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PN 3003 VARIATIONS (MENTAL HEALTH) EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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PN 3003 VARIATIONS (MENTAL HEALTH) EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (200) definition of mental health vs mental illness 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 social well being is intact mental illness: -disturbance in a person's cognition, emotions, or behaviors primary gain vs secondary gain primary: anxiety is diverted to the physical problem (ex: stressing over final, deciding to skip it = no more anxiety) secondary: receiving attention from another (ex: attention from teacher, classmates, etc) repression vs regression 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 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 define displacement defense mechanism where it involves an individual transferring negative feelings from one person or thing to another ex: a person who is angry at their boss and may take out their anger on a family member define rationalization Making excuses for actions or feelings ex: person is rejected by crush & rationalizes situation by saying they were not attracted to other person anyway define intellectualization defense mechanism where person avoid uncomfortable emotions by focusing on facts & logic 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 describe denial stage of grief -avoiding reality & may act like nothing happened -allows an adjustment period to gather coping strategies for grieving describe anger stage of grief -occurs once reality is real -expressed in many ways, like crying, expressions of self-blame and guilt -sometimes anger can turn inwards, which results in physical illness and/or psychological dysfunction describe bargaining stage of grief -an attempt to postpone acceptance of reality -frequent labile moods -continued anger & unwillingness to accept loss describe depression stage of grief -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 -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 describe acceptance stage of grief -person begins to experience peace & serenity -time for letting go & allowing life to provide new experiences & relationships describe psychotherapy use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems describe cognitive behavioral therapy (CBT) based on cognitive model that focuses on identifying & correcting distorted thinking patterns that can lead to emotional stress & problem behaviors -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 describe electroconvulsive therapy 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 -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 what meds are used when performing ECT? administered along w/ general anesthesia & muscle relaxants to minimize any seizures impacting entire body & severe muscle contractions that can fracture or dislocate bones when is ECT performed? recommended when people who have symptoms aren't responding to meds or psychosocial txs what is contraindicated for ECT? -lithium → contributes to cognitive side effects (delirium & cognitive problems) -BP meds -benzos what is important to do after ECT completed? reorient patient (name, date, location) what is psychopharmacotherapy use of medications to treat psychological problems what are the most common symptoms of psychiatric disorders as described by DSM-5? -mood alterations -irritability & anxiety -altered thought processes -misperceptions of environment -impaired & illogical communication or interaction patterns -disorientation & confusion what are the phases of a therapeutic relationship? Orientation, working, termination describe orientation phase pt & nurse getting to know each other -involves explaining purpose of nurse-pt interaction for building trust, establishing roles, & identifying problems & expectations describe working stage where outcomes & interventions toward behavior change are planned & goals are developed to improve client's well being describe termination phase allows client to depend on themselves while developing improved adaptive skills (end of nurse-pt relationship) -important to discuss termination w/ client & respond to any feelings/concerns what components are included in mental status examination? appearance: grooming, eye contact, posture attitude: cooperative or uncooperative, friendly, hostile speech pattern: speed, volume, slurring mood & affect LOC/LOO memory: recent or short-term perceptions: hallucinations, illusions, etc. judgement: problem-solving, decision-making abilities thought processes: speed, content, logical or illogical differentiate each characteristic empathy genuineness acceptance self awareness empathy -seeing, understanding, & sharing others viewpoints w/o judgement genuineness -attribute of realness & concerns that fosters an honest & caring foundation for trust acceptance -ability to see the client as a person w/ worthy & dignity who isn't judged or labeled by the standards of another self-awareness -consciousness of one's own individuality & personality w/ an attitude of openness to make positive changes what are the types of anxiety disorders? -generalized anxiety disorder -panic disorder -specific phobia -social anxiety disorder (social phobia) -PTSD -OCD

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4/6/25, 7:48 PN 3003 Variations (Mental Health) |
AM
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




1/10

, 4/6/25, 7:48 PN 3003 Variations (Mental Health) |
AM


-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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