neurobiology (neurotransmitters)
4. evidence-based research
*last component to evidence-based research is making sure pt is on board w whats
happening
✔✔what is a mental disorder? - ✔✔*must have clinically significant disturbance in
cognition (think ), emotional regulation and behavior (present themselves)
associated w significant distress or disability in social , occupational or other important
activities , cultural influences
✔✔benchmark periods in psych history - ✔✔middle age in egypt= mentally ill is equal to
sick , not possessed , 1st asylum for mentally ill
18th century= bejamin rush father of psych , 1st inpatient psych hospital philadelphia
, enlightenment: asylum movement : people in chains , dungeons to stop behavior , tx
were lobotomy and insulin shock not safe , later on realized not realistic
1950s psychotropic drugs 1. thorazine (brain involvement in mentall illness)
community mental health centers homelessness due to deinstitutionalization
✔✔Deinstitutionalization - ✔✔moving people with psychological or developmental
disabilities from highly structured institutions to home- or community-based settings
led to homelessness , development of section 8 housing
*depopulating of state mental hospitals
*state hospitals reached peak census in 1955 and slowly began process of trimming
their census roles
*discovery of psychotropic drugs made this movement possible
✔✔significant regulating body to take care of psych patient - ✔✔NYS office of mental
health
✔✔levels of mental health care - ✔✔TREATMENT
•CLINIC TX
•PARTIAL HOSPITALIZATION
•PROS [PERSONALIZED RECOVERY]
•MEDICAL HEALTH HOMES
•PSYCH HOME CARE
•ACT [ASSERTIVE COMM TX]
•
HOUSING
•SUPERVISED C.R.
•UNSUPERVISED APT
•ALONE OR WITH FAMILY
✔✔Quality and Safety Education for Nurses (QSEN) goal - ✔✔TO CONTINUOUSLY
IMPROVE THE SAFETY & QUALITY OF HEALTHCARE
PT CENTERED CARE
TEAMWORK/COLLABOR.
EVIDENCE-BASED PRACTICE
QUALITY IMPROVEMENT
SAFETY
INFORMATICS
✔✔Least Restrictive Environment - ✔✔*restraints are LAST RESORT!
ANSWERS RATED A+
✔✔surgeons general report on mental health - ✔✔-mental health part of overall health
-there exists effective mental health treatments
✔✔human genome project - ✔✔1990-2003 identify genes and sequence , store
information and analytic tools , address ethical , legal and social issues
most psychiatric disorders result from mutative / defective genes **
✔✔presidents new freedom commision on mental health - ✔✔** transforming mental
health system , finally did early mental health screening/assessment and referral in
children b/c thats where the most change can happen and a lot of children go
undiagnosed
maladaptive ways of coping if children not dx early ex) can turn to alcohol / marijuana
✔✔Institue of Medicine (IOM)/ national academy of medicine - ✔✔*the future of nursing
focus on education = providing education for patient teaching , teach back
✔✔QSEN (Quality and Safety Education for Nurses) - ✔✔Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
came to be b/c of pt Betsy received 4x nml dose of chemo and passed away
*focus on safety!
✔✔mental health parity act - ✔✔requires insurance companies to offer the same level of
coverage for mental health care that they provide for medical and surgical care
✔✔Wellstone-Domenici Parity Act of 2008 - ✔✔required that any plan providing mental
health coverage must do so in a manner that functionally equivalent or on par with
coverage of other health conditions (substance abuse)
✔✔Patient Protection and Affordable Care Act - ✔✔insurance has to cover mental
illness and substance abuse no matter employee number
✔✔#1 disability in america = - ✔✔depression!
6.7%
,✔✔epidemiology of mental health disorders - ✔✔annually 1 in 4 adults have a mental
disorder in the US
often comorbid disorders (ex depression and anxiety)
✔✔DSMV-5 TR - ✔✔Diagnostic and Statistical Manual of Mental Disorders text revised
ICD codes now used
✔✔levels of psychiatric nursing care - ✔✔basic- graduate of a nursing program, can
seek certification as part of professional development
advanced - CNS (clinical nurse specialist) and NP , certification and or licensure-
therapy, may have prescriptive privileges
✔✔future challenges for mental health / looking ahead - ✔✔acuity, placements ,
coverage and length of stay
demand for mental health professionals , growth of psych workforce not kept pace w
demand
aging population
cultural diversity
technology
advocacy
✔✔medical specialty derived from the - ✔✔*study, dx , tx and prevention of mental
disorders
observing , treating and taking into effect dx while treating pt
✔✔theories of practice - ✔✔1. nursing across the lifespan
2. psychosocial (own psychology and interacting w people in their environment
3. neurobiology (neurotransmitters)
4. evidence-based research
*last component to evidence-based research is making sure pt is on board w whats
happening
✔✔what is a mental disorder? - ✔✔*must have clinically significant disturbance in
cognition (think ), emotional regulation and behavior (present themselves)
associated w significant distress or disability in social , occupational or other important
activities , cultural influences
✔✔benchmark periods in psych history - ✔✔middle age in egypt= mentally ill is equal to
sick , not possessed , 1st asylum for mentally ill
18th century= bejamin rush father of psych , 1st inpatient psych hospital philadelphia
, enlightenment: asylum movement : people in chains , dungeons to stop behavior , tx
were lobotomy and insulin shock not safe , later on realized not realistic
1950s psychotropic drugs 1. thorazine (brain involvement in mentall illness)
community mental health centers homelessness due to deinstitutionalization
✔✔Deinstitutionalization - ✔✔moving people with psychological or developmental
disabilities from highly structured institutions to home- or community-based settings
led to homelessness , development of section 8 housing
*depopulating of state mental hospitals
*state hospitals reached peak census in 1955 and slowly began process of trimming
their census roles
*discovery of psychotropic drugs made this movement possible
✔✔significant regulating body to take care of psych patient - ✔✔NYS office of mental
health
✔✔levels of mental health care - ✔✔TREATMENT
•CLINIC TX
•PARTIAL HOSPITALIZATION
•PROS [PERSONALIZED RECOVERY]
•MEDICAL HEALTH HOMES
•PSYCH HOME CARE
•ACT [ASSERTIVE COMM TX]
•
HOUSING
•SUPERVISED C.R.
•UNSUPERVISED APT
•ALONE OR WITH FAMILY
✔✔Quality and Safety Education for Nurses (QSEN) goal - ✔✔TO CONTINUOUSLY
IMPROVE THE SAFETY & QUALITY OF HEALTHCARE
PT CENTERED CARE
TEAMWORK/COLLABOR.
EVIDENCE-BASED PRACTICE
QUALITY IMPROVEMENT
SAFETY
INFORMATICS
✔✔Least Restrictive Environment - ✔✔*restraints are LAST RESORT!
