NURS 4415 WEEKS 1,2, 3 | QUESTIONS ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
**WEEK 1** Answer - (Ignore)
Resilience Answer - Ability and capacity to secure resources needed to support
well-being
Resilience is characterized by Answer - Optimism
Sense of mastery
Competence
Mrs. M comes to the clinic reporting a feeling of hopelessness. She works full
time and is dealing with a troubled teenage son and her elderly parents. She
confides in you that she "can't deal with her life right now."
As you work through Mrs. M's assessment, you evaluate her possible level of
resilience. Which other characteristic would you expect her to have? Answer -
Optimism (?)
Diathesis-stress model Answer - a diagnostic model that proposes that a
disorder may develop when an underlying vulnerability is coupled with a
precipitating event
,Mrs. M has a history of major depressive disorder. "Do we have to deal with
that?" she says. "Can't we just focus on my insomnia? If I could just get
something to help me sleep at night, I think I'd cope better right away. Besides
—insomnia would be covered by my health insurance. It's an uphill battle
getting compensated for any treatment for the other. Fighting with insurance
people is not going to help anything!"
One of Mrs. M's complaints is about insurance. Which of the following does the
Mental Health Parity Act provide? Answer - Equal coverage for mental health
disorders
Which of these mental health problems has the highest annual prevalence in
the United States? Answer - major depressive disorder
Mental Health Parity Act (1996) Answer - forbids health plans from placing
lifetime or annual limits on mental health coverage that are less generous than
those placed on medical or surgical benefits
Patient Protection and Affordable Care Act of 2010 Answer - • Requires
individuals not covered by employer or government health insurance to
purchase insurance or pay a penalty.
• Creates Pre-Existing Condition Insurance Plan for those individuals who had
been denied coverage due to pre-existing conditions.
• Allows parents to keep their children on their plan until age 26.
• Creates insurance exchanges for individuals and employers.
Incidence vs Prevalence Answer - Incidence = number of new cases in a given
time
Prevalence = number of cases regardless of when they began
,Basic level of psychiatric nursing practice Answer - -Psychiatric mental health
registered nurse
-2 years full-time work, 2000 clinical hours, 30 hours continuing education,
followed by certification exam to add "BC" to the RN title.
Advanced level of psychiatric nursing practice. Answer - -Psychiatric mental
health advanced practice registered nurse (PMH-APRN)
-Master of Science or Doctorate
Levels of Awareness Answer - higher-level consciousness, lower-level
consciousness, altered states of consciousness, subconscious awareness, and
no awareness
ID Answer - contains a reservoir of unconscious psychic energy that strives to
satisfy basic sexual and aggressive drives, demanding immediate gratification.
ID consists of Answer - Pleasure principles, reflexes, and primary processes
Ego Answer - the largely conscious, "executive" part of personality that,
mediates among the demands of the id, superego, and reality. It operates on
the reality principle, satisfying the id's desires in ways that will realistically
bring pleasure rather than pain.
Ego consists of Answer - Problem solving and reality testing
, Superego Answer - the part of personality that represents internalized ideals
and provides standards for judgment (the conscience) and for future
aspirations
Superego consists of Answer - Morals
What is no longer considered a valid cause of mental illness? Answer -
Intrapsychic conflict (a conflict between different levels of the psyche:
conscious, subconscious and unconscious)
Transference vs Countertransference Answer - Transference - client transfers
feelings onto nurse that he has for significant others
Countertransference - nurse transfers feelings onto client that he has for
significant others
According to Freud, which aspect of the personality motivates an individual to
seek perfection? Answer - superego
Psychodynamic Therapy Answer - therapy deriving from the psychoanalytic
tradition that views individuals as responding to unconscious forces and
childhood experiences, and that seeks to enhance self-insight
More appropriate for intelligent and motivated patients
Interpersonal Theory Answer - Purpose of all behavior is to get needs met
through interpersonal interactions and to reduce or avoid anxiety
Interpersonal Therapy Answer - treatment that strengthens social skills and
targets interpersonal problems, conflicts, and life transitions
2026 UPDATE | WITH COMPLETE SOLUTION
**WEEK 1** Answer - (Ignore)
Resilience Answer - Ability and capacity to secure resources needed to support
well-being
Resilience is characterized by Answer - Optimism
Sense of mastery
Competence
Mrs. M comes to the clinic reporting a feeling of hopelessness. She works full
time and is dealing with a troubled teenage son and her elderly parents. She
confides in you that she "can't deal with her life right now."
As you work through Mrs. M's assessment, you evaluate her possible level of
resilience. Which other characteristic would you expect her to have? Answer -
Optimism (?)
Diathesis-stress model Answer - a diagnostic model that proposes that a
disorder may develop when an underlying vulnerability is coupled with a
precipitating event
,Mrs. M has a history of major depressive disorder. "Do we have to deal with
that?" she says. "Can't we just focus on my insomnia? If I could just get
something to help me sleep at night, I think I'd cope better right away. Besides
—insomnia would be covered by my health insurance. It's an uphill battle
getting compensated for any treatment for the other. Fighting with insurance
people is not going to help anything!"
One of Mrs. M's complaints is about insurance. Which of the following does the
Mental Health Parity Act provide? Answer - Equal coverage for mental health
disorders
Which of these mental health problems has the highest annual prevalence in
the United States? Answer - major depressive disorder
Mental Health Parity Act (1996) Answer - forbids health plans from placing
lifetime or annual limits on mental health coverage that are less generous than
those placed on medical or surgical benefits
Patient Protection and Affordable Care Act of 2010 Answer - • Requires
individuals not covered by employer or government health insurance to
purchase insurance or pay a penalty.
• Creates Pre-Existing Condition Insurance Plan for those individuals who had
been denied coverage due to pre-existing conditions.
• Allows parents to keep their children on their plan until age 26.
• Creates insurance exchanges for individuals and employers.
Incidence vs Prevalence Answer - Incidence = number of new cases in a given
time
Prevalence = number of cases regardless of when they began
,Basic level of psychiatric nursing practice Answer - -Psychiatric mental health
registered nurse
-2 years full-time work, 2000 clinical hours, 30 hours continuing education,
followed by certification exam to add "BC" to the RN title.
Advanced level of psychiatric nursing practice. Answer - -Psychiatric mental
health advanced practice registered nurse (PMH-APRN)
-Master of Science or Doctorate
Levels of Awareness Answer - higher-level consciousness, lower-level
consciousness, altered states of consciousness, subconscious awareness, and
no awareness
ID Answer - contains a reservoir of unconscious psychic energy that strives to
satisfy basic sexual and aggressive drives, demanding immediate gratification.
ID consists of Answer - Pleasure principles, reflexes, and primary processes
Ego Answer - the largely conscious, "executive" part of personality that,
mediates among the demands of the id, superego, and reality. It operates on
the reality principle, satisfying the id's desires in ways that will realistically
bring pleasure rather than pain.
Ego consists of Answer - Problem solving and reality testing
, Superego Answer - the part of personality that represents internalized ideals
and provides standards for judgment (the conscience) and for future
aspirations
Superego consists of Answer - Morals
What is no longer considered a valid cause of mental illness? Answer -
Intrapsychic conflict (a conflict between different levels of the psyche:
conscious, subconscious and unconscious)
Transference vs Countertransference Answer - Transference - client transfers
feelings onto nurse that he has for significant others
Countertransference - nurse transfers feelings onto client that he has for
significant others
According to Freud, which aspect of the personality motivates an individual to
seek perfection? Answer - superego
Psychodynamic Therapy Answer - therapy deriving from the psychoanalytic
tradition that views individuals as responding to unconscious forces and
childhood experiences, and that seeks to enhance self-insight
More appropriate for intelligent and motivated patients
Interpersonal Theory Answer - Purpose of all behavior is to get needs met
through interpersonal interactions and to reduce or avoid anxiety
Interpersonal Therapy Answer - treatment that strengthens social skills and
targets interpersonal problems, conflicts, and life transitions
