Nurs 4415 Weeks 1,2, 3 Questions and Correct
Answers | Latest Update
*WEEK 1* (Ignore)
Resilience Ans: Ability and capacity to secure resources needed to
support well-being
Resilience is characterized by Ans: Optimism
Sense of mastery
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Competence
Mrs. M comes to the clinic reporting a feeling of hopelessness. She works
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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
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of resilience. Which other characteristic would you expect her to have?
Ans: Optimism (?)
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Diathesis-stress model Ans: 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? Ans: Equal coverage for
mental health disorders
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Which of these mental health problems has the highest annual prevalence
in the United States? Ans: major depressive disorder
Mental Health Parity Act (1996) Ans: 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 Ans: • 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
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had been denied coverage due to pre-existing conditions.
• Allows parents to keep their children on their plan until age 26.
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• Creates insurance exchanges for individuals and employers.
Incidence vs Prevalence Ans: Incidence = number of new cases in a given
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time
Prevalence = number of cases regardless of when they began
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Basic level of psychiatric nursing practice Ans: -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. Ans: -Psychiatric mental
health advanced practice registered nurse (PMH-APRN)
-Master of Science or Doctorate
Levels of Awareness Ans: higher-level consciousness, lower-level
consciousness, altered states of consciousness, subconscious awareness,
and no awareness
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ID Ans: contains a reservoir of unconscious psychic energy that strives
to satisfy basic sexual and aggressive drives, demanding immediate
gratification.
ID consists of Ans: Pleasure principles, reflexes, and primary processes
Ego Ans: 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 Ans: Problem solving and reality testing
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Superego Ans: the part of personality that represents internalized ideals
and provides standards for judgment (the conscience) and for future
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aspirations
Superego consists of Ans: Morals
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What is no longer considered a valid cause of mental illness? Ans:
Intrapsychic conflict (a conflict between different levels of the psyche:
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conscious, subconscious and unconscious)
Transference vs Countertransference Ans: 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? Ans: superego
Psychodynamic Therapy Ans: 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
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Interpersonal Theory Ans: Purpose of all behavior is to get needs met
through interpersonal interactions and to reduce or avoid anxiety
Interpersonal Therapy Ans: treatment that strengthens social skills and
targets interpersonal problems, conflicts, and life transitions
Hildegard Peplau's Theory of Interpersonal Relationships in Nursing Ans:
Aim to improve patient's ability to think and function.
Provide care, compassion, and advocacy Enhance comfort and well-being
Watson theory Ans: Proposed that most human learning and behavior
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was controlled by experience (not genetically pre-determined). Believed
the only behaviors that should be studied are the "observable" ones.
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Skinner's Operant Conditioning Ans: Believed you could use a system of
positive and negative reinforcements to affect voluntary behavior
Rational-emotive behavior therapy Ans: a cognitive therapy in which the
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therapist challenges and questions the client's irrational ideas
Cognitive-behavioral therapy Ans: a popular integrative therapy that
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combines cognitive therapy (changing self-defeating thinking) with
behavior therapy (changing behavior)
Theory of Human Motivation Ans: 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
MASLOW
Ms. V reveals that she began drinking heavily over the last couple of
weeks when her boyfriend tried to break up with her. During her stay she