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PN 3003 VARIATIONS (MENTAL HEALTH) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (200)
mental health:
-state of wellbeing in one's own abilities & normal stresses of life
-only in a complete state of wellbeing when physical, mental, and
definition of mental health vs
social well being is intact
mental illness
mental illness:
-disturbance in a person's cognition, emotions, or behaviors
primary: anxiety is diverted to the physical problem (ex: stressing over
final, deciding to skip it = no more anxiety)
primary gain vs secondary gain
secondary: receiving attention from another (ex: attention from
teacher, classmates, etc)
repression
-suppressing a thought or desire so it remains unconscious
ex: child gets bitten by a dog & develops intense phobia of dogs later in
adulthood & doesn't remember experience as a child
repression vs regression
regression
-defense mechanism where person reverts back to an earlier stage of
development
ex: in periods of stress, person may revert to bedwetting or thumb sucking
defense mechanism where it involves an individual transferring
negative feelings from one person or thing to another
define displacement
ex: a person who is angry at their boss and may take out their anger on a family
member
Making excuses for actions or feelings
define rationalization
ex: person is rejected by crush & rationalizes situation by saying they were not
attracted to other person anyway
defense mechanism where person avoid uncomfortable emotions by
focusing on facts & logic
define intellectualization
ex: if person A is rude to person B, person B may think about possible reasons
for person A's behavior
what are the stages of grief? denial, anger, bargaining, depression, acceptance
-avoiding reality & may act like nothing happened
describe denial stage of grief
-allows an adjustment period to gather coping strategies for grieving
-occurs once reality is real
-expressed in many ways, like crying, expressions of self-blame and guilt
describe anger stage of grief
-sometimes anger can turn inwards, which results in physical illness
and/or psychological dysfunction
-an attempt to postpone acceptance of reality
describe bargaining stage of grief -frequent labile moods
-continued anger & unwillingness to accept loss
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-deep sense of loss as reality of what happened or anticipated settles
-may withdraw from social interaction
-predominant affect is feelings or emptiness or loss
describe depression stage of grief
-sadness & grief can be intertwined w/ good days of positive emotions
-sometimes this period can be overwhelming & recovery from depth
of sorrow unlikely w/o professional help
-person begins to experience peace & serenity
describe acceptance stage of grief
-time for letting go & allowing life to provide new experiences & relationships
use of psychological methods, particularly when based on regular
describe psychotherapy personal interaction, to help a person change behavior, increase
happiness, and overcome problems
based on cognitive model that focuses on identifying & correcting
distorted thinking patterns that can lead to emotional stress &
describe cognitive behavioral problem behaviors
therapy (CBT) -it is believed that clients respond in stressful situations based on
subjective perception of an event
-once misperception identified, clients can change their behaviors by
changing their maladaptive thinking about themselves & experiences
biomedical tx using low voltage electric shock waves passed through
the brain for several seconds to induce short periods of seizures
-causes changes in brain chemistry that can immediately reverse
symptoms of certain mental illnesses
describe electroconvulsive therapy
-can be used in depression, psychosis, bipolar, catatonia, severe
agitation & aggression in dementia pts
-done 2-3x a week, lasting about 6-12 txs
-confusion clears within hours while memory loss becomes more persistent
administered along w/ general anesthesia & muscle relaxants to
what meds are used when
minimize any seizures impacting entire body & severe muscle
performing ECT?
contractions that can fracture or dislocate bones
recommended when people who have symptoms aren't responding
when is ECT performed?
to meds or psychosocial txs
-lithium → contributes to cognitive side effects (delirium & cognitive problems)
what is contraindicated for ECT? -BP meds
-benzos
what is important to do after ECT reorient patient (name, date, location)
completed?
what is psychopharmacotherapy use of medications to treat psychological problems
-mood alterations
-irritability & anxiety
what are the most common
-altered thought processes
symptoms of psychiatric disorders
-misperceptions of environment
as described by DSM-5?
-impaired & illogical communication or interaction patterns
-disorientation & confusion
what are the phases of a Orientation, working, termination
therapeutic relationship?
pt & nurse getting to know each other
describe orientation phase -involves explaining purpose of nurse-pt interaction for building trust,
establishing roles, & identifying problems & expectations
where outcomes & interventions toward behavior change are planned &
describe working stage
goals are developed to improve client's well being
allows client to depend on themselves while developing improved
describe termination phase adaptive skills (end of nurse-pt relationship)
-important to discuss termination w/ client & respond to any feelings/concerns
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