NURS 4415 WEEKS 1,2, 3 QUESTIONS AND ANSWERS
**WEEK 1** - CORRECT ANSWER✅✅(Ignore)
Resilience - CORRECT ANSWER✅✅Ability and capacity to secure resources needed to support well-
being
Resilience is characterized by - CORRECT 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? - CORRECT ANSWER✅✅Optimism (?)
Diathesis-stress model - CORRECT 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? - CORRECT ANSWER✅✅Equal coverage for mental health disorders
Which of these mental health problems has the highest annual prevalence in the United States? -
CORRECT ANSWER✅✅major depressive disorder
,Mental Health Parity Act (1996) - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT ANSWER✅✅-Psychiatric mental health
advanced practice registered nurse (PMH-APRN)
-Master of Science or Doctorate
Levels of Awareness - CORRECT ANSWER✅✅higher-level consciousness, lower-level consciousness,
altered states of consciousness, subconscious awareness, and no awareness
,ID - CORRECT ANSWER✅✅contains a reservoir of unconscious psychic energy that strives to satisfy
basic sexual and aggressive drives, demanding immediate gratification.
ID consists of - CORRECT ANSWER✅✅Pleasure principles, reflexes, and primary processes
Ego - CORRECT 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 - CORRECT ANSWER✅✅Problem solving and reality testing
Superego - CORRECT ANSWER✅✅the part of personality that represents internalized ideals and
provides standards for judgment (the conscience) and for future aspirations
Superego consists of - CORRECT ANSWER✅✅Morals
What is no longer considered a valid cause of mental illness? - CORRECT ANSWER✅✅Intrapsychic
conflict (a conflict between different levels of the psyche: conscious, subconscious and unconscious)
Transference vs Countertransference - CORRECT 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? -
CORRECT ANSWER✅✅superego
Psychodynamic Therapy - CORRECT 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 - CORRECT ANSWER✅✅Purpose of all behavior is to get needs met through
interpersonal interactions and to reduce or avoid anxiety
Interpersonal Therapy - CORRECT ANSWER✅✅treatment that strengthens social skills and targets
interpersonal problems, conflicts, and life transitions
Hildegard Peplau's Theory of Interpersonal Relationships in Nursing - CORRECT ANSWER✅✅Aim to
improve patient's ability to think and function.
Provide care, compassion, and advocacy Enhance comfort and well-being
Watson theory - CORRECT ANSWER✅✅Proposed that most human learning and behavior was
controlled by experience (not genetically pre-determined). Believed the only behaviors that should be
studied are the "observable" ones.
Skinner's Operant Conditioning - CORRECT ANSWER✅✅Believed you could use a system of positive and
negative reinforcements to affect voluntary behavior
Rational-emotive behavior therapy - CORRECT ANSWER✅✅a cognitive therapy in which the therapist
challenges and questions the client's irrational ideas
Cognitive-behavioral therapy - CORRECT ANSWER✅✅a popular integrative therapy that combines
cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)
Theory of Human Motivation - CORRECT ANSWER✅✅Asserts that psychology must go beyond
experiences of hate, pain, misery, guilt, and conflict to include love, compassion, happiness, exhilaration,
and well-being
Human beings are active participants in life, striving for self-actualization
When lower needs are met, higher needs are able to emerge
**WEEK 1** - CORRECT ANSWER✅✅(Ignore)
Resilience - CORRECT ANSWER✅✅Ability and capacity to secure resources needed to support well-
being
Resilience is characterized by - CORRECT 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? - CORRECT ANSWER✅✅Optimism (?)
Diathesis-stress model - CORRECT 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? - CORRECT ANSWER✅✅Equal coverage for mental health disorders
Which of these mental health problems has the highest annual prevalence in the United States? -
CORRECT ANSWER✅✅major depressive disorder
,Mental Health Parity Act (1996) - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT ANSWER✅✅-Psychiatric mental health
advanced practice registered nurse (PMH-APRN)
-Master of Science or Doctorate
Levels of Awareness - CORRECT ANSWER✅✅higher-level consciousness, lower-level consciousness,
altered states of consciousness, subconscious awareness, and no awareness
,ID - CORRECT ANSWER✅✅contains a reservoir of unconscious psychic energy that strives to satisfy
basic sexual and aggressive drives, demanding immediate gratification.
ID consists of - CORRECT ANSWER✅✅Pleasure principles, reflexes, and primary processes
Ego - CORRECT 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 - CORRECT ANSWER✅✅Problem solving and reality testing
Superego - CORRECT ANSWER✅✅the part of personality that represents internalized ideals and
provides standards for judgment (the conscience) and for future aspirations
Superego consists of - CORRECT ANSWER✅✅Morals
What is no longer considered a valid cause of mental illness? - CORRECT ANSWER✅✅Intrapsychic
conflict (a conflict between different levels of the psyche: conscious, subconscious and unconscious)
Transference vs Countertransference - CORRECT 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? -
CORRECT ANSWER✅✅superego
Psychodynamic Therapy - CORRECT 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 - CORRECT ANSWER✅✅Purpose of all behavior is to get needs met through
interpersonal interactions and to reduce or avoid anxiety
Interpersonal Therapy - CORRECT ANSWER✅✅treatment that strengthens social skills and targets
interpersonal problems, conflicts, and life transitions
Hildegard Peplau's Theory of Interpersonal Relationships in Nursing - CORRECT ANSWER✅✅Aim to
improve patient's ability to think and function.
Provide care, compassion, and advocacy Enhance comfort and well-being
Watson theory - CORRECT ANSWER✅✅Proposed that most human learning and behavior was
controlled by experience (not genetically pre-determined). Believed the only behaviors that should be
studied are the "observable" ones.
Skinner's Operant Conditioning - CORRECT ANSWER✅✅Believed you could use a system of positive and
negative reinforcements to affect voluntary behavior
Rational-emotive behavior therapy - CORRECT ANSWER✅✅a cognitive therapy in which the therapist
challenges and questions the client's irrational ideas
Cognitive-behavioral therapy - CORRECT ANSWER✅✅a popular integrative therapy that combines
cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)
Theory of Human Motivation - CORRECT ANSWER✅✅Asserts that psychology must go beyond
experiences of hate, pain, misery, guilt, and conflict to include love, compassion, happiness, exhilaration,
and well-being
Human beings are active participants in life, striving for self-actualization
When lower needs are met, higher needs are able to emerge
