NURS 471 EXAM 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is the definition of mental health? - CORRECT ANSWER - state of well being in
which each individual is able to realize is or her own potential, cope with the normal stresses of
life, work productively and make a contribution to the community
allows people to have rational thinking, communication skills, learning, emotional growth,
resilience and self esteem
What is the definition of mental illness? - CORRECT ANSWER - all psychiatric disorders
that have definable diagnoses
what is mental health continuum? - CORRECT ANSWER - mental health and mental
illness can be conceptualized as points along this
mental health is on one end, people may experience stress or sadness for a bit, but they can
reframe their mind, does not impair daily functioning
mental illness is at the other end, people experience discomfort and altered thinking
what is resilience? - CORRECT ANSWER - ability and capacity to secure resources
needed to support well-being
what is mental illness vs physical illness - CORRECT ANSWER - -mental illness refers to
the brain
-mental illness has a stigma that the person experiencing the illness has personal control and its
all in the head
-this belief is perpetuated bc there is no specific brain tests to diagnose like we have to diagnose
seizures
,diathesis-stress model - CORRECT ANSWER - a diagnostic model that proposes that a
disorder may develop when an underlying vulnerability (genetic predisposition) is coupled with a
precipitating event
what is the decade of the brain? - CORRECT ANSWER - make the public aware of the
advances that had been made in neuroscience and the brain
-genetic basis of embryonic and fetal neural development
-mapping genes involved in neurological illnesses including mutations associated w Parkinsons',
Alzheimer;'s, epilepsy
-brain uses small number of the total neurotransmitters that it has
-*uncovering role cytokines in disorders like depressions*
-bringing together computer modeling and lab research
what is the DSM-5? how it it different from nursing diagnosis? - CORRECT ANSWER --
DSM-5 identifies disorders based on specific criteria, serves as a tool for collecting
epidemiological statistics about the diagnosis of psychiatric disorders
the DSM-5 diagnoses psychiatric disorder, nursing diagnosis provides the framework for
identifying appropriate nursing interventions for dealing with the patients reaction to the disorder
What are structural brain abnormalities found in neuro-imaging? - CORRECT ANSWER -
schizophrenia: lower activity in frontal lobe (less glucose)
depression: decreased activity in prefrontal cortex
what are some neurotransmitters involved in psychiatric illness? - CORRECT ANSWER -
monoamine neurotransmitters
-(norepinephrine, dopamine, serotonin)
amino acid neurotransmitters
-(glutamate, GABA)
,neuropeptides
-(CRH and endorphin)
what are patient rights in treatment settings? - CORRECT ANSWER - retain rights of
citizen
(just some ex its pretty self explanatory tbh) treated with dignity, involved with planning, refuse
tx (unless they are ordered), least invasive treatment, informed consent
what acuity is deemed appropriate for a treatment setting? - CORRECT ANSWER -
admitted through ED or crisis intervention center, or by specialized provider or PCP
What is teamwork and collaboration? - CORRECT ANSWER - function effectively within
nursing and inter-professional teams fostering communication and sharing decision-making
-RN, psychiatrists, psychologists, social workers, counselors, art therapists (dance, art, music),
PA, NP, DR, psych techs, mental health specialists, pharmacists
what is the therapeutic milieu - CORRECT ANSWER - A safe and secure structured
environment that facilitates the therapeutic interaction between clients and members of the
professional team.
overall environment and interactions within that environment
how do you manage behavioral crisis? - CORRECT ANSWER - teamwork :)
each member of the team takes part in the team effort to defuse a crisis in early stages! they are
fairly predictable stages.
What is the role of psychiatric nurse and mental health workers? how do they differ - CORRECT
ANSWER - *psychiatric nurses* are responsible dx and tx responses to psychiatric
, disorders, coordinating care, counseling, giving meds evaluating responses and providing
education
*mental health workers* are under the supervision of RN, help patients meet basic needs
least restrictive last resort mean - CORRECT ANSWER - you want to try to deescalate
situations before you have to use more serious measures like seclusion, restraint and emergency
medication
therapeutic use of self - CORRECT ANSWER - nurses use themselves as a therapeutic
tool to establish the therapeutic relationship with clients and to help clients grow, change, and
heal
everyone has distinct personality traits, talent that we can learn to use creatively to form positive
bonds with others
what is the difference between a therapeutic relationship and a social relationship? - CORRECT
ANSWER - -in a social relationship, mutual needs are met. Initiated for purpose of
friendship, socialization, enjoyment or accomplishment of a task
-therapeutic relationship focuses on needs of patient, clear boundaries are established
how are boundaries blurred? - CORRECT ANSWER - when relationship slips into social
context or when the nurse's needs (for attention, affection, and emotional support) are met at the
expense of the patient's needs
feelings of specialness in the nurse-patient relationship
transference - CORRECT ANSWER - the patient unconsciously and inappropriately
displaces onto the nurses feelings and behaviors related to significant figures in the patients past
"you remind me of my mom!" treats nurse like mom
Exam Questions and CORRECT Answers
What is the definition of mental health? - CORRECT ANSWER - state of well being in
which each individual is able to realize is or her own potential, cope with the normal stresses of
life, work productively and make a contribution to the community
allows people to have rational thinking, communication skills, learning, emotional growth,
resilience and self esteem
What is the definition of mental illness? - CORRECT ANSWER - all psychiatric disorders
that have definable diagnoses
what is mental health continuum? - CORRECT ANSWER - mental health and mental
illness can be conceptualized as points along this
mental health is on one end, people may experience stress or sadness for a bit, but they can
reframe their mind, does not impair daily functioning
mental illness is at the other end, people experience discomfort and altered thinking
what is resilience? - CORRECT ANSWER - ability and capacity to secure resources
needed to support well-being
what is mental illness vs physical illness - CORRECT ANSWER - -mental illness refers to
the brain
-mental illness has a stigma that the person experiencing the illness has personal control and its
all in the head
-this belief is perpetuated bc there is no specific brain tests to diagnose like we have to diagnose
seizures
,diathesis-stress model - CORRECT ANSWER - a diagnostic model that proposes that a
disorder may develop when an underlying vulnerability (genetic predisposition) is coupled with a
precipitating event
what is the decade of the brain? - CORRECT ANSWER - make the public aware of the
advances that had been made in neuroscience and the brain
-genetic basis of embryonic and fetal neural development
-mapping genes involved in neurological illnesses including mutations associated w Parkinsons',
Alzheimer;'s, epilepsy
-brain uses small number of the total neurotransmitters that it has
-*uncovering role cytokines in disorders like depressions*
-bringing together computer modeling and lab research
what is the DSM-5? how it it different from nursing diagnosis? - CORRECT ANSWER --
DSM-5 identifies disorders based on specific criteria, serves as a tool for collecting
epidemiological statistics about the diagnosis of psychiatric disorders
the DSM-5 diagnoses psychiatric disorder, nursing diagnosis provides the framework for
identifying appropriate nursing interventions for dealing with the patients reaction to the disorder
What are structural brain abnormalities found in neuro-imaging? - CORRECT ANSWER -
schizophrenia: lower activity in frontal lobe (less glucose)
depression: decreased activity in prefrontal cortex
what are some neurotransmitters involved in psychiatric illness? - CORRECT ANSWER -
monoamine neurotransmitters
-(norepinephrine, dopamine, serotonin)
amino acid neurotransmitters
-(glutamate, GABA)
,neuropeptides
-(CRH and endorphin)
what are patient rights in treatment settings? - CORRECT ANSWER - retain rights of
citizen
(just some ex its pretty self explanatory tbh) treated with dignity, involved with planning, refuse
tx (unless they are ordered), least invasive treatment, informed consent
what acuity is deemed appropriate for a treatment setting? - CORRECT ANSWER -
admitted through ED or crisis intervention center, or by specialized provider or PCP
What is teamwork and collaboration? - CORRECT ANSWER - function effectively within
nursing and inter-professional teams fostering communication and sharing decision-making
-RN, psychiatrists, psychologists, social workers, counselors, art therapists (dance, art, music),
PA, NP, DR, psych techs, mental health specialists, pharmacists
what is the therapeutic milieu - CORRECT ANSWER - A safe and secure structured
environment that facilitates the therapeutic interaction between clients and members of the
professional team.
overall environment and interactions within that environment
how do you manage behavioral crisis? - CORRECT ANSWER - teamwork :)
each member of the team takes part in the team effort to defuse a crisis in early stages! they are
fairly predictable stages.
What is the role of psychiatric nurse and mental health workers? how do they differ - CORRECT
ANSWER - *psychiatric nurses* are responsible dx and tx responses to psychiatric
, disorders, coordinating care, counseling, giving meds evaluating responses and providing
education
*mental health workers* are under the supervision of RN, help patients meet basic needs
least restrictive last resort mean - CORRECT ANSWER - you want to try to deescalate
situations before you have to use more serious measures like seclusion, restraint and emergency
medication
therapeutic use of self - CORRECT ANSWER - nurses use themselves as a therapeutic
tool to establish the therapeutic relationship with clients and to help clients grow, change, and
heal
everyone has distinct personality traits, talent that we can learn to use creatively to form positive
bonds with others
what is the difference between a therapeutic relationship and a social relationship? - CORRECT
ANSWER - -in a social relationship, mutual needs are met. Initiated for purpose of
friendship, socialization, enjoyment or accomplishment of a task
-therapeutic relationship focuses on needs of patient, clear boundaries are established
how are boundaries blurred? - CORRECT ANSWER - when relationship slips into social
context or when the nurse's needs (for attention, affection, and emotional support) are met at the
expense of the patient's needs
feelings of specialness in the nurse-patient relationship
transference - CORRECT ANSWER - the patient unconsciously and inappropriately
displaces onto the nurses feelings and behaviors related to significant figures in the patients past
"you remind me of my mom!" treats nurse like mom
