1
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
EBP (evidence based practice) Using the best available research evidence,
clinical expertise, & patient preferences to make clinical decisions
The 5 A’s of integrating best evidence into clinical
practices includes: Asking
Acquirin
g
Appraisi
ng
Applyin
g
Assessin
g
The mental health recovery model is one of helping people with psychiatric disabilities
effectively manage their symptoms, reduce psychosocial disability, and find a meaningful
life in a community of their choosing.
3 specific areas are inherent within the art of nursing: caring, attending & patient
advocacy.
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 2
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
Basic Brain Anatomy- what do the different part of brain control?
o Frontal Lobe: Thought Processes & Voluntary Movement (decision making)
o Temporal Lobe: Auditory Processes (language, speech, connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation, reading, math, proprioception)
o Hypothalamus: maintains homeostasis, regulates BP, Temp, libido, hunger,
thirst, and sleep/wake cycles.
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into chemical signals released at
the synapse
Synapse- The space between neurons in which neurotransmitters are
released and either inhibit/excite the adjacent neuron. The 4 NT’s are
dopamine, norepinephrine, serotonin and acetylcholine.
Milieu Therapy: Creating a SAFE, structured inpatient/outpatient setting where the
mentally ill can test new behaviors and coping mechanisms with others.
o Climate is essential to healing: paint color, relaxed environments are conducive
to the healing process.
o Florence Nightingale believed that the environment helps heal
Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a constant body
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 3
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
temperature. If all the needs were deprived, this level would take priority.
o Safety Needs: Security, protection, freedom from fear/anxiety/chaos, and the
need for law, order, and limits.
o Belonging and Love Needs: intimate relationship, love, affection, and
belonging, having a family and a home and being part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel confident, valued, and
valuable. When self-esteem is compromised, we feel inferior, worthless, and
helpless.
o Self-actualization: Reaching our full potential to feel inner peace and fulfillment.
Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing individual and family roles in
recovery. (Based off of
Sullivan’s Interpersonal Theory). Relationships greatly influence recovery
Freud- contributed to psychiatric setting -Unconscious thoughts
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly influenced by our parents morals and
ethical stances
Erickson’s
o Trust vs. Mistrust (infant 0- 1 ½) trust developed if caregivers give affection,
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 4
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
love, care, attention, and reliability. (Feeding)
o Autonomy vs. Shame (toddlers 1 ½ - 3) kids need to develop a sense of
personal control. (Toilet Training)
o Initiative vs. Guilt (children 3-6) children need to have power to explore their
environment and not receive disapproval from parents. (Exploration)
o Industry vs. Inferiority: (school aged kids 6-12) Kids dealing with new social
and academic demands. Success leads to a sense of competence. (School)
o Identity vs. Role Confusion (teens 12-20) Teens need to develop self-identity
and personal identity to stay true to themselves. (Social Relationships)
o Intimacy & Solidarity vs. Isolation (young adults 20-30) Young Adults need to
form intimate, loving relationships. (Relationships)
o Generativity vs. Self-Absorption: (adults 30-65) Need to create/nurture
things by having children. (Work & Parenthood)
o Integrity vs. Despair (elderly 65+) Need to look back and feel fulfilled by
accomplishments; have wisdom and no regrets (Reflection on Life)
Sullivan Personalities are influenced during childhood and mostly by the MOTHER.
Therapeutic Communication: goal directed, professional, scientifically
based. The goal is to get information so that you can plan care for the patient.
o Active Listening
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
EBP (evidence based practice) Using the best available research evidence,
clinical expertise, & patient preferences to make clinical decisions
The 5 A’s of integrating best evidence into clinical
practices includes: Asking
Acquirin
g
Appraisi
ng
Applyin
g
Assessin
g
The mental health recovery model is one of helping people with psychiatric disabilities
effectively manage their symptoms, reduce psychosocial disability, and find a meaningful
life in a community of their choosing.
3 specific areas are inherent within the art of nursing: caring, attending & patient
advocacy.
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 2
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
Basic Brain Anatomy- what do the different part of brain control?
o Frontal Lobe: Thought Processes & Voluntary Movement (decision making)
o Temporal Lobe: Auditory Processes (language, speech, connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation, reading, math, proprioception)
o Hypothalamus: maintains homeostasis, regulates BP, Temp, libido, hunger,
thirst, and sleep/wake cycles.
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into chemical signals released at
the synapse
Synapse- The space between neurons in which neurotransmitters are
released and either inhibit/excite the adjacent neuron. The 4 NT’s are
dopamine, norepinephrine, serotonin and acetylcholine.
Milieu Therapy: Creating a SAFE, structured inpatient/outpatient setting where the
mentally ill can test new behaviors and coping mechanisms with others.
o Climate is essential to healing: paint color, relaxed environments are conducive
to the healing process.
o Florence Nightingale believed that the environment helps heal
Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a constant body
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 3
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
temperature. If all the needs were deprived, this level would take priority.
o Safety Needs: Security, protection, freedom from fear/anxiety/chaos, and the
need for law, order, and limits.
o Belonging and Love Needs: intimate relationship, love, affection, and
belonging, having a family and a home and being part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel confident, valued, and
valuable. When self-esteem is compromised, we feel inferior, worthless, and
helpless.
o Self-actualization: Reaching our full potential to feel inner peace and fulfillment.
Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing individual and family roles in
recovery. (Based off of
Sullivan’s Interpersonal Theory). Relationships greatly influence recovery
Freud- contributed to psychiatric setting -Unconscious thoughts
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly influenced by our parents morals and
ethical stances
Erickson’s
o Trust vs. Mistrust (infant 0- 1 ½) trust developed if caregivers give affection,
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
, 4
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
love, care, attention, and reliability. (Feeding)
o Autonomy vs. Shame (toddlers 1 ½ - 3) kids need to develop a sense of
personal control. (Toilet Training)
o Initiative vs. Guilt (children 3-6) children need to have power to explore their
environment and not receive disapproval from parents. (Exploration)
o Industry vs. Inferiority: (school aged kids 6-12) Kids dealing with new social
and academic demands. Success leads to a sense of competence. (School)
o Identity vs. Role Confusion (teens 12-20) Teens need to develop self-identity
and personal identity to stay true to themselves. (Social Relationships)
o Intimacy & Solidarity vs. Isolation (young adults 20-30) Young Adults need to
form intimate, loving relationships. (Relationships)
o Generativity vs. Self-Absorption: (adults 30-65) Need to create/nurture
things by having children. (Work & Parenthood)
o Integrity vs. Despair (elderly 65+) Need to look back and feel fulfilled by
accomplishments; have wisdom and no regrets (Reflection on Life)
Sullivan Personalities are influenced during childhood and mostly by the MOTHER.
Therapeutic Communication: goal directed, professional, scientifically
based. The goal is to get information so that you can plan care for the patient.
o Active Listening
NURSING NUR 2488 MENTAL HEALTH FINAL
EXAM STUDYGUIDE LATEST UPDATE 2022
GUARANTEED SUCCESS
