NUR 3450 EXAM 1 QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
Define mental health - Answers - A person's condition with regard to their psychological and
emotional well-being.
- A wide range of conditions that affect mood, thinking, and behavior
Factors that affect mental health - Answers Genes, trauma, family, lifestyle, stressors, biological
factors, childhood abuse, neglect, social isolation, racism, losing someone close to you, severe long-
term stress
What are the 3 general adaptation syndrome - Answers Alarm Reaction Stage, Stage of Resistance,
Stage of Exhaustion
What is the alarm reaction stage - Answers The initial reaction stage your body experiences when
under stress. Prepapres you for the flight or fight response. Heart rate and the adrenal gland releases
cortisol (stress hormone) and a boost of adrenaline.
What is the Stage of Resistance - Answers The body begins to repair itself. Releases a lower amount
of cortisol and heart rate and blood pressure are stabilized. Remains on high alert. Signs of resistance
are irritability, frustration, and poor concentration.
What is the Stage of Exhaustion - Answers The stage that results after prolonged stress. Signs are
fatigue, burnout, depression, anxiety, decreased stress tolerance.
What are the 4 levels of anxiety - Answers Mild - Anxious throughout the day, but not all day. Some
changes in concentration and sleep. Stomach-ache and muscle tension
Moderate - Anxious most of the day. Changes in sleep appetite, and concentration. Avoidance.
Feeling panicky, headaches, and fatigue.
Severe - Anxiety all day. Feeling breathless, chest tightness, digestive issues, unable to focus, and
sensory overload. Isolation.
Panic - Sever anxiety all day. Panic attack, can't function. Obsessive thoughts.
What are the 5 stages of grief? - Answers Denial - Denying the situation. Usually, to numb the
intensity of the situation.
Anger - Anger is hiding many of the emotions and pain that you carry
Bargaining - You may find yourself creating a lot of "what if" and "only if" statements
Depression - Where you isolate yourself from the others in order to fully cope with the loss
Acceptance - Accepted the situation. You understand what it meant in your life
What is the DSM5? - Answers The diagnostic and statistical manual of mental disorders, DSM-5 is the
current official guidebook for categorizing and diagnosing psychiatric mental health disorders in the
United States.
What are ways to check for mental status? - Answers Level of Consciousness - refers to the state of
wakefulness of the patient and depends both on brainstem and cortical components. Altered &
Oriented, Comatose.
Physical appearance - Manner of dress, level of cleanliness, appearance
Behavior - Level of eye contact, restless/anxious, withdrawn, disinhibited behavior, rapport, level of
motor activity
Cognitive and intellectual abilities - Patients level of orientation, attention, memory, alertness and
visuospatial functioning. The cognition section assesses their awareness of itself, their environment,
higher cortical functioning, frontal functioning, language, mental calculation, drawing and copying.
What is a HEADSS assessment? - Answers Home, Education, Activities, Drugs, Sex, Suicide.
Assessment is a psychosocial screening tool designed for the adolescent population. The American
Academy of Pediatrics (AAP) and other organizaitons recommend using this assessment in order to
address risk behaviors.
, What is the MMSE - Answers The mini mental state exam, or MMSE, is a simple pen and paper test of
cognitive function based on a total possible score of 30 points; it includes tests of orientation,
concentration, attention, verbal memory, naming and visuospatial skills.
Therapeutic strategies: What is counseling? - Answers Process of meeting with a therapist to resolve
problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses.
Therapeutic strategies: What is milieu therapy? - Answers Safe, structured, group treatment method
for mental health issues. Interaction in a community setting.
Therapeutic strategies: What is promotion of self-care activites? - Answers Meditation, exercise, get
sleep, good hygiene, practice gratitude, focus on positivity, eating healthy, socializing
Therapeutic strategies: What is psychobiological interventions? - Answers Another psychobiological
intervention is electrical stimulation or neuromuscular electrical stimulation (NMES)
Therapeutic strategies: What is Cognitive and behavioral therapies? - Answers Identifying specific
problems or issues in your daily life. Becoming aware of unproductive thought patterns and how they
can impact your life. Identifying negative thinking and reshaping it in a way that changes how you
feel. Learning new behaviors and putting them into practice.
Therapeutic strategies: What is health teaching? - Answers Teaching the patient medication
awareness, intervention purposes, and coping strategies.
Therapeutic strategies: What is health promotion? - Answers Process of enabling people to increase
control over or improve their health
Therapeutic strategies: What is case management? - Answers Case management is the coordination
of community-based services by a professional or team to provide quality mental health care
customized accordingly to individual patient' setbacks or persistent challenges and aim them to their
recovery.
Neurons are comprised of? - Answers Cell body - Where you will find the nucleus or the brain of the
cell.
Axon - what transmits the nerve impulses away from the cell body. A for away. Also called the pre-
synaptic cleft.
Dendrites - Move nerve impulses towards the brain. Also known as post-synaptic cleft.
What is a synapse? - Answers The space in between the axon and the dendrite. These two do not
touch. Axons bring neurotransmitter to the end of the axon where it will travel to the the synapse.
What is a neurotransmitter? - Answers Neurotransmitters are chemical messengers. The receptors of
the dendrite will grab the neurotransmitter and action the next cell. Neurotransmitters can travel
back to the axon in a process called "re-uptake" which can then be used on a later time.
A 23-year-old male was brought to the emergency department by ambulance after a suicide attempt.
He has been extremely depressed since the death of his girlfriend 5 months previously in a motor
vehicle accident in which he was the driver. Since the accident, he has not been attending college
although he was an honor student. He has also not shown up for his tutoring job. The patient's
existing seizure disorder has worsened since the accident, but he refuses treatment. He states he
deserves to be punished for "killing my girlfriend."
a. What evidence can you identify indicating a decline in the patient's level of functioning?
b. Using the mental health continuum, would you rate this patient's symptoms as mild, moderate or
severe? Why? - Answers a) Not attending class or tutoring job, seizure disorder worsen and refused
treatment, guilt
b) Severe due to suiide attempt
Which is the goal of cognitive-behavioral therapy?
a. Developing satisfactory relationships, maturity and relative freedom from anxiety
b. Substituting rational for irrational beliefs and eliminating self-defeating behaviors
c. Facing reality and developing standards for behaving responsibly
d. Reducing bodily tensions and managing stress by biofeedback and relaxation training - Answers B
How is the DSM-5 helpful to mental health providers? Select all that apply.
a. The DSM-5 provides a common language related to the diagnoses of mental illness
b. The DSM-5 lists medications that are appropriate for the treatment of mental disorders
Define mental health - Answers - A person's condition with regard to their psychological and
emotional well-being.
- A wide range of conditions that affect mood, thinking, and behavior
Factors that affect mental health - Answers Genes, trauma, family, lifestyle, stressors, biological
factors, childhood abuse, neglect, social isolation, racism, losing someone close to you, severe long-
term stress
What are the 3 general adaptation syndrome - Answers Alarm Reaction Stage, Stage of Resistance,
Stage of Exhaustion
What is the alarm reaction stage - Answers The initial reaction stage your body experiences when
under stress. Prepapres you for the flight or fight response. Heart rate and the adrenal gland releases
cortisol (stress hormone) and a boost of adrenaline.
What is the Stage of Resistance - Answers The body begins to repair itself. Releases a lower amount
of cortisol and heart rate and blood pressure are stabilized. Remains on high alert. Signs of resistance
are irritability, frustration, and poor concentration.
What is the Stage of Exhaustion - Answers The stage that results after prolonged stress. Signs are
fatigue, burnout, depression, anxiety, decreased stress tolerance.
What are the 4 levels of anxiety - Answers Mild - Anxious throughout the day, but not all day. Some
changes in concentration and sleep. Stomach-ache and muscle tension
Moderate - Anxious most of the day. Changes in sleep appetite, and concentration. Avoidance.
Feeling panicky, headaches, and fatigue.
Severe - Anxiety all day. Feeling breathless, chest tightness, digestive issues, unable to focus, and
sensory overload. Isolation.
Panic - Sever anxiety all day. Panic attack, can't function. Obsessive thoughts.
What are the 5 stages of grief? - Answers Denial - Denying the situation. Usually, to numb the
intensity of the situation.
Anger - Anger is hiding many of the emotions and pain that you carry
Bargaining - You may find yourself creating a lot of "what if" and "only if" statements
Depression - Where you isolate yourself from the others in order to fully cope with the loss
Acceptance - Accepted the situation. You understand what it meant in your life
What is the DSM5? - Answers The diagnostic and statistical manual of mental disorders, DSM-5 is the
current official guidebook for categorizing and diagnosing psychiatric mental health disorders in the
United States.
What are ways to check for mental status? - Answers Level of Consciousness - refers to the state of
wakefulness of the patient and depends both on brainstem and cortical components. Altered &
Oriented, Comatose.
Physical appearance - Manner of dress, level of cleanliness, appearance
Behavior - Level of eye contact, restless/anxious, withdrawn, disinhibited behavior, rapport, level of
motor activity
Cognitive and intellectual abilities - Patients level of orientation, attention, memory, alertness and
visuospatial functioning. The cognition section assesses their awareness of itself, their environment,
higher cortical functioning, frontal functioning, language, mental calculation, drawing and copying.
What is a HEADSS assessment? - Answers Home, Education, Activities, Drugs, Sex, Suicide.
Assessment is a psychosocial screening tool designed for the adolescent population. The American
Academy of Pediatrics (AAP) and other organizaitons recommend using this assessment in order to
address risk behaviors.
, What is the MMSE - Answers The mini mental state exam, or MMSE, is a simple pen and paper test of
cognitive function based on a total possible score of 30 points; it includes tests of orientation,
concentration, attention, verbal memory, naming and visuospatial skills.
Therapeutic strategies: What is counseling? - Answers Process of meeting with a therapist to resolve
problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses.
Therapeutic strategies: What is milieu therapy? - Answers Safe, structured, group treatment method
for mental health issues. Interaction in a community setting.
Therapeutic strategies: What is promotion of self-care activites? - Answers Meditation, exercise, get
sleep, good hygiene, practice gratitude, focus on positivity, eating healthy, socializing
Therapeutic strategies: What is psychobiological interventions? - Answers Another psychobiological
intervention is electrical stimulation or neuromuscular electrical stimulation (NMES)
Therapeutic strategies: What is Cognitive and behavioral therapies? - Answers Identifying specific
problems or issues in your daily life. Becoming aware of unproductive thought patterns and how they
can impact your life. Identifying negative thinking and reshaping it in a way that changes how you
feel. Learning new behaviors and putting them into practice.
Therapeutic strategies: What is health teaching? - Answers Teaching the patient medication
awareness, intervention purposes, and coping strategies.
Therapeutic strategies: What is health promotion? - Answers Process of enabling people to increase
control over or improve their health
Therapeutic strategies: What is case management? - Answers Case management is the coordination
of community-based services by a professional or team to provide quality mental health care
customized accordingly to individual patient' setbacks or persistent challenges and aim them to their
recovery.
Neurons are comprised of? - Answers Cell body - Where you will find the nucleus or the brain of the
cell.
Axon - what transmits the nerve impulses away from the cell body. A for away. Also called the pre-
synaptic cleft.
Dendrites - Move nerve impulses towards the brain. Also known as post-synaptic cleft.
What is a synapse? - Answers The space in between the axon and the dendrite. These two do not
touch. Axons bring neurotransmitter to the end of the axon where it will travel to the the synapse.
What is a neurotransmitter? - Answers Neurotransmitters are chemical messengers. The receptors of
the dendrite will grab the neurotransmitter and action the next cell. Neurotransmitters can travel
back to the axon in a process called "re-uptake" which can then be used on a later time.
A 23-year-old male was brought to the emergency department by ambulance after a suicide attempt.
He has been extremely depressed since the death of his girlfriend 5 months previously in a motor
vehicle accident in which he was the driver. Since the accident, he has not been attending college
although he was an honor student. He has also not shown up for his tutoring job. The patient's
existing seizure disorder has worsened since the accident, but he refuses treatment. He states he
deserves to be punished for "killing my girlfriend."
a. What evidence can you identify indicating a decline in the patient's level of functioning?
b. Using the mental health continuum, would you rate this patient's symptoms as mild, moderate or
severe? Why? - Answers a) Not attending class or tutoring job, seizure disorder worsen and refused
treatment, guilt
b) Severe due to suiide attempt
Which is the goal of cognitive-behavioral therapy?
a. Developing satisfactory relationships, maturity and relative freedom from anxiety
b. Substituting rational for irrational beliefs and eliminating self-defeating behaviors
c. Facing reality and developing standards for behaving responsibly
d. Reducing bodily tensions and managing stress by biofeedback and relaxation training - Answers B
How is the DSM-5 helpful to mental health providers? Select all that apply.
a. The DSM-5 provides a common language related to the diagnoses of mental illness
b. The DSM-5 lists medications that are appropriate for the treatment of mental disorders
