1
NUR4005 Mental Health – Exam 2 Study Guide & Content Review Latest
Updated Study Guide 2023
NUR4005 Mental Health – Exam 2 Study Guide & Content Review – Summer 2018
(Exam covers all assigned readings, assignments, PPTs, videos found in Modules 4 – 7)
1. Always promote SAFETY!
2. Admission of Mental Health Clients – only when in danger to self or others or unable to care for self-due
to a mental health issue. Characteristics of a client who voluntarily is admitted & of a client who is
admitted by commitment.
3. Evaluate client teaching for coping skills has been effective?
4. Therapeutic communication – apply to different situations. ie… suicide comments, nothing to live for,
complaining of symptoms related to their disorder, unrealistic beliefs such as food being poisoned,
mania, delusions, hallucinations, panic attacks, , anxiety, threatening / aggressive behavior (do not ever
turn your back on a client who can potentially harm you; talk client down from aggression or threat of
aggression – set limits).
• Role of silence / reflection / listening skills/ setting limits with client behaviors / focusing /
validating / open ended questions
5. Defense Mechanisms: denial / projection / regression / rationalization
6. Characteristics (symptoms / behaviors) of the identified psychopathologies (ie.. depression,
schizophrenia, bipolar, personality disorder, ADHD, Autism, OCD………
• Major Depression – too much or too little sleep, poor appetite or increased appetite, loss of
interest, anhedonia (inability to feel pleasure – even in events that previously brought pleasure) ,
disshuffled, poor hygiene, apathetic, lack of motivation, weight gain or loss, lack of emotion, flat
affect, depressed mood, crying, withdrawn, poverty of ideas, can be suicidal, lack of interest in
sexual activities, poor school performance…..
• Schizophrenia – varies widely – psychotic behavior, delusions, hallucinations (5 senses), inability to
care for self, bizarre behavior, disorganized thought,
• avolition (decrease in the motivation to initiate & perform self-directed purposeful activities),
• anergia (abnormal lack of energy),
• delusions of grandeur (feeling famous or very important),
• paranoia,
• flight of ideas (thoughts & ideas leap from topic to topic),
• echolalia (unsolicited repetition of vocalizations made by other persons)
disconnected thought patterns,
• loose associations,
• can be suicidal or homicidal,
• increased thirst (fluids),
• catatonic (lack of movement)…..
• BiPolar Disorder – depression / mania. Clients tend to experience more depression symptoms
or more mania symptoms.
• Mania – weight loss, impulsive, over spending on purchases, fast talk, fast movements,
pacing, rapid thoughts, confabulation (make up words), disorganized thought, verbosity
(speaking many words). Decompensation of cardiac system due to poor nutrition, fluid, &
electrolyte balance.
• Obsessive – Compulsive Disorder (OCD) – Commonly associated with feelings of guilt &
inadequacies. Obsessions are repetitive thoughts, whereas compulsions are ritualistic behaviors.
Compulsions like – washing hands excessively, aligning items in a certain way all the time to a point
This study source was downloaded by 100000815611969 from CourseHero.com on 01-24-2023 00:23:13 GMT -06:00
https://www.coursehero.com/file/32676673/NUR4005-Mental-Health-Exam-2-Study-Guide-Summer-2018docx/
, 2
NUR4005 Mental Health – Exam 2 Study Guide & Content Review Latest
Updated Study Guide 2023
of disturbance & stress if items are not in order. Can lead to panic attacks (SOB, tachycardia, chest
This study source was downloaded by 100000815611969 from CourseHero.com on 01-24-2023 00:23:13 GMT -06:00
https://www.coursehero.com/file/32676673/NUR4005-Mental-Health-Exam-2-Study-Guide-Summer-2018docx/
NUR4005 Mental Health – Exam 2 Study Guide & Content Review Latest
Updated Study Guide 2023
NUR4005 Mental Health – Exam 2 Study Guide & Content Review – Summer 2018
(Exam covers all assigned readings, assignments, PPTs, videos found in Modules 4 – 7)
1. Always promote SAFETY!
2. Admission of Mental Health Clients – only when in danger to self or others or unable to care for self-due
to a mental health issue. Characteristics of a client who voluntarily is admitted & of a client who is
admitted by commitment.
3. Evaluate client teaching for coping skills has been effective?
4. Therapeutic communication – apply to different situations. ie… suicide comments, nothing to live for,
complaining of symptoms related to their disorder, unrealistic beliefs such as food being poisoned,
mania, delusions, hallucinations, panic attacks, , anxiety, threatening / aggressive behavior (do not ever
turn your back on a client who can potentially harm you; talk client down from aggression or threat of
aggression – set limits).
• Role of silence / reflection / listening skills/ setting limits with client behaviors / focusing /
validating / open ended questions
5. Defense Mechanisms: denial / projection / regression / rationalization
6. Characteristics (symptoms / behaviors) of the identified psychopathologies (ie.. depression,
schizophrenia, bipolar, personality disorder, ADHD, Autism, OCD………
• Major Depression – too much or too little sleep, poor appetite or increased appetite, loss of
interest, anhedonia (inability to feel pleasure – even in events that previously brought pleasure) ,
disshuffled, poor hygiene, apathetic, lack of motivation, weight gain or loss, lack of emotion, flat
affect, depressed mood, crying, withdrawn, poverty of ideas, can be suicidal, lack of interest in
sexual activities, poor school performance…..
• Schizophrenia – varies widely – psychotic behavior, delusions, hallucinations (5 senses), inability to
care for self, bizarre behavior, disorganized thought,
• avolition (decrease in the motivation to initiate & perform self-directed purposeful activities),
• anergia (abnormal lack of energy),
• delusions of grandeur (feeling famous or very important),
• paranoia,
• flight of ideas (thoughts & ideas leap from topic to topic),
• echolalia (unsolicited repetition of vocalizations made by other persons)
disconnected thought patterns,
• loose associations,
• can be suicidal or homicidal,
• increased thirst (fluids),
• catatonic (lack of movement)…..
• BiPolar Disorder – depression / mania. Clients tend to experience more depression symptoms
or more mania symptoms.
• Mania – weight loss, impulsive, over spending on purchases, fast talk, fast movements,
pacing, rapid thoughts, confabulation (make up words), disorganized thought, verbosity
(speaking many words). Decompensation of cardiac system due to poor nutrition, fluid, &
electrolyte balance.
• Obsessive – Compulsive Disorder (OCD) – Commonly associated with feelings of guilt &
inadequacies. Obsessions are repetitive thoughts, whereas compulsions are ritualistic behaviors.
Compulsions like – washing hands excessively, aligning items in a certain way all the time to a point
This study source was downloaded by 100000815611969 from CourseHero.com on 01-24-2023 00:23:13 GMT -06:00
https://www.coursehero.com/file/32676673/NUR4005-Mental-Health-Exam-2-Study-Guide-Summer-2018docx/
, 2
NUR4005 Mental Health – Exam 2 Study Guide & Content Review Latest
Updated Study Guide 2023
of disturbance & stress if items are not in order. Can lead to panic attacks (SOB, tachycardia, chest
This study source was downloaded by 100000815611969 from CourseHero.com on 01-24-2023 00:23:13 GMT -06:00
https://www.coursehero.com/file/32676673/NUR4005-Mental-Health-Exam-2-Study-Guide-Summer-2018docx/
