NURS 327 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is the dual continuum model - CORRECT ANSWER Shows how you can have mental
illness and still have positive mental health
4 levels of mental health continuum model and what can help each level - CORRECT ANSWER
1. Healthy: normal fluctuation in mood. Have a nurturing support system
2. Reacting: Nervoussness, irritability, sadness, procrastination. Recognizing their own limits, taking
breaks, identify probelms early, seeking support.
3. Injured: anxiety, anger pervasive sadness, negative attitude. Difficulty concentrating. Tune into
your own signs of distress, talk to comeone, make self care a priority.
4. Ill: Excessive anxiety, panic attacks, depressed mood, easily enraged. Seek professional care
Mental illness is characterized by.. - CORRECT ANSWER significant disturbance in an
individuals cognition, emotional regulation or behavior (cant complete ADLs)
Mental illness in canada - CORRECT ANSWER leading cause of disability. 1/5 canadians
have it. Men have higher rate of substance abuse. Woman have higher rates of mood/anxiety
disorders.
Age of onset for mental illness - CORRECT ANSWER 15-24 years old is most common onset
time (milestone increases --> puberty, life changes, stigma involved, limited access to care)
Causes of mental illness - CORRECT ANSWER Biological: physical health, genetic
vulnerabilities, disability, drug effects , temperement, IQ
Social: relationships, peers, discrimination, family, circumstances, school, family, trauma, drug effects
Psychological: self esteem, coping skills, social skills, family, trauma , temperement, IQ
how do social constructs alter what is considered illness - CORRECT ANSWER ex: changed
from mental retardation to intellectual disability
,ex: as homosexuality became more widely accepted it was discontinued as a mental illness
how do socioeconomic factors impact diagnoses - CORRECT ANSWER war torn and
developed countries have different prevalencies of mental illness. Ex: eating disorders are almost non
existant in societies with food scarcity
Formal vs informal psychiatric care - CORRECT ANSWER Formal--> hospitalization,
community mental health
Informal--> support groups, things not run by AHS
Whats the goal of the continuum of psychiatric care - CORRECT ANSWER provide the right
care to the right client by the right person in the right place at the right time
Traditional view vs contemporary view of culture - CORRECT ANSWER Traditional-->
culture is static, unchanging, focuses on cognitive aspects of values, traditions and beliefs
Contemporary--> culture is a complex network of meanings entrenched within historical, social,
economic, political processes. Differences exist within culture
Cultural competence - CORRECT ANSWER Emphasizes role of practitioner (success is
measured by knowledge of professionals and presence of training)
- knowledge gained emphasizes cultural values and customs as oppposed to social determinants of
health
- at risk of leading professionals to stereotype or "expect" certain things
cultural safety - CORRECT ANSWER Emphasizes transfer of power to the patient
- defined in terms of patients feeling of safety during care
- focus more on respect and humility over knowledge
- understands that people have their own practice
Maslows hierachy of needs - CORRECT ANSWER 1. Self actualization: desire to become the
most that one can be
2. Esteem: respect, self steem, status, recognition, strength, freedom
3. Love and Belonging: friendship, intimacy, family, sense of connection
,4. Safety needs: peronal security, employment, resources, health, property
5. Physiological needs: air, water, food, shelter, sleep, cothing, reproduction
Key terms for indigenous ways of knowing vs western ways of knowing - CORRECT ANSWER
Indigenous: Interconnected, holistic, non hierarchical, traditional, experiential and revealed
Western: Individualistic, compartmentalized, hieratical, Objective and scientific
Treatment gaps in mental health care - CORRECT ANSWER - Rural- urban gap in access,
rural indigenous/metis communitites
- massively underfunded system: 7.2% of health care budget goes to mental health
- long wait times
-children/youth with mental health issues dont have access to specialized care
Effects of stigma on the stigmatized - CORRECT ANSWER - increased symptom severity
- Decreased treatment- seeking
- Increased treatment non- adherence
-Decreased access to housing, food, income, occupational issues
- medical care access
- associated stigma on family
Ways to stop stigma - CORRECT ANSWER Aware of language, focus on the
positive/inclusivity, ask questions and learn, reflect on your attitudes, speak out
key targets for mental health promotion - CORRECT ANSWER - perinatal, postpartum, infant,
child
- seniors
- LGBTQIA2S+
- Black and racialized, refugees
- homeless
- Indigenous
- chronic disabilities and chronic health conditions
, Suicde and self harm more common demographics - CORRECT ANSWER Men- death rate is
three times women
Prisoners
45-59 years
Youth and young adults (15- 34 years)
Indigenous, Inuit, and LGBTQ2S+ population
example of the socio ecological approach to mental health tx - CORRECT ANSWER
increasing protective factors
- building gym
Childhood protective factors for mental health - CORRECT ANSWER - positive parenting
skills
- family cohesion, positive sibling relations, positive parent child interactions, positve peer relations
- positive recognition for skills/activities
- supportive relationships with other adults, school and community engagement
Adolescence protective factors for mental health - CORRECT ANSWER - coping skills related
to change
- positive peer relationships, familial harmony
- higher socio economic status or ability to cope with poorer SES
Adulthood protective factors for mental health - CORRECT ANSWER - social support and
positive social networks, positive coping skills and self esteem
- employment or meaninful occupation, relationship harmony
- positive physical health
- acceptable financial state, fulfilling social role
Elders protective factors for mental health - CORRECT ANSWER positive coping skills, social
support, family support
- meaninful activities, sense of belonging
QUESTIONS AND CORRECT ANSWERS
What is the dual continuum model - CORRECT ANSWER Shows how you can have mental
illness and still have positive mental health
4 levels of mental health continuum model and what can help each level - CORRECT ANSWER
1. Healthy: normal fluctuation in mood. Have a nurturing support system
2. Reacting: Nervoussness, irritability, sadness, procrastination. Recognizing their own limits, taking
breaks, identify probelms early, seeking support.
3. Injured: anxiety, anger pervasive sadness, negative attitude. Difficulty concentrating. Tune into
your own signs of distress, talk to comeone, make self care a priority.
4. Ill: Excessive anxiety, panic attacks, depressed mood, easily enraged. Seek professional care
Mental illness is characterized by.. - CORRECT ANSWER significant disturbance in an
individuals cognition, emotional regulation or behavior (cant complete ADLs)
Mental illness in canada - CORRECT ANSWER leading cause of disability. 1/5 canadians
have it. Men have higher rate of substance abuse. Woman have higher rates of mood/anxiety
disorders.
Age of onset for mental illness - CORRECT ANSWER 15-24 years old is most common onset
time (milestone increases --> puberty, life changes, stigma involved, limited access to care)
Causes of mental illness - CORRECT ANSWER Biological: physical health, genetic
vulnerabilities, disability, drug effects , temperement, IQ
Social: relationships, peers, discrimination, family, circumstances, school, family, trauma, drug effects
Psychological: self esteem, coping skills, social skills, family, trauma , temperement, IQ
how do social constructs alter what is considered illness - CORRECT ANSWER ex: changed
from mental retardation to intellectual disability
,ex: as homosexuality became more widely accepted it was discontinued as a mental illness
how do socioeconomic factors impact diagnoses - CORRECT ANSWER war torn and
developed countries have different prevalencies of mental illness. Ex: eating disorders are almost non
existant in societies with food scarcity
Formal vs informal psychiatric care - CORRECT ANSWER Formal--> hospitalization,
community mental health
Informal--> support groups, things not run by AHS
Whats the goal of the continuum of psychiatric care - CORRECT ANSWER provide the right
care to the right client by the right person in the right place at the right time
Traditional view vs contemporary view of culture - CORRECT ANSWER Traditional-->
culture is static, unchanging, focuses on cognitive aspects of values, traditions and beliefs
Contemporary--> culture is a complex network of meanings entrenched within historical, social,
economic, political processes. Differences exist within culture
Cultural competence - CORRECT ANSWER Emphasizes role of practitioner (success is
measured by knowledge of professionals and presence of training)
- knowledge gained emphasizes cultural values and customs as oppposed to social determinants of
health
- at risk of leading professionals to stereotype or "expect" certain things
cultural safety - CORRECT ANSWER Emphasizes transfer of power to the patient
- defined in terms of patients feeling of safety during care
- focus more on respect and humility over knowledge
- understands that people have their own practice
Maslows hierachy of needs - CORRECT ANSWER 1. Self actualization: desire to become the
most that one can be
2. Esteem: respect, self steem, status, recognition, strength, freedom
3. Love and Belonging: friendship, intimacy, family, sense of connection
,4. Safety needs: peronal security, employment, resources, health, property
5. Physiological needs: air, water, food, shelter, sleep, cothing, reproduction
Key terms for indigenous ways of knowing vs western ways of knowing - CORRECT ANSWER
Indigenous: Interconnected, holistic, non hierarchical, traditional, experiential and revealed
Western: Individualistic, compartmentalized, hieratical, Objective and scientific
Treatment gaps in mental health care - CORRECT ANSWER - Rural- urban gap in access,
rural indigenous/metis communitites
- massively underfunded system: 7.2% of health care budget goes to mental health
- long wait times
-children/youth with mental health issues dont have access to specialized care
Effects of stigma on the stigmatized - CORRECT ANSWER - increased symptom severity
- Decreased treatment- seeking
- Increased treatment non- adherence
-Decreased access to housing, food, income, occupational issues
- medical care access
- associated stigma on family
Ways to stop stigma - CORRECT ANSWER Aware of language, focus on the
positive/inclusivity, ask questions and learn, reflect on your attitudes, speak out
key targets for mental health promotion - CORRECT ANSWER - perinatal, postpartum, infant,
child
- seniors
- LGBTQIA2S+
- Black and racialized, refugees
- homeless
- Indigenous
- chronic disabilities and chronic health conditions
, Suicde and self harm more common demographics - CORRECT ANSWER Men- death rate is
three times women
Prisoners
45-59 years
Youth and young adults (15- 34 years)
Indigenous, Inuit, and LGBTQ2S+ population
example of the socio ecological approach to mental health tx - CORRECT ANSWER
increasing protective factors
- building gym
Childhood protective factors for mental health - CORRECT ANSWER - positive parenting
skills
- family cohesion, positive sibling relations, positive parent child interactions, positve peer relations
- positive recognition for skills/activities
- supportive relationships with other adults, school and community engagement
Adolescence protective factors for mental health - CORRECT ANSWER - coping skills related
to change
- positive peer relationships, familial harmony
- higher socio economic status or ability to cope with poorer SES
Adulthood protective factors for mental health - CORRECT ANSWER - social support and
positive social networks, positive coping skills and self esteem
- employment or meaninful occupation, relationship harmony
- positive physical health
- acceptable financial state, fulfilling social role
Elders protective factors for mental health - CORRECT ANSWER positive coping skills, social
support, family support
- meaninful activities, sense of belonging
