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NUR3678 EXAM #1 - QUESTIONS AND ANSWERS | WITH ACTUAL SOLUTIONS 2026

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Ace your NUR3678 Psychiatric Mental Health Nursing Exam 1 with this comprehensive 2026 study guide. Packed with over 500 exam-style questions and actual solutions, this resource covers every essential topic for psychiatric nursing certification and course success. Master key concepts including: Foundations of Mental Health: Mental health vs. mental illness, DSM-5 criteria, NANDA-I nursing diagnoses, eustress vs. distress, fight-or-flight vs. rest-and-digest responses Anxiety Disorders: Mild to panic-level anxiety, interventions for each level, defense mechanisms (healthy, intermediate, immature), GAD, panic disorder, phobias (agoraphobia, social anxiety, specific phobias) OCD & Related Disorders: Obsessions vs. compulsions, body dysmorphic disorder, compulsive hoarding, thought stopping, response prevention Trauma & Stressor-Related Disorders: PTSD symptoms (TRAUMA mnemonic), dissociative amnesia, dissociative fugue, dissociative identity disorder (DID), depersonalization/derealization disorder Somatic Symptom Disorders: SSD, illness anxiety disorder (hypochondriasis), conversion disorder, factitious disorder (imposed on self/another), primary vs. secondary gain Mood Disorders: Major depression (mild, moderate, severe), persistent depressive disorder (PDD/dysthymia), postpartum depression, bipolar I & II, cyclothymic disorder Suicide Assessment: SAD PERSONS scale, risk factors, warning signs, nursing interventions, lethal vs. non-lethal methods Crisis Intervention: Maturational, situational, adventitious, existential crises; Robert's Seven-Stage Model Therapeutic Communication: Active listening, therapeutic vs. nontherapeutic techniques, phases of therapeutic relationship (pre-interaction, orientation, working, termination) Psychopharmacology: SSRIs, SNRIs, TCAs, MAOIs (tyramine restrictions, hypertensive crisis), benzodiazepines, buspirone, mood stabilizers (lithium levels 0.8-1.4, toxicity symptoms), antipsychotics (FGA vs. SGA, EPS, metabolic syndrome), anticonvulsants Legal & Ethical Issues: Involuntary admission, seclusion and restraint protocols, patient rights, confidentiality (HIPAA), duty to warn, unauthorized commitments Grief & Loss: Anticipatory, disenfranchised, complicated grief; mourning vs. bereavement; therapeutic presence Violence Assessment: Pre-assaultive signs, de-escalation techniques, assaultive stage interventions Perfect for psychiatric nursing students, NCLEX-RN preparation, and mental health clinical rotations. Each question includes the correct answer (ANS) with detailed rationales – updated for 2026.

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Institution
NUR3678
Module
NUR3678

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NUR3678 EXAM #1 - QUESTIONS AND ANSWERS |
WITH ACTUAL SOLUTIONS 2026



Mental health - ANS.... -our mental well-being: our emotions, our thoughts
and feelings, our ability to solve problems and overcome difficulties, our
social connections, and our understanding of the world around us.


Multifaceted: involves our emotional, psychological, and social well-being


Can be affected by genetics, brain chemistry, and experiences


Mental illness - ANS.... -marked distress, moderate to disabling or chronic
impairment
Plagued by myths and misconceptions.
Interferes with functioning- difficult to relate to others
Behavior outside social norms
Ex: stripping in public
Is an illness that affects that way people think, feel, behave, or interact with
others.
Disabilities related to happiness, control over behavior, appraisal of reality,
effectiveness in work, healthy self-concept, satisfying relationships,
effective coping strategies


Mental illness is treatable


· No consistent line exists between mental illness and - ANS.... -mental
health

,DSM-5 - ANS.... -The Diagnostic and Statistical Manual of Mental
Disorders (DSM-5)is the current official guidebook used by the psychiatric
community for categorizing and diagnosing psychiatric mental health
disorders in the United States
DSM-5 lists specific criteria for each psychiatric diagnosis


Mental health disorders are clinically significant behavioral and
psychological
Syndromes or patterns that are associated with distress (painful symptoms)
and
Disability (impairment in one or more important areas of functioning)


Must exceed expected and culturally defined responses to particular
events,
Such as grief after the loss of a loved one.
Diagnostic criteria usually includes a time frame


North American Nursing Diagnosis Association International (NANDA-I)
provides a common language for nursing - ANS.... --Describes a nursing
diagnosis as a clinical judgment about responses to health problems.
-Psychiatric-mental health nursing includes the diagnosis and treatment
responses to mental health problems.


Eustress - ANS.... -is considered normal and beneficial.


Distress - ANS.... -causes problems emotionally and physically

,Long term chronic stress - ANS.... -can cause physiologic harm and
emotional difficulties


Fight or flight - ANS.... -SNS


Rest and digest - ANS.... -PNS


Freezing - ANS.... -an automatic, involuntary response to a threat. In a split
second, the brain decides that freezing (rather than fighting or running
away) is the best way to survive what's happening


Deer in headlights


Relief behavior - ANS.... -defense mechanisms
Individual coping responses
Spiritual/cultural supports
Social support network


Alertness heightened: stress - ANS.... --circulating adrenaline increases:
increased HR, bloodflow, BP, Respirations,
-brain stimulates hypothalamus, which stimulates ANS, SNS signals
adrenal system, epinephrine (adrenaline) is released, pituitary releases
ACTH


Stress signaling system - ANS.... --SNS: pituitary gland releases ACTH and
adrenal cortex secretes cortisol
THEN

, -Hormones secreted: adrenal medulla secretes stress hormones
(epinephrine) and they travel through bloodstream to organs
THEN
-stress response: smooth muscle or glands activate, pupils dilate, fight or
flight


Stress-reduction techniques - ANS.... --Eliciting the relaxation response
-Physical activity
-Social supports (e.g., close family ties, acquaintances, spouses, friends)
-exercise
-lower caffeine
-reframing
-sleep


Structures involved in the HPA stress response - ANS.... --epinephrine:
subsides as the threat passes
-hypothalamus stimulates the HPA axis
-CRH: travels to the pituitary gland
-ACH: travels to the adrenal glands
-cortisol is released


As anxiety decreases - ANS.... -dysfunctional behavior will frequently
decrease.


Anxiety - ANS.... --Is the most basic emotion.
-Dysfunctional behavior is often a defense against anxiety.

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