Nurs 481 Exam 1 UPDATED ACTUAL Questions and CORRECT
Answers
Mental health is a dynamic state of well‑being in which a person realizes their abilities, can
cope with normal life stresses, work productively, and contribute to their
community
Mental illness involves disturbances in thoughts, emotions, behavior, and functioning that
cause distress or impaired functioning
Continuum of mental health and illness. People are located on different parts/shift on continuum of mental health and
illness. Dependant on stressors, coping skills, biological factors, and supports
Resiliency The ability to recover, adapt, and grow from stress or adversity.
-Protective factors include: Positive coping skills, Support systems, Sense of
purpose, Spiritual beliefs
What are factors that affect mental health? Spirituality (religion), culture/regional differences, community (fam + friends),
personality traits, health practices and beliefs, environmental experiences,
negative influences (psychosocial stressors, poverty, impaired parenting),
biological hormones/genetics
Importance of spiritual and religious beliefs Helpful in coping, giving meaning, enhancing healthy behaviors, social
support, and decreasing physical/emotional stress.
Difference in spiritual beliefs and religious beliefs? Spiritual beliefs are how we find hope, meaning, purpose, and a sense of
peace in our lives. More about personal beliefs.
Religious beliefs are external system that includes beliefs, patterns of worship,
and symbols.
Stigma Defined as a collection of negative attitudes, beliefs, and thoughts that
influence public perception of the mentally ill.
-leads to shame, discrimination, reduced access to care/opportunities, and
worsened outcomes. Nurses play a key role in reducing stigma through
education and advocacy.
Group therapy operates under the assumption that interaction among participants can provide
support or bring about desired change among individual participants (at least
2)
What are the three categories of group member roles? Task roles: serve to keep the group focused and attend to the business at hand
Maintenance roles: keep the group together and form interpersonal support
Individual roles: interfere with the group functioning because they are not
related tot he group goals but rather to specific personalities
What type of group can be lead by a general RN? The general RN can teach psychoeducational groups established to support
and teach patients and families ways to prevent relapse
, What are Medication education groups led by general allows the patient to hear the experiences of others who have taken
RNs? medication and to have the opportunity to ask questions. This group allows pts
to learn to take their meds correctly
What are dual-diagnosis groups led by general RNs? focus on co-occurring psychiatric illness and substance abuse. The RN may
lead this group with dual-diagnosis specialist (master's level clinician)
What are symptom management groups led by general designed for pts to share coping skills regarding a common problem (such as
RNs? anger or psychosis). New or alternate skills can be learned to enhance self-
control in order to help patients develop more effective strategies for reducing
relapse.
What are stress management groups led by general teach members about various relaxation techniques (deep breathing, exercise,
RNs? music, and spirituality)
What are self-care groups led by general RNs? focus on basic hygiene issues (ie. Bathing and grooming)
Autocratic leader in group therapy exerts control over the group and does not encourage much interaction
among members (limited time schedule)
Democratic leader in group therapy supports extensive group interaction in the process of problem solving (in an
psychoeducational group to encourage pts to share their experiences)
Laissez-faire leader in group therapy allows the group members to behave in any way that they choose and does not
attempt to control the direction of the group (ie in an art group to encourage
variety of responses)
What is therapeutic milieu? healthy environment + healthy social structure within an inpatient setting or
structured outpatient clinic; essential to supporting and treating those with
mental illnesses. Within this small version of society, people are safe to test new
behaviors and incr their ability to interact adaptively within the outside
community
What are the phases of the nurse-patient relationship? Preorientation phase, orientation phase, working phase, termination phase
The preorientation phase of the nurse-patient Novice health care professionals usually have many concerns and experience
relationship a mild to moderate degree or anxiety on their first clinical day.
The orientation phase of the nurse-patient relationship Can last for a few meetings or can extend over a longer period. It is the first
time the nurse and the patient meet; atmosphere is established, the nurse and
pt role is defined, and the contract of meeting specifics are discussed.
-Confidentiality is established and rapport is facilitated
Working Phase of the nurse-patient relationship The promotion of a strong working relationship develops over a period of time
and allows for the patient to experience increased levels of anxiety and
demonstrate dysfunctional behaviors in a safe setting while experimenting with
new and more adaptive coping behaviors.
-promote the pts problem solving skills and self-esteem
Answers
Mental health is a dynamic state of well‑being in which a person realizes their abilities, can
cope with normal life stresses, work productively, and contribute to their
community
Mental illness involves disturbances in thoughts, emotions, behavior, and functioning that
cause distress or impaired functioning
Continuum of mental health and illness. People are located on different parts/shift on continuum of mental health and
illness. Dependant on stressors, coping skills, biological factors, and supports
Resiliency The ability to recover, adapt, and grow from stress or adversity.
-Protective factors include: Positive coping skills, Support systems, Sense of
purpose, Spiritual beliefs
What are factors that affect mental health? Spirituality (religion), culture/regional differences, community (fam + friends),
personality traits, health practices and beliefs, environmental experiences,
negative influences (psychosocial stressors, poverty, impaired parenting),
biological hormones/genetics
Importance of spiritual and religious beliefs Helpful in coping, giving meaning, enhancing healthy behaviors, social
support, and decreasing physical/emotional stress.
Difference in spiritual beliefs and religious beliefs? Spiritual beliefs are how we find hope, meaning, purpose, and a sense of
peace in our lives. More about personal beliefs.
Religious beliefs are external system that includes beliefs, patterns of worship,
and symbols.
Stigma Defined as a collection of negative attitudes, beliefs, and thoughts that
influence public perception of the mentally ill.
-leads to shame, discrimination, reduced access to care/opportunities, and
worsened outcomes. Nurses play a key role in reducing stigma through
education and advocacy.
Group therapy operates under the assumption that interaction among participants can provide
support or bring about desired change among individual participants (at least
2)
What are the three categories of group member roles? Task roles: serve to keep the group focused and attend to the business at hand
Maintenance roles: keep the group together and form interpersonal support
Individual roles: interfere with the group functioning because they are not
related tot he group goals but rather to specific personalities
What type of group can be lead by a general RN? The general RN can teach psychoeducational groups established to support
and teach patients and families ways to prevent relapse
, What are Medication education groups led by general allows the patient to hear the experiences of others who have taken
RNs? medication and to have the opportunity to ask questions. This group allows pts
to learn to take their meds correctly
What are dual-diagnosis groups led by general RNs? focus on co-occurring psychiatric illness and substance abuse. The RN may
lead this group with dual-diagnosis specialist (master's level clinician)
What are symptom management groups led by general designed for pts to share coping skills regarding a common problem (such as
RNs? anger or psychosis). New or alternate skills can be learned to enhance self-
control in order to help patients develop more effective strategies for reducing
relapse.
What are stress management groups led by general teach members about various relaxation techniques (deep breathing, exercise,
RNs? music, and spirituality)
What are self-care groups led by general RNs? focus on basic hygiene issues (ie. Bathing and grooming)
Autocratic leader in group therapy exerts control over the group and does not encourage much interaction
among members (limited time schedule)
Democratic leader in group therapy supports extensive group interaction in the process of problem solving (in an
psychoeducational group to encourage pts to share their experiences)
Laissez-faire leader in group therapy allows the group members to behave in any way that they choose and does not
attempt to control the direction of the group (ie in an art group to encourage
variety of responses)
What is therapeutic milieu? healthy environment + healthy social structure within an inpatient setting or
structured outpatient clinic; essential to supporting and treating those with
mental illnesses. Within this small version of society, people are safe to test new
behaviors and incr their ability to interact adaptively within the outside
community
What are the phases of the nurse-patient relationship? Preorientation phase, orientation phase, working phase, termination phase
The preorientation phase of the nurse-patient Novice health care professionals usually have many concerns and experience
relationship a mild to moderate degree or anxiety on their first clinical day.
The orientation phase of the nurse-patient relationship Can last for a few meetings or can extend over a longer period. It is the first
time the nurse and the patient meet; atmosphere is established, the nurse and
pt role is defined, and the contract of meeting specifics are discussed.
-Confidentiality is established and rapport is facilitated
Working Phase of the nurse-patient relationship The promotion of a strong working relationship develops over a period of time
and allows for the patient to experience increased levels of anxiety and
demonstrate dysfunctional behaviors in a safe setting while experimenting with
new and more adaptive coping behaviors.
-promote the pts problem solving skills and self-esteem
