PSYCHOSOCIAL NURSING FINAL EXAM| TOP SCORES MADE SIMPLE |
TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Mental health Answer: a state of well-being in which every individual realizes his or her
own potential, can cope with the normal stresses of life, can work productively and
fruitfully, and is able to make a contribution to the community
Mental illness Answer: health conditions involving changes in thinking, emotion, or
behavior; mental illnesses are associated with distress and/or problems functioning in
social, work, or family activities
Mental illness continuum Answer: a range of wellbeing having mental health and
mental illness at the two extreme ends
Therapeutic milieu Answer: physical safety, emotional safety, structured environment,
family/friends/colleagues
Basic nursing interventions for mental illness Answer: coordination of care, health
teaching and maintenance, pharmacological/biological/integrative therapies
Advanced practice nursing interventions for mental illness Answer: medication
prescription and treatment, psychotherapy, consultation
Cognitive therapy Answer: challenge negative patterns about the self and the
environment
Behavioral therapy Answer: identify and modify unhealthy learned behaviors
Cognitive-behavioral therapy Answer: combination of each style of therapy
Erikson's stages of development Answer: basic trust vs. mistrust; autonomy vs. shame;
initiative vs. guilt; industry vs. inferiority; identity vs. confusion; intimacy vs. isolation;
generativity vs. stagnation; integrity vs. despair
Maslow's hierarchy of needs Answer: physiological needs, safety needs, love and
belonging, esteem, and self-actualization
Peplau's Interpersonal theory of nursing Answer: preorientation, orientation, working,
termination
Serotonin neurotransmitter Answer: too much causes sedation, hallucinations and
schizophrenia; too little causes depression, irritability and sleep disturbances
Norepinephrine neurotransmitter Answer: too much causes anxiety, paranoia, and
mania; too little causes depression or low energy
1
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,Dopamine neurotransmitter Answer: too much causes increase in creativity, excessive
movement, restless appearing movement, disorganized thinking; too little causes poor
impulse control, difficulty thinking abstractly, and movement disorders
GABA neurotransmitter Answer: it is inhibitory, slows respiration, relaxes muscles and
reduces anxiety; GABA drugs can break seizures
Glutamate neurotransmitter Answer: excitatory, increases respirations
Histamine neurotransmitter Answer: too little causes depression, sedation, and weight
gain
Acetylcholine neurotransmitter Answer: too much causes anxiety and depression; too
little can affect memory and speech problems
TCA tricyclic antidepressants Answer: end in -ine (nortriptyline, amitriptyline, and
imipramine)
SSRIs Answer: may cause sexual dysfunction, end in -ine or -am
Serotonin syndrome Answer: abrupt, rapid, myoclonus and tremors, increased reflexes,
mydriasis
Benzodiazepines Answer: end in -pam or -lam
MAOIs Answer: no tyramine while taking these drugs (cheese, aged win, cured meats,
pickles)
Lithium Answer: narrow therapeutic range (approximately 0.5-1.5)
Neuroleptic malignant syndrome (NMS) Answer: gradual onset, muscle rigidity, high
fever, rare but life threatening; can be a side effect of 1st generation anti-psychotics
Extrapyramidal symptoms (EPS) Answer: pseudo parkinsonism, acute dystonia,
akathisia, and tardive dyskinesia; usually with 1st generation antipsychotics
Drugs to treat ADHS Answer: methylphenidate, dextroamphetamine
Herbal side effects Answer: kava - liver damage; ginseng - bleeding; st. johns wart -
serotonin syndrome
Least restrictive treatment environment Answer: outpatient psychiatric mental health
care (primary care providers, community clinics, outpatient programs, specialty
psychiatric care providers, etc.)
Primary mental health prevention Answer: teaching/education before a problem has
occurred
2
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, Secondary mental health prevention Answer: reducing the impact after something has
happened, something acute has happened and there is not yet long-term damage
Tertiary mental health prevention Answer: helping patient live and cope with something
that has happened to them, there has been long term damage done
Most restrictive treatment environment Answer: crisis stabilization/observational units;
general hospital and private hospital; state hospital
Inpatient patient rights Answer: patients retain their rights as citizens and patients can
refuse treatment
Western worldview Answer: model of healthcare in the US; individuals over nature;
mind and body are assess and treated separately; treatment is reactionary
Eastern worldview Answer: spiritual traditions; individual connections to the natural
world; focus on the family unit; mind, body, spirit intertwined; ying-yang
Indigenous worldview Answer: mind, body, spirit intertwined within nature; spiritual,
natural traditions; lack of harmony and presence of evil spirits cause disease; focus on
the tribe
Risk factors for suicide Answer: male gender 4 times more often, psychiatric disorder;
Caucasian; increasing age; protestant or Jewish; divorced; decline in professional
status, decline in physical health
Warning signs for suicide Answer: IS PATH WARM - ideation, substance abuse,
purposelessness, anxiety, trapped, hopelessness, withdrawal, anger, recklessness and
mood change
Protective factors Answer: reduces the probability the individual will complete or
attempt suicide
Patient healthcare rights Answer: informed consent, privacy, humane care, receive
treatment in the least restrictive environment, free of abuse, social activities, education,
religious freedom, freedom from discrimination, refuse treatment, medical treatment,
legal counsel, formal grievance process, contact others
Rights that may be refused with good cause Answer: professional individual in charge
has good reason to believe that allowing a specific right could cause harm and there is
no least restrictive way to protect against those occurrences
Seclusion Answer: patient is alone in a room or area and unable to leave
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Mental health Answer: a state of well-being in which every individual realizes his or her
own potential, can cope with the normal stresses of life, can work productively and
fruitfully, and is able to make a contribution to the community
Mental illness Answer: health conditions involving changes in thinking, emotion, or
behavior; mental illnesses are associated with distress and/or problems functioning in
social, work, or family activities
Mental illness continuum Answer: a range of wellbeing having mental health and
mental illness at the two extreme ends
Therapeutic milieu Answer: physical safety, emotional safety, structured environment,
family/friends/colleagues
Basic nursing interventions for mental illness Answer: coordination of care, health
teaching and maintenance, pharmacological/biological/integrative therapies
Advanced practice nursing interventions for mental illness Answer: medication
prescription and treatment, psychotherapy, consultation
Cognitive therapy Answer: challenge negative patterns about the self and the
environment
Behavioral therapy Answer: identify and modify unhealthy learned behaviors
Cognitive-behavioral therapy Answer: combination of each style of therapy
Erikson's stages of development Answer: basic trust vs. mistrust; autonomy vs. shame;
initiative vs. guilt; industry vs. inferiority; identity vs. confusion; intimacy vs. isolation;
generativity vs. stagnation; integrity vs. despair
Maslow's hierarchy of needs Answer: physiological needs, safety needs, love and
belonging, esteem, and self-actualization
Peplau's Interpersonal theory of nursing Answer: preorientation, orientation, working,
termination
Serotonin neurotransmitter Answer: too much causes sedation, hallucinations and
schizophrenia; too little causes depression, irritability and sleep disturbances
Norepinephrine neurotransmitter Answer: too much causes anxiety, paranoia, and
mania; too little causes depression or low energy
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,Dopamine neurotransmitter Answer: too much causes increase in creativity, excessive
movement, restless appearing movement, disorganized thinking; too little causes poor
impulse control, difficulty thinking abstractly, and movement disorders
GABA neurotransmitter Answer: it is inhibitory, slows respiration, relaxes muscles and
reduces anxiety; GABA drugs can break seizures
Glutamate neurotransmitter Answer: excitatory, increases respirations
Histamine neurotransmitter Answer: too little causes depression, sedation, and weight
gain
Acetylcholine neurotransmitter Answer: too much causes anxiety and depression; too
little can affect memory and speech problems
TCA tricyclic antidepressants Answer: end in -ine (nortriptyline, amitriptyline, and
imipramine)
SSRIs Answer: may cause sexual dysfunction, end in -ine or -am
Serotonin syndrome Answer: abrupt, rapid, myoclonus and tremors, increased reflexes,
mydriasis
Benzodiazepines Answer: end in -pam or -lam
MAOIs Answer: no tyramine while taking these drugs (cheese, aged win, cured meats,
pickles)
Lithium Answer: narrow therapeutic range (approximately 0.5-1.5)
Neuroleptic malignant syndrome (NMS) Answer: gradual onset, muscle rigidity, high
fever, rare but life threatening; can be a side effect of 1st generation anti-psychotics
Extrapyramidal symptoms (EPS) Answer: pseudo parkinsonism, acute dystonia,
akathisia, and tardive dyskinesia; usually with 1st generation antipsychotics
Drugs to treat ADHS Answer: methylphenidate, dextroamphetamine
Herbal side effects Answer: kava - liver damage; ginseng - bleeding; st. johns wart -
serotonin syndrome
Least restrictive treatment environment Answer: outpatient psychiatric mental health
care (primary care providers, community clinics, outpatient programs, specialty
psychiatric care providers, etc.)
Primary mental health prevention Answer: teaching/education before a problem has
occurred
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Secondary mental health prevention Answer: reducing the impact after something has
happened, something acute has happened and there is not yet long-term damage
Tertiary mental health prevention Answer: helping patient live and cope with something
that has happened to them, there has been long term damage done
Most restrictive treatment environment Answer: crisis stabilization/observational units;
general hospital and private hospital; state hospital
Inpatient patient rights Answer: patients retain their rights as citizens and patients can
refuse treatment
Western worldview Answer: model of healthcare in the US; individuals over nature;
mind and body are assess and treated separately; treatment is reactionary
Eastern worldview Answer: spiritual traditions; individual connections to the natural
world; focus on the family unit; mind, body, spirit intertwined; ying-yang
Indigenous worldview Answer: mind, body, spirit intertwined within nature; spiritual,
natural traditions; lack of harmony and presence of evil spirits cause disease; focus on
the tribe
Risk factors for suicide Answer: male gender 4 times more often, psychiatric disorder;
Caucasian; increasing age; protestant or Jewish; divorced; decline in professional
status, decline in physical health
Warning signs for suicide Answer: IS PATH WARM - ideation, substance abuse,
purposelessness, anxiety, trapped, hopelessness, withdrawal, anger, recklessness and
mood change
Protective factors Answer: reduces the probability the individual will complete or
attempt suicide
Patient healthcare rights Answer: informed consent, privacy, humane care, receive
treatment in the least restrictive environment, free of abuse, social activities, education,
religious freedom, freedom from discrimination, refuse treatment, medical treatment,
legal counsel, formal grievance process, contact others
Rights that may be refused with good cause Answer: professional individual in charge
has good reason to believe that allowing a specific right could cause harm and there is
no least restrictive way to protect against those occurrences
Seclusion Answer: patient is alone in a room or area and unable to leave
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
