Mental Health Nursing Term Test 2
questions well answered
What is the purpose of a psychiatric mental health nursing assessment? - correct answer ✔✔ 1)
Establish rapport
2) Obtain an understanding of the current problem or chief complaint
3) Review physical status and obtain baseline vital signs
4) Assess for risk factors affecting the safety of the patient or others
5) Perform a mental status examination
6) Assess psychosocial status
7) Identify mutual goals for treatment
8) Formulate a plan of care
/In gathering data from an individual recently admitted, what needs to be involved? - correct
answer ✔✔ Review of the systems, laboratory data, mental status examination, psychosocial
assessment, spiritual or religious assessment, cultural and social assessment
/What is the mental health status examination (MSE)? - correct answer ✔✔ Its the psychiatric
analogous to the physical examination in general medicine and the purpose is to evaluate an
individual's current cognitive, affective (emotional), and behavioural functioning. The nurse
observes the patient's physical behaviour, nonverbal communication, appearance, speech
patterns, mood and affect, thought content, perceptions, cognitive ability, and insight and
judgment.
/What is a psychosocial assessment? What does it include? - correct answer ✔✔ Includes:
- central or chief complaint (in patient's own words)
- history of violent, suicidal, or self-mutilating behaviours
,- alcohol or substance abuse
- family psychiatric history
- personal psychiatric treatment, including medications and complementary therapies
- stressors and coping methods
- quality of activities of daily living
- personal background
- social background
- weakness, strengths and goals for treatment
- racial, ethnic and cultural beliefs and practices
- spiritual beliefs or religious practices
(3) Describe the three levels of awareness according to Freud's psychoanalytic theory. - correct
answer ✔✔ 1) Conscious: tip of the iceberg. Materials the individual is aware of at any given
time: i.e. perceptions, memories, thoughts, fantasies, and feelings
2) Preconscious: material can be retrieved with conscious effort
3) Unconscious: all repressed memories, passions and unacceptable urges laying deep below
the surface.
(3) Explain the ID, Ego and Superego according to Freud. - correct answer ✔✔ Id: The source of
all drives,instincts, reflexes, needs, genetic inheritance, and capacity to respond, as well as all
the wishes that motivate us. Lacks ability to problem solve, it is not logical and operates
according to the pleasure principle
Ego: develops because the needs, wishes and demands of the id cannot be stisfactorily met
through primary processes and reflex action. Emerges in the 5th or 4th month of life. Problem
solver and reality tester. Does REALITY TESTING- where the individual is factoring in reality to
implement a plan to decrease tension
Superego:
, (3)What are defence mechanisms and what two mechanisms do they share? - correct answer
✔✔ They are set in order to ward off anxiety by preventing conscious awareness of threatening
feelings.
Two features that are shared:
1) They all (except suppression) operate on an unconscious level, and we are not aware of their
operation
2) They deny, falsify, or distort reality to make it less threatening
If they distort reality too much, it may be hard for us to make healthy adjustments
(3) What is transference? - correct answer ✔✔ Develops when the patient hold feelings toward
the caregiver that were originally held towards significant others in his or her life. When this
happens, the patient can explore these feelings
(3) What is counter transference? - correct answer ✔✔ Is the health care worker's unconscious
personal response to the patients.
(3) What is psycho dynamic theory, how does it differ from previous theories, who are best
suited for this therapy and what do all the brief therapies have in common? - correct answer
✔✔ Follows the psychoanalytic model by using many of the tools of psychoanalysis such as free
association, dream analysis, transference and counter-transference. Therapist has increased
involvement. Set to understand that unconscious dynamics exist within normal human
consciousness and that it is possible to engage many aspects of the human psyche in ways that
are useful, creative, and healing.
It differs because it can be longer (lasting up to 20 sessions)
questions well answered
What is the purpose of a psychiatric mental health nursing assessment? - correct answer ✔✔ 1)
Establish rapport
2) Obtain an understanding of the current problem or chief complaint
3) Review physical status and obtain baseline vital signs
4) Assess for risk factors affecting the safety of the patient or others
5) Perform a mental status examination
6) Assess psychosocial status
7) Identify mutual goals for treatment
8) Formulate a plan of care
/In gathering data from an individual recently admitted, what needs to be involved? - correct
answer ✔✔ Review of the systems, laboratory data, mental status examination, psychosocial
assessment, spiritual or religious assessment, cultural and social assessment
/What is the mental health status examination (MSE)? - correct answer ✔✔ Its the psychiatric
analogous to the physical examination in general medicine and the purpose is to evaluate an
individual's current cognitive, affective (emotional), and behavioural functioning. The nurse
observes the patient's physical behaviour, nonverbal communication, appearance, speech
patterns, mood and affect, thought content, perceptions, cognitive ability, and insight and
judgment.
/What is a psychosocial assessment? What does it include? - correct answer ✔✔ Includes:
- central or chief complaint (in patient's own words)
- history of violent, suicidal, or self-mutilating behaviours
,- alcohol or substance abuse
- family psychiatric history
- personal psychiatric treatment, including medications and complementary therapies
- stressors and coping methods
- quality of activities of daily living
- personal background
- social background
- weakness, strengths and goals for treatment
- racial, ethnic and cultural beliefs and practices
- spiritual beliefs or religious practices
(3) Describe the three levels of awareness according to Freud's psychoanalytic theory. - correct
answer ✔✔ 1) Conscious: tip of the iceberg. Materials the individual is aware of at any given
time: i.e. perceptions, memories, thoughts, fantasies, and feelings
2) Preconscious: material can be retrieved with conscious effort
3) Unconscious: all repressed memories, passions and unacceptable urges laying deep below
the surface.
(3) Explain the ID, Ego and Superego according to Freud. - correct answer ✔✔ Id: The source of
all drives,instincts, reflexes, needs, genetic inheritance, and capacity to respond, as well as all
the wishes that motivate us. Lacks ability to problem solve, it is not logical and operates
according to the pleasure principle
Ego: develops because the needs, wishes and demands of the id cannot be stisfactorily met
through primary processes and reflex action. Emerges in the 5th or 4th month of life. Problem
solver and reality tester. Does REALITY TESTING- where the individual is factoring in reality to
implement a plan to decrease tension
Superego:
, (3)What are defence mechanisms and what two mechanisms do they share? - correct answer
✔✔ They are set in order to ward off anxiety by preventing conscious awareness of threatening
feelings.
Two features that are shared:
1) They all (except suppression) operate on an unconscious level, and we are not aware of their
operation
2) They deny, falsify, or distort reality to make it less threatening
If they distort reality too much, it may be hard for us to make healthy adjustments
(3) What is transference? - correct answer ✔✔ Develops when the patient hold feelings toward
the caregiver that were originally held towards significant others in his or her life. When this
happens, the patient can explore these feelings
(3) What is counter transference? - correct answer ✔✔ Is the health care worker's unconscious
personal response to the patients.
(3) What is psycho dynamic theory, how does it differ from previous theories, who are best
suited for this therapy and what do all the brief therapies have in common? - correct answer
✔✔ Follows the psychoanalytic model by using many of the tools of psychoanalysis such as free
association, dream analysis, transference and counter-transference. Therapist has increased
involvement. Set to understand that unconscious dynamics exist within normal human
consciousness and that it is possible to engage many aspects of the human psyche in ways that
are useful, creative, and healing.
It differs because it can be longer (lasting up to 20 sessions)
