Nur 223-Psych Nurse- Test 1 Questions
with 100% Correct Answers
Bipolar Affective Disorder (BAD) is identified by which Axis? Correct Answer: Axis
I (Clinical Disorder-Psych Disorder)
Dementia is defined by which Axis? Correct Answer: Axis I (Clinical Disorder-
Psych Disorder)
Personality Disorders are identified by which Axis? Correct Answer: Axis II
(Personality or Intellectual Developmental Disorders)
1st Benchmark: Enlightenment Period Correct Answer: Asylums- "Protection,
social support, or sanctuary from stresses of life"
2nd Benchmark: Period of Scientific Study Correct Answer: ○ Study of mind and
treatment
○Freud
3rd Benchmark: Period of Psychotropic Drugs Correct Answer: ○ 1st
antipsychotic: Chlorpromazine (Thorazine)
○ 1st antimanic: Lithium
○ 1st antidepressant: Imipramine (Tofranil)
○ Hospitals stays shortened
4th Benchmark: Period of Community Mental Health Correct Answer: ○
Deinstitutionalization
○ Community Mental Health Centers
,○ Focus is on treatment
5th Benchmark: Decade of the Brain Correct Answer: ○ Increase in brain
research
○ Biological explanations of Mental Health
Discuss the 3 interventions necessary for psychotherapeutic management. What
is the priority nursing diagnosis for all milieus? Correct Answer: Most important
outcome for mileus management is safety; psychotherapetic managament-
ALL three elements are important for treatment. If any of those are missing,
treatment cannot be conducted
What is the Tarasoff law? How is this law implemented? Correct Answer: Mental
health professionals are required to warn others if someone is going to harm
himself or someone else. We work with the treatment team if there is a threat so
they will handle that person.
Major Depressive Disorder (MDD) neurotransmitter: Correct Answer:
Norepinephrine and serotonin
Bipolar Affective Disorder (BAD) neurotransmitter: Correct Answer: Serotonin,
dopamine, and epinephrine
Anxiety neurotransmitter: Correct Answer: GABA
Schizophrenia Spectrum Disorders neurotransmitters: Correct Answer: Dopamine
Alzheimer's Disease neurotransmitters: Correct Answer: Acetylcholine
Broad openings (therapeutic): Correct Answer: indicating response "is there
something you'd like to talk about?"
, Making Observations (therapeutic): Correct Answer: "you appear tense" or "i
noticed that you're biting your lip"
Suggesting Collaboration (therapeutic): Correct Answer: "perhaps you and I
can discuss and discover the triggers for your anxiety"
Therapeutic Communication Technique Rule: Correct Answer: Never use the
word WHY!!!
Agreeing (non-therapeutic) Correct Answer: indicating accord with the
patient... "that's right", "I agree"
Defending (non-therapeutic) Correct Answer: attempting to protect someone
or something from verbal attack... "I'm sure your doctor has your best interests in
mind"
Making stereotyped comments (non-therapeutic) Correct Answer: offering
meaningless cliches or comments..."Just keep a positive attitude and you'll be
better in no time"
Discuss the concept of the Assault Cycle and explain how this concept should
be considered when working with aggressive patients. Correct Answer: 5 stages-
-(not everyone goes through all stages)---triggering phase, escalation phase,
crisis phase, recovery phase and post-crisis depression phase
Triggering Phase- Nonviolent anger Correct Answer: ■ Behavior reflects coping
mechanisms
■ Nursing interventions- Calm, clear, simple communication*, Encourage
ventilation of feelings, problem solving, Avoid challenging patient, Remind
patient to stay in control, Suggest time-out in room, Document
with 100% Correct Answers
Bipolar Affective Disorder (BAD) is identified by which Axis? Correct Answer: Axis
I (Clinical Disorder-Psych Disorder)
Dementia is defined by which Axis? Correct Answer: Axis I (Clinical Disorder-
Psych Disorder)
Personality Disorders are identified by which Axis? Correct Answer: Axis II
(Personality or Intellectual Developmental Disorders)
1st Benchmark: Enlightenment Period Correct Answer: Asylums- "Protection,
social support, or sanctuary from stresses of life"
2nd Benchmark: Period of Scientific Study Correct Answer: ○ Study of mind and
treatment
○Freud
3rd Benchmark: Period of Psychotropic Drugs Correct Answer: ○ 1st
antipsychotic: Chlorpromazine (Thorazine)
○ 1st antimanic: Lithium
○ 1st antidepressant: Imipramine (Tofranil)
○ Hospitals stays shortened
4th Benchmark: Period of Community Mental Health Correct Answer: ○
Deinstitutionalization
○ Community Mental Health Centers
,○ Focus is on treatment
5th Benchmark: Decade of the Brain Correct Answer: ○ Increase in brain
research
○ Biological explanations of Mental Health
Discuss the 3 interventions necessary for psychotherapeutic management. What
is the priority nursing diagnosis for all milieus? Correct Answer: Most important
outcome for mileus management is safety; psychotherapetic managament-
ALL three elements are important for treatment. If any of those are missing,
treatment cannot be conducted
What is the Tarasoff law? How is this law implemented? Correct Answer: Mental
health professionals are required to warn others if someone is going to harm
himself or someone else. We work with the treatment team if there is a threat so
they will handle that person.
Major Depressive Disorder (MDD) neurotransmitter: Correct Answer:
Norepinephrine and serotonin
Bipolar Affective Disorder (BAD) neurotransmitter: Correct Answer: Serotonin,
dopamine, and epinephrine
Anxiety neurotransmitter: Correct Answer: GABA
Schizophrenia Spectrum Disorders neurotransmitters: Correct Answer: Dopamine
Alzheimer's Disease neurotransmitters: Correct Answer: Acetylcholine
Broad openings (therapeutic): Correct Answer: indicating response "is there
something you'd like to talk about?"
, Making Observations (therapeutic): Correct Answer: "you appear tense" or "i
noticed that you're biting your lip"
Suggesting Collaboration (therapeutic): Correct Answer: "perhaps you and I
can discuss and discover the triggers for your anxiety"
Therapeutic Communication Technique Rule: Correct Answer: Never use the
word WHY!!!
Agreeing (non-therapeutic) Correct Answer: indicating accord with the
patient... "that's right", "I agree"
Defending (non-therapeutic) Correct Answer: attempting to protect someone
or something from verbal attack... "I'm sure your doctor has your best interests in
mind"
Making stereotyped comments (non-therapeutic) Correct Answer: offering
meaningless cliches or comments..."Just keep a positive attitude and you'll be
better in no time"
Discuss the concept of the Assault Cycle and explain how this concept should
be considered when working with aggressive patients. Correct Answer: 5 stages-
-(not everyone goes through all stages)---triggering phase, escalation phase,
crisis phase, recovery phase and post-crisis depression phase
Triggering Phase- Nonviolent anger Correct Answer: ■ Behavior reflects coping
mechanisms
■ Nursing interventions- Calm, clear, simple communication*, Encourage
ventilation of feelings, problem solving, Avoid challenging patient, Remind
patient to stay in control, Suggest time-out in room, Document
