Mental Health Exam 1 | Updated Revision Guide

Mental Health Exam 1 | Updated Revision Guide - Two breach of confidentiality questions (easy) - anso 1 answer is breach of confidentiality o 2 answer is something is like "I can neither confirm nor deny the existence of that patient" - Minimization defense mechanism - ansstudy - Don't ask what's wrong with you: - ansask what happened to you - Recovery model select all that apply - anso managing symptoms o reducing psychosocial disability o improving role performance - Cognitive distortion select all that apply (table 3-3) - anso Correct: -kid scores 88% on test, mad it's not an A and cancels movie plans with a friend -clerk is mean to lady, lady asks herself what she did to the clerk to cause her to be mean -one other very obvious not normal cognitive thought - Serotonin testbank question - anscorrect- lack of/decreased serotonin - neurotransmitter question - anscorrect- decrease in reuptake or something of neurotransmitters - Repression select all that apply - anso Known as ...? the cornerstone of the defense mechanisms, and it is the first line of psychological defense against anxiety. o number one something o unconscious level o (3 things... found this in the book: foundation of all defense mechanisms that are used on an unconscious level) silence question - anssomething about how silence works/how it is helpful Hopelessness is the characteristic common among people who attempt suicide. The incorrect options reflect myths about suicide. Not all who attempt suicide are intent on dying. Not all are mentally ill or cognitively impaired. o Or something similar to this- like a runaway teen what is the most important? - ansI think the answer was support - Which statement by a patient during an assessment interview should alert the nurse to the patient's need for immediate, active intervention? a. "I am mixed up, but I know I need help." b. "I have no one for help or support." c. "It is worse when you are a person of color." d. "I tried to get attention before I shot myself." - ansANS: B "I have no one for help or support." Of the feelings listed, hopelessness is most closely associated with increased suicide risk. Depression, aggression, impulsivity, and shame are other feelings noted as risk factors for suicide. - Assessing the lethality of the situation: example was of an older white man who was divorced and just found out he has cancer or something like that. The answer options were like low risk, medium risk - ansAnswer is high/or the highest option risk level Lack of social support and social isolation increase the suicide risk. The willingness to seek help lowers the risk. Being a person of color does not suggest a higher risk; more whites commit suicide than do individuals of other racial groups. Attention seeking is not correlated with a higher risk of suicide. - The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is: a. hopelessness. b. sadness. c. elation. d. anger. - ansANS: A hopelessness. The patient mentions a number of indicators that suggest a high degree of satisfaction with the Nursing Outcomes Classification of patient satisfaction: psychological care. No indicators express low-to-moderate satisfaction. - Lots of therapeutic response type of questions - ansstudy - When a client is admitted to the emergency room for a suicide attempt, another nurse says, "Here we go again. If she was serious she'd be dead by now." The nurse considers which of the following when preparing to see the client? A. Clients with repeated suicide attempts rarely kill themselves. B. Clients with previous suicide attempts are at serious suicide risk. C. Clients with previous attempts may be manipulative so avoid discussions of suicide. D. Clients with repeated attempts will automatically need involuntary commitment - ansB. Clients with previous suicide attempts are at serious suicide risk. - Something about how you will not convince someone to kill theme selves by asking if they are suicidal - ansstudy - something about teens and what helps - anso answer is let them talk about their feelings - Question about priority - anso something & safety of pt - Question of in-depth direct? - anso Correct- something about certain situation about "tell me more about that class period/time?" - Erikson old last group/older people - anso Correct- uniqueness and something else - Something about a 6 yo wetting the bed after a traumatic event, what to say to the parents - anso Correct- "you child is going back to a younger age where they were emotionally/not got enough care" - The assumption most useful to a nurse planning crisis intervention for any patient is that the patient: a. is experiencing a state of disequilibrium. b. is experiencing a type of mental illness. c. poses a threat of violence to others. d. has a high potential for self-injury. - ansANS: A Disequilibrium is the only answer universally true for all patients in crisis. A crisis represents a struggle for equilibrium when problems seem unsolvable. Crisis does not reflect mental illness. The potential for self-violence or other-directed violence may or may not be a factor in crisis.