NUR 3524 EXAM 1 QUESTIONS & ANSWERS
1. What is the DSM-5, and why do we use it ?: Diagnostic and Statistical Manual of Mental
Disorders; Guidebook used by the psychiatric community to categorize and diagnose psych mental health disorders in
the US
2. Mental health vs. mental illness?: Mental health involves our emotional, psychological, and social
wellbeing
Mental illness attects a person's thinking, feeling, and mood making it diflcult to function or relate to others
3. Mental illness development can occur due to?: Increase when responses to stress are
not ettective
Daily functional ability to do ADLs decrease
This illness operates on the continuum of mental health
4. What is transference ?: when the patient projects intense feelings about significant people in their life
onto the therapist
Ex: patient seeing nurse as their caring and attentive mother
5. What is countertransference?: The therapist projects own feelings, attitudes, or desires onto to a
patient
Ex: nurse recently lost a loved one now feeling protective over a patient that reminds them of their mom
6. Who are the patients requiring inpatient hospitalization?: Patients who need 24-hour
locked unit nursing care in a safe and structure setting; These patients have suicidal ideation, aggressive impulses,
medication adjustment, monitoring, crisis stabilization, substance use detoxification, and behavior modification
7. What are examples of those inpatient services?: state acute care system, residential treat-
ment program, general hospital psych unit, private psych hospital acute care
8. What is the role of a nurse on inpatient psychiatric units?: 1. Med admin
,2. therapeutic communication
3. Data collecting
4. Oversight of pt behavior, mood, attect
5. Oversight restraint and seclusion
6. Evaluate plans of care
7. Data collection
8. Lead psychoeducational groups: med-ed, diagnosis, symptom management, stress management, self-care groups
9. What types of situations would warrant involuntary hospitalization ?: 1. Clear
danger to self or others
, 2. Severe psychosis: hallucinations, delusions impairing ability to care for self
3. Inability to care for self
10. Olmstead Decision?: Supreme court said keeping people in psych hospitals was unjustified isolation
Community-care systems replaced state hospital
11. Mental Health Parity Law?: Stated all states must provide mental health/substance abuse coverage
under ACA
12. Humphrey vs. Cade ?: required due process for involuntary civil committment to a mental hospital
13. Least restrictive alternative doctrine?: mandates that the least drastic means be taken to achieve a
specific purpose
14. Involuntary commitment is made when?: Without patient consent if they are a danger to self,
unable to meet his or her own basic needs
- Have the right to informed consent, right to refuse meds, right from freedom from unreasonable restraints
15. Involuntary commitment must be made by ?: judicial determination, agency determination,
administrative determination
16. Voluntary Admission?: - sought by the patient or patient's guardian through a written application to
facility
- have right to demand and obtain release but some states require reevaluation of condition for possible conversion to
involuntary status
17. Patient rights and exceptions in psychiatric treatment?: Right to treatment
Right to refuse
treatment Right to
informed consent
18. What are contraindications to seclusion and restraint?: - Extremely unstable med and
pscyh conditions
- Delirium or dementia leading to inability to tolerate decreased stimulation
- Severe suicidal tendencies
1. What is the DSM-5, and why do we use it ?: Diagnostic and Statistical Manual of Mental
Disorders; Guidebook used by the psychiatric community to categorize and diagnose psych mental health disorders in
the US
2. Mental health vs. mental illness?: Mental health involves our emotional, psychological, and social
wellbeing
Mental illness attects a person's thinking, feeling, and mood making it diflcult to function or relate to others
3. Mental illness development can occur due to?: Increase when responses to stress are
not ettective
Daily functional ability to do ADLs decrease
This illness operates on the continuum of mental health
4. What is transference ?: when the patient projects intense feelings about significant people in their life
onto the therapist
Ex: patient seeing nurse as their caring and attentive mother
5. What is countertransference?: The therapist projects own feelings, attitudes, or desires onto to a
patient
Ex: nurse recently lost a loved one now feeling protective over a patient that reminds them of their mom
6. Who are the patients requiring inpatient hospitalization?: Patients who need 24-hour
locked unit nursing care in a safe and structure setting; These patients have suicidal ideation, aggressive impulses,
medication adjustment, monitoring, crisis stabilization, substance use detoxification, and behavior modification
7. What are examples of those inpatient services?: state acute care system, residential treat-
ment program, general hospital psych unit, private psych hospital acute care
8. What is the role of a nurse on inpatient psychiatric units?: 1. Med admin
,2. therapeutic communication
3. Data collecting
4. Oversight of pt behavior, mood, attect
5. Oversight restraint and seclusion
6. Evaluate plans of care
7. Data collection
8. Lead psychoeducational groups: med-ed, diagnosis, symptom management, stress management, self-care groups
9. What types of situations would warrant involuntary hospitalization ?: 1. Clear
danger to self or others
, 2. Severe psychosis: hallucinations, delusions impairing ability to care for self
3. Inability to care for self
10. Olmstead Decision?: Supreme court said keeping people in psych hospitals was unjustified isolation
Community-care systems replaced state hospital
11. Mental Health Parity Law?: Stated all states must provide mental health/substance abuse coverage
under ACA
12. Humphrey vs. Cade ?: required due process for involuntary civil committment to a mental hospital
13. Least restrictive alternative doctrine?: mandates that the least drastic means be taken to achieve a
specific purpose
14. Involuntary commitment is made when?: Without patient consent if they are a danger to self,
unable to meet his or her own basic needs
- Have the right to informed consent, right to refuse meds, right from freedom from unreasonable restraints
15. Involuntary commitment must be made by ?: judicial determination, agency determination,
administrative determination
16. Voluntary Admission?: - sought by the patient or patient's guardian through a written application to
facility
- have right to demand and obtain release but some states require reevaluation of condition for possible conversion to
involuntary status
17. Patient rights and exceptions in psychiatric treatment?: Right to treatment
Right to refuse
treatment Right to
informed consent
18. What are contraindications to seclusion and restraint?: - Extremely unstable med and
pscyh conditions
- Delirium or dementia leading to inability to tolerate decreased stimulation
- Severe suicidal tendencies
