MH FINAL (2025) Actual Exam
Questions and Answers A+
Graded
MODULE .ONE
Chapter .1
Know .definition .of .mental .health .– .what .constitutes .mental .wellness
Mental .Health: .a .state .of .well-being .in .which .each .individual .is .able .to .realize .his .or .her
.own .potential, .cope .with .normal .stresses .of .life, .work .productively, .and .make .a .contribution
.to .the .community
Mental .Illness: .all .psychiatric .disorders .that .have .definable .diagnoses. .These .disorders
.are .manifested .in .significant .dysfunctions .that .may .be .related .to .developmental,
.biological, .or .psychological .disturbances .in .mental .functioning.
Mental .Health .is .on .a .continuum .from .well-being .to .problems/concerns .to .mental .illness
.What .external .factors .can .influence .mental .health .and .wellness? .Nature .vs. .nurture
.Individual .attributes .and .behaviors
• Individual .attributes .are .characteristics .that .are .both .inborn .and .learned
• Biological .and .genetic .factors .– .prenatal .exposure .to .alcohol .and .O2 .deprivation .at .birth
• Resiliency .– .the .ability .and .capacity .for .people .to .secure .the .resources .they
.need .to .support .their .well-being. . Resilient .people .are .effective .at .regulating
.their .emotions
o Characterized .by .optimism, .sense .of .mastery,
.competence .Social .and .economic .circumstances
• Immediate .social .surroundings .impact .personal .attributes .(family .and .friends)
• Family .sets .the .stage .for .promoting .confidence .and .coping .skills, .or .instilling
.anxiety .or .feelings .of .inadequacy
• Socioeconomic .status .has .an .impact .on .the .resources .available .to .support
.mental .health .and .reduce .concerns .over .food, .clothing, .and .shelter
Environmental .factors
• Access .or .lack .thereof .to .basic .needs .and .commodities .such .as .healthcare, .water,
.safety .services, .and .a .highway .system .have .a .major .impact .on .community .mental
.health
• In .US, .there .has .been .a .shift .towards .access .and .reimbursement .for
.mental .health .services
• Mental .health .is .culturally .defined .– .beliefs, .attitudes, .and .practices .influence
.what .is .considered .mental .illness .(violates .the .norms .of .the .society)
Know .definition .of .resilience, .what .factors .lead .to .increased .resilience
,Resiliency .– .the .ability .and .capacity .for .people .to .secure .the .resources .they .need .to
.support .their .well-being. . Resilient .people .are .effective .at .regulating .their .emotions.
• Characterized .by .optimism, .sense .of
.mastery, .competence .DSM-5 .definition/use
Diagnostic .and .Statistical .Manual, .5th .Edition .(DSM-V) .– .major .classification .system.
.Dominant .method .of .categorizing .and .diagnosing .mental .illness .in .the .US .and .is .the
.framework .for .clinical .disorders
• Classifies .disorders, .NOT .people .– .viewing .the .person .as .a .person .and .not .an .illness
• Based .on .specific .criteria .influenced .by .multi-professional .clinical .field .trials
• The .official .medical .guideline .for .diagnosing
.psychiatric .disorders .Chapter .4
Box .4.2 .– .Sample .of .patient .rights .p .70 .new .p .75 .old
Client’s .right .in .a .psychiatric .inpatient .facility .retain .the .same .rights .as .any .other .citizen.
rapeutic .milieu .– .how .is .it .maintained .– .behavioral .crisis, .safety .– .measures .to
.promote .safety .on .nursing .units, .unit .designs .– .know .safety .precautions .regarding
unit designs
Milieu, .meaning .middle, .refers .to .surroundings .and .the .physical .environment. .In .a .therapeutic
.context, .it .refers .to .the .overall .environment .and .interactions .w/in .that .environment.
• Recognizes .that .the .people, .the .setting, .the .structure, .and .the .emotional
.climate .are .important .to .healing.
o Structure .involves .activities, .rules, .reality .orientation, .and .environment
• Offers .pts .a .sense .of .security .and .promotes .healing.
,Behavioral .Crises .– .lead .to .pt .violence .towards .self .or .others
• Usually .escalate .through .predictable .stages. . Staff .is .trained .to .recognize .the
.stages .and .de-escalate .the .behavior .– .hands-on .techniques .are .a .last .resort
• If .preventative .measures .fail, .team .members .participate .in .a .rapid, .organized
.plan .to .manage .the .situation
o Nurse .is .usually .team .leader .– .decide .timing .of .actions .and .manage .med .admin
▪ Can .usually .initiate .in .absence .of .physician .but .must .secure .an .order
.in .a .specified .time .period
o Seclusion, .restraints, .and .emergency .meds .are .a
.last .resort .Safety .– .protect .patient .and .staff/other .patients.
• Check .all .personal .property .and .clothing .to .prevent .harmful .items .from .being
.taken .into .the .unit
• Monitoring .clients .on .a .regular .basis .is .essential .to .safety, .if .clients
.are .placed .precautions .for .suicide .they .may .require .continuous .in-
person .observation
• Track .pts .whereabouts .and .activities, .as .well .as .monitoring .visitation
• Unit .design .is .important .for .safety:
o Closets .w/ .breakaway .bars .or .hooks
o Windows .locked .and .made .of .safety .glass .w/ .mini-blinds .w/in .the .glass
o Safety .mirrors .used
o Showers .w/ .non-weight-bearing .or .non-looping .showerheads
o Beds .are .platform .beds, .not .hospital .beds .with .crushing .potential
.or .looping .hazards
o Doors .that .open .out
o Continuous .hinges .on .doors .to .prevent .hanging .risks
o Furniture .anchored .in .place
o Drapes .mounted .on .a .track .anchored .to .the .ceiling
o Boxed-in .plumbing .fixtures
Chapter .8
Nurse/patient .relationship .– .know .how .to .identify .blurring .of .boundaries .(table .8.1) .p .127
.new . p .134 .old
Boundaries .are .necessary .to .protect .not .only .the .patient .but .the .nurse .as .well. .Nurses
.should .seek .a .level .of .involvement .with .patients .that .is .healthy.
• These .boundaries .should .provide .a .safe .place .where .the .patients .can
.explore .feelings .and .treatment .concerns.
• When .you .look .at .setting .boundaries .for .each .relationship .you .should .identify
.physical .boundaries .such .as .using .fist .bump .instead .of .a .hug .or .handshake.
, • You .may .also .agree .upon .a .contract .regarding .boundaries .where .you .and .the
.patient .agree .that .you .will .meet .in .certain .places, .you .may .decide .where .to .sit
.and .what .type .of .personal .space .is .needed .to .make .you .and .the .patient .feel
.comfortable.
Blurring .of .boundaries .occur .when .the .relationship .moves .from .professional .to .the .social
.context. .This .occurs .when .the .nurse’s .needs .are .met .at .the .expense .of .the .patient’s
.needs .such .as .buying .patient .clothes .because .they .do .not .have .certain .things .so .that .the
.patient .will .like .you .and .say .you .are .their .favorite .nurse.
Blurring .of .roles .in .nurse/patient .relationship .– .transference .– .definition, .how .to
.identify .statement .of .transference, .countertransference .– .definition, .how .to .identify
.statement .of .countertransference .(table .8.2 .p .129 .new, .p .135 .old)
Another .means .of .blurring .of .boundaries .is .the .method .of .transference .where .the .patient
.unconsciously .and .inappropriately .displaces .onto .the .nurse .feeling .and .behaviors .related .to
.significant .figures .in .their .past.
• Transference .can .be .positive .or .negative .depending .on .the .relationship
.with .the .significant .figure .from .their .past.
o Positive .does .not .need .to .be .address, .but .negative .does .to .prevent .an .impact
.on .the .nurse-patient .relationship
• Pt .may .say, .“you .remind .me .of .my .mother/sister, .etc.” .– .Transference .can .occur .in
.all .relationships, .but .seems .to .be .intensified .in .relationships .where .one .person .is
.in .authority.
Countertransference .is .transference .in .reverse. .It .occurs .when .the .nurse .unconsciously
.displaces .feelings .related .to .significant .figures .in .the .nurse’s .past .onto .the .patient.
Questions and Answers A+
Graded
MODULE .ONE
Chapter .1
Know .definition .of .mental .health .– .what .constitutes .mental .wellness
Mental .Health: .a .state .of .well-being .in .which .each .individual .is .able .to .realize .his .or .her
.own .potential, .cope .with .normal .stresses .of .life, .work .productively, .and .make .a .contribution
.to .the .community
Mental .Illness: .all .psychiatric .disorders .that .have .definable .diagnoses. .These .disorders
.are .manifested .in .significant .dysfunctions .that .may .be .related .to .developmental,
.biological, .or .psychological .disturbances .in .mental .functioning.
Mental .Health .is .on .a .continuum .from .well-being .to .problems/concerns .to .mental .illness
.What .external .factors .can .influence .mental .health .and .wellness? .Nature .vs. .nurture
.Individual .attributes .and .behaviors
• Individual .attributes .are .characteristics .that .are .both .inborn .and .learned
• Biological .and .genetic .factors .– .prenatal .exposure .to .alcohol .and .O2 .deprivation .at .birth
• Resiliency .– .the .ability .and .capacity .for .people .to .secure .the .resources .they
.need .to .support .their .well-being. . Resilient .people .are .effective .at .regulating
.their .emotions
o Characterized .by .optimism, .sense .of .mastery,
.competence .Social .and .economic .circumstances
• Immediate .social .surroundings .impact .personal .attributes .(family .and .friends)
• Family .sets .the .stage .for .promoting .confidence .and .coping .skills, .or .instilling
.anxiety .or .feelings .of .inadequacy
• Socioeconomic .status .has .an .impact .on .the .resources .available .to .support
.mental .health .and .reduce .concerns .over .food, .clothing, .and .shelter
Environmental .factors
• Access .or .lack .thereof .to .basic .needs .and .commodities .such .as .healthcare, .water,
.safety .services, .and .a .highway .system .have .a .major .impact .on .community .mental
.health
• In .US, .there .has .been .a .shift .towards .access .and .reimbursement .for
.mental .health .services
• Mental .health .is .culturally .defined .– .beliefs, .attitudes, .and .practices .influence
.what .is .considered .mental .illness .(violates .the .norms .of .the .society)
Know .definition .of .resilience, .what .factors .lead .to .increased .resilience
,Resiliency .– .the .ability .and .capacity .for .people .to .secure .the .resources .they .need .to
.support .their .well-being. . Resilient .people .are .effective .at .regulating .their .emotions.
• Characterized .by .optimism, .sense .of
.mastery, .competence .DSM-5 .definition/use
Diagnostic .and .Statistical .Manual, .5th .Edition .(DSM-V) .– .major .classification .system.
.Dominant .method .of .categorizing .and .diagnosing .mental .illness .in .the .US .and .is .the
.framework .for .clinical .disorders
• Classifies .disorders, .NOT .people .– .viewing .the .person .as .a .person .and .not .an .illness
• Based .on .specific .criteria .influenced .by .multi-professional .clinical .field .trials
• The .official .medical .guideline .for .diagnosing
.psychiatric .disorders .Chapter .4
Box .4.2 .– .Sample .of .patient .rights .p .70 .new .p .75 .old
Client’s .right .in .a .psychiatric .inpatient .facility .retain .the .same .rights .as .any .other .citizen.
rapeutic .milieu .– .how .is .it .maintained .– .behavioral .crisis, .safety .– .measures .to
.promote .safety .on .nursing .units, .unit .designs .– .know .safety .precautions .regarding
unit designs
Milieu, .meaning .middle, .refers .to .surroundings .and .the .physical .environment. .In .a .therapeutic
.context, .it .refers .to .the .overall .environment .and .interactions .w/in .that .environment.
• Recognizes .that .the .people, .the .setting, .the .structure, .and .the .emotional
.climate .are .important .to .healing.
o Structure .involves .activities, .rules, .reality .orientation, .and .environment
• Offers .pts .a .sense .of .security .and .promotes .healing.
,Behavioral .Crises .– .lead .to .pt .violence .towards .self .or .others
• Usually .escalate .through .predictable .stages. . Staff .is .trained .to .recognize .the
.stages .and .de-escalate .the .behavior .– .hands-on .techniques .are .a .last .resort
• If .preventative .measures .fail, .team .members .participate .in .a .rapid, .organized
.plan .to .manage .the .situation
o Nurse .is .usually .team .leader .– .decide .timing .of .actions .and .manage .med .admin
▪ Can .usually .initiate .in .absence .of .physician .but .must .secure .an .order
.in .a .specified .time .period
o Seclusion, .restraints, .and .emergency .meds .are .a
.last .resort .Safety .– .protect .patient .and .staff/other .patients.
• Check .all .personal .property .and .clothing .to .prevent .harmful .items .from .being
.taken .into .the .unit
• Monitoring .clients .on .a .regular .basis .is .essential .to .safety, .if .clients
.are .placed .precautions .for .suicide .they .may .require .continuous .in-
person .observation
• Track .pts .whereabouts .and .activities, .as .well .as .monitoring .visitation
• Unit .design .is .important .for .safety:
o Closets .w/ .breakaway .bars .or .hooks
o Windows .locked .and .made .of .safety .glass .w/ .mini-blinds .w/in .the .glass
o Safety .mirrors .used
o Showers .w/ .non-weight-bearing .or .non-looping .showerheads
o Beds .are .platform .beds, .not .hospital .beds .with .crushing .potential
.or .looping .hazards
o Doors .that .open .out
o Continuous .hinges .on .doors .to .prevent .hanging .risks
o Furniture .anchored .in .place
o Drapes .mounted .on .a .track .anchored .to .the .ceiling
o Boxed-in .plumbing .fixtures
Chapter .8
Nurse/patient .relationship .– .know .how .to .identify .blurring .of .boundaries .(table .8.1) .p .127
.new . p .134 .old
Boundaries .are .necessary .to .protect .not .only .the .patient .but .the .nurse .as .well. .Nurses
.should .seek .a .level .of .involvement .with .patients .that .is .healthy.
• These .boundaries .should .provide .a .safe .place .where .the .patients .can
.explore .feelings .and .treatment .concerns.
• When .you .look .at .setting .boundaries .for .each .relationship .you .should .identify
.physical .boundaries .such .as .using .fist .bump .instead .of .a .hug .or .handshake.
, • You .may .also .agree .upon .a .contract .regarding .boundaries .where .you .and .the
.patient .agree .that .you .will .meet .in .certain .places, .you .may .decide .where .to .sit
.and .what .type .of .personal .space .is .needed .to .make .you .and .the .patient .feel
.comfortable.
Blurring .of .boundaries .occur .when .the .relationship .moves .from .professional .to .the .social
.context. .This .occurs .when .the .nurse’s .needs .are .met .at .the .expense .of .the .patient’s
.needs .such .as .buying .patient .clothes .because .they .do .not .have .certain .things .so .that .the
.patient .will .like .you .and .say .you .are .their .favorite .nurse.
Blurring .of .roles .in .nurse/patient .relationship .– .transference .– .definition, .how .to
.identify .statement .of .transference, .countertransference .– .definition, .how .to .identify
.statement .of .countertransference .(table .8.2 .p .129 .new, .p .135 .old)
Another .means .of .blurring .of .boundaries .is .the .method .of .transference .where .the .patient
.unconsciously .and .inappropriately .displaces .onto .the .nurse .feeling .and .behaviors .related .to
.significant .figures .in .their .past.
• Transference .can .be .positive .or .negative .depending .on .the .relationship
.with .the .significant .figure .from .their .past.
o Positive .does .not .need .to .be .address, .but .negative .does .to .prevent .an .impact
.on .the .nurse-patient .relationship
• Pt .may .say, .“you .remind .me .of .my .mother/sister, .etc.” .– .Transference .can .occur .in
.all .relationships, .but .seems .to .be .intensified .in .relationships .where .one .person .is
.in .authority.
Countertransference .is .transference .in .reverse. .It .occurs .when .the .nurse .unconsciously
.displaces .feelings .related .to .significant .figures .in .the .nurse’s .past .onto .the .patient.
