NUR 3524 EXAM #1 QUESTIONS + ANSWERS
1. positive mental Health: -influenced by genetics, brain, chemistry, experiences
-reaching full potential, coping w stressors, increased productive, meaningful contrib. 2 society
2. Mental Illnesses: -when functionality of person declines/ coping becomes inettective/harmful
3. Transference: -pt projects intense feelings onto therapist related 2 unfinished work from previous relation-
ships
-Ex. pt acts more immature to therapist who reminds them of his/her mother
4. Countertransference: -must be scrutinized in order to prevent damage 2 therapeutic relationship
5. Pts requiring inpatient hospitalization: -suicidal ideation
-aggressive impulses
-med. adjustment/monitoring
-crisis stabilization
-substance use detoxification
-behavior mod
6. Role of nurse on inpt psych unit: -teach psychoeducational groups
-complete compre. data collection that includes pt, family, other health care workers
-develop, implement, evaluate care plans
-assist/supervise mental health care workers
-maintain safe/therapeutic environment
-facilitate health promo through teaching
-monitor behavior, attect, mood
-maintain oversight of restraint/seclusion
-coordinate care by treatment team
7. Understand ethical principles and be able to apply them to clinical scenarios-
,: The patient wants an abortion, which is against the nurse's values.
• The nurse believes the patient who was raped and became pregnant should get an abortion, but the patient refuses.
• The patient engages in unsafe sex with multiple partners, which is against the nurse's concern for safety and values.
• The nurse cannot understand a patient who refuses life-saving treatment on religious grounds.
• The patient puts material gain and objects far ahead of loyalty to friends and family, in direct contrast to the nurse's
values.
• The patient is deeply religious, whereas the nurse has diflculty with organized religion related to an experience with a
religious cult.
• The patient's lifestyle includes taking illicit drugs, which is against the nurse's values.
, 8. Understand how psychiatric settings of care have progressed from "in-
sane asylums" to our current model of state-run institutions. Recognize how
changes have occurred over time.: -pre-civil war: asylums were created/promote recovery, limited
treatment options
-1950s: private psychiatrist/mental institution, many were long-term/ didn't get out
-1960s: medicare/medicaid created, more short-term hospitalizations/general hospitals, older adults switched 2 nursing
facilities
-1999 Olmstead: supreme court said institutionalization was unjustified isolation, mental illness as disability, community based
are model
-Current: state/county-financed community care, reduce # of state psychiatric hospitals, less restrictive care/ integration 2
community
9. voluntary commitment: -sought by a pt/pts guardian through a written application to the facility
-have the right to demand and obtain release at any time
10. Involuntary commitment: -made without the pts consent
-when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own
basic needs due to mental illness
-pt retain freedom from unreasonable bodily restraints as well as the right to informed consent and the right to refuse
medications, including psychotropic or antipsychotic medications.
11. Battery: -Purposeful touching of another person resulting in physical/emotional harm
(any unwanted/ottensive physical consent)
12. Patient Safety: -any action/inaction that results in decreased pt
safety/security (suicide risks)
13. Defamation of character: -publishing knowingly false info 2 3rd
parties (blog/social media posts)
14. Supervisory liability: -strict liability tort that holds supervisor responsible 4 negligent acts of subordinate
(inappropriate delegation of duties)
1. positive mental Health: -influenced by genetics, brain, chemistry, experiences
-reaching full potential, coping w stressors, increased productive, meaningful contrib. 2 society
2. Mental Illnesses: -when functionality of person declines/ coping becomes inettective/harmful
3. Transference: -pt projects intense feelings onto therapist related 2 unfinished work from previous relation-
ships
-Ex. pt acts more immature to therapist who reminds them of his/her mother
4. Countertransference: -must be scrutinized in order to prevent damage 2 therapeutic relationship
5. Pts requiring inpatient hospitalization: -suicidal ideation
-aggressive impulses
-med. adjustment/monitoring
-crisis stabilization
-substance use detoxification
-behavior mod
6. Role of nurse on inpt psych unit: -teach psychoeducational groups
-complete compre. data collection that includes pt, family, other health care workers
-develop, implement, evaluate care plans
-assist/supervise mental health care workers
-maintain safe/therapeutic environment
-facilitate health promo through teaching
-monitor behavior, attect, mood
-maintain oversight of restraint/seclusion
-coordinate care by treatment team
7. Understand ethical principles and be able to apply them to clinical scenarios-
,: The patient wants an abortion, which is against the nurse's values.
• The nurse believes the patient who was raped and became pregnant should get an abortion, but the patient refuses.
• The patient engages in unsafe sex with multiple partners, which is against the nurse's concern for safety and values.
• The nurse cannot understand a patient who refuses life-saving treatment on religious grounds.
• The patient puts material gain and objects far ahead of loyalty to friends and family, in direct contrast to the nurse's
values.
• The patient is deeply religious, whereas the nurse has diflculty with organized religion related to an experience with a
religious cult.
• The patient's lifestyle includes taking illicit drugs, which is against the nurse's values.
, 8. Understand how psychiatric settings of care have progressed from "in-
sane asylums" to our current model of state-run institutions. Recognize how
changes have occurred over time.: -pre-civil war: asylums were created/promote recovery, limited
treatment options
-1950s: private psychiatrist/mental institution, many were long-term/ didn't get out
-1960s: medicare/medicaid created, more short-term hospitalizations/general hospitals, older adults switched 2 nursing
facilities
-1999 Olmstead: supreme court said institutionalization was unjustified isolation, mental illness as disability, community based
are model
-Current: state/county-financed community care, reduce # of state psychiatric hospitals, less restrictive care/ integration 2
community
9. voluntary commitment: -sought by a pt/pts guardian through a written application to the facility
-have the right to demand and obtain release at any time
10. Involuntary commitment: -made without the pts consent
-when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own
basic needs due to mental illness
-pt retain freedom from unreasonable bodily restraints as well as the right to informed consent and the right to refuse
medications, including psychotropic or antipsychotic medications.
11. Battery: -Purposeful touching of another person resulting in physical/emotional harm
(any unwanted/ottensive physical consent)
12. Patient Safety: -any action/inaction that results in decreased pt
safety/security (suicide risks)
13. Defamation of character: -publishing knowingly false info 2 3rd
parties (blog/social media posts)
14. Supervisory liability: -strict liability tort that holds supervisor responsible 4 negligent acts of subordinate
(inappropriate delegation of duties)
