Mental Health Final Exam Review
questions with correct answers
What is 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 fruitfully, and contribute to the community
How is mental health evolving - it always varies person to person
Mediators of Mental Health - Internal and external
External these are things that you can see
positive (prosocial behaviours)
Negative (risk behvaiours)-> smoking, durg use, sexual behvaiours,
Internal things that we cannot really observe
Positive (emotional well being)
Negative (psychosomatic symptoms)-> aches, irritability, nervous, sleep disturbance,
dizziness
What is a mental illness? - alteration in
cognition
mood
behaviors
that are coupled with significant distress and impaired functioning
What Is the DMS5 - supports accurate diagnostic assessment by
providing information about culturally diverse populations includes over
350 psychiatric disorders
What is the recovery in mental health - gaining and retaining hope,
understanding of one's abilities and disabilities, engagement in an active life, personal
autonomy, social identify, meaning and purpose in life and a positive sense of self"
Process in recovery - 1.Self-directed: Patient lead, control, determine their own path
2.Individual and person centred: Recovery is based on individual preferences
3.Empowering: Patients choose and participate in decision making
4.Holistic: Encompasses an individuals whole life (mind, body, spirit, community)
,5.Non-linear: Recovery is based on continual growth and occasional setbacks
6.Strengths-based: Builds on multiple capacities, talents, coping abilities
7.Peer-supported; engagement with others 8. Respect: social acceptance, protection of
rights, avoid discrimination and stigma 9. Responsibility: personal responsibility for self-
care and recovery
10. Hope: motivating message of a better future
What is deinstituilization - The shift from caring for people with mental illness
in institutions to caring for them in communities OR Replacing long-stay
psychiatric hospitals with less isolated community mental healther services
What was the health care reform? - Developments in psychopharmacology
Concerns about the civil rights of people with mental illness
Need for cost-containment
Research revealing the negative impacts of institutionalization
What is the MMSE • - 20 point questionnaire that is used to measure severity
and progression of cognitive impairments
developed in 1975
• Screening for dementia
• Takes 5-10 mins
What are is examined in the MMSE (RROOLA) - 1. registration 2. attention
and calculation 3. recall 4. language 5. obey commands 6. orientation
What is the MSE - •a structured way of
evaluating 1. current cognitive
2. affect
3. behavioural functioning
What does the MSE look at? (BAPTISM C) - 1. appearance 2. behavior 3. speech
4. mood 5. thoughts 6. perceptual disturbances 7. cognition 8. ideas of harming self or
other
What is the common psychiatric disorder in children - • The tendency to
regress What are the specific criteria a minor must meet to be deemed capable of
making informed decision - ¥ Youth 14-18 years of
age ("threshold for maturity")
No chronological age defined
Can be deemed a "mature minor"
Nurse must feel client understands the nature of their decision and is capable of making
personal decisions
What does Headsss stand for - • It is an interview technique
, H- home environment (what's their relationship like with family)
E- education and employment (how do they do at work or school)
A- Activities (what do they do for fun)
D- drug, alcohol, and tabacco use
S- sexuality (are you sexual active, practices safe sex, uses contraception)
S- suicide risk
S- savagery (do you think there is violence or abuse in home environment or in
neighbourhood)
What are the question that are asked during the CAGE assessment? - It is to assess
the risk of substance abuse
1. Have you ever felt like you should CUT down your drinking
2. Have people ANNONYED you by criticizing your drinking
3. Have you ever felt GUILITY about your drinking
4. Have you ever had a first thing in the morning EYE
opener score for the CAGE assessment - • 0-1 low risk
• 2-3 high suspicion of alcoholism • 4 virtually diagnosed with alcoholism
SAD person scale (suicide) - • the score is calculated from ten yes or no question
a one is given to each question that is answered yes
S- male sex
A- age less than 19 or greater then 45
D- depression
P- previous attempt •
E- excess alcohol of substance use
R- rationale thinking loss
S- social supporting lacking
O- organized plan
N- no spouse
S- sickness
Score for the SAD scale - • 0-4 low risk
5-6 medium •
7-10- high
Types of boundaries - physical, social, space
physical - General environment, treatment room
Social - Set time, confidentiality, agree about roles and
responsibilities Space - Physical space, emotional space, space set by
roles
What is transference vs counter transference - Transference
questions with correct answers
What is 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 fruitfully, and contribute to the community
How is mental health evolving - it always varies person to person
Mediators of Mental Health - Internal and external
External these are things that you can see
positive (prosocial behaviours)
Negative (risk behvaiours)-> smoking, durg use, sexual behvaiours,
Internal things that we cannot really observe
Positive (emotional well being)
Negative (psychosomatic symptoms)-> aches, irritability, nervous, sleep disturbance,
dizziness
What is a mental illness? - alteration in
cognition
mood
behaviors
that are coupled with significant distress and impaired functioning
What Is the DMS5 - supports accurate diagnostic assessment by
providing information about culturally diverse populations includes over
350 psychiatric disorders
What is the recovery in mental health - gaining and retaining hope,
understanding of one's abilities and disabilities, engagement in an active life, personal
autonomy, social identify, meaning and purpose in life and a positive sense of self"
Process in recovery - 1.Self-directed: Patient lead, control, determine their own path
2.Individual and person centred: Recovery is based on individual preferences
3.Empowering: Patients choose and participate in decision making
4.Holistic: Encompasses an individuals whole life (mind, body, spirit, community)
,5.Non-linear: Recovery is based on continual growth and occasional setbacks
6.Strengths-based: Builds on multiple capacities, talents, coping abilities
7.Peer-supported; engagement with others 8. Respect: social acceptance, protection of
rights, avoid discrimination and stigma 9. Responsibility: personal responsibility for self-
care and recovery
10. Hope: motivating message of a better future
What is deinstituilization - The shift from caring for people with mental illness
in institutions to caring for them in communities OR Replacing long-stay
psychiatric hospitals with less isolated community mental healther services
What was the health care reform? - Developments in psychopharmacology
Concerns about the civil rights of people with mental illness
Need for cost-containment
Research revealing the negative impacts of institutionalization
What is the MMSE • - 20 point questionnaire that is used to measure severity
and progression of cognitive impairments
developed in 1975
• Screening for dementia
• Takes 5-10 mins
What are is examined in the MMSE (RROOLA) - 1. registration 2. attention
and calculation 3. recall 4. language 5. obey commands 6. orientation
What is the MSE - •a structured way of
evaluating 1. current cognitive
2. affect
3. behavioural functioning
What does the MSE look at? (BAPTISM C) - 1. appearance 2. behavior 3. speech
4. mood 5. thoughts 6. perceptual disturbances 7. cognition 8. ideas of harming self or
other
What is the common psychiatric disorder in children - • The tendency to
regress What are the specific criteria a minor must meet to be deemed capable of
making informed decision - ¥ Youth 14-18 years of
age ("threshold for maturity")
No chronological age defined
Can be deemed a "mature minor"
Nurse must feel client understands the nature of their decision and is capable of making
personal decisions
What does Headsss stand for - • It is an interview technique
, H- home environment (what's their relationship like with family)
E- education and employment (how do they do at work or school)
A- Activities (what do they do for fun)
D- drug, alcohol, and tabacco use
S- sexuality (are you sexual active, practices safe sex, uses contraception)
S- suicide risk
S- savagery (do you think there is violence or abuse in home environment or in
neighbourhood)
What are the question that are asked during the CAGE assessment? - It is to assess
the risk of substance abuse
1. Have you ever felt like you should CUT down your drinking
2. Have people ANNONYED you by criticizing your drinking
3. Have you ever felt GUILITY about your drinking
4. Have you ever had a first thing in the morning EYE
opener score for the CAGE assessment - • 0-1 low risk
• 2-3 high suspicion of alcoholism • 4 virtually diagnosed with alcoholism
SAD person scale (suicide) - • the score is calculated from ten yes or no question
a one is given to each question that is answered yes
S- male sex
A- age less than 19 or greater then 45
D- depression
P- previous attempt •
E- excess alcohol of substance use
R- rationale thinking loss
S- social supporting lacking
O- organized plan
N- no spouse
S- sickness
Score for the SAD scale - • 0-4 low risk
5-6 medium •
7-10- high
Types of boundaries - physical, social, space
physical - General environment, treatment room
Social - Set time, confidentiality, agree about roles and
responsibilities Space - Physical space, emotional space, space set by
roles
What is transference vs counter transference - Transference
