NSG 3450 EXAM 1 | (ACTUAL) LATEST 2026 EXPERT CERTIFIED QUESTIONS AND ANSWERS I [GRADED A+]
Mental Health ✔️defined by the World Health Organization is a state in which a person realizes their potential, can cope with stress, work and
contribute to society.
Mental Illness ✔️interferes developmentally, biologically, or psychologically. Impairs ability to think, regulate emotions and manage behaviors.
Definable diagnoses.
DSM-V ✔️Diagnostic and Statistical Manual of Mental Disorder, 5th edition
What are personal factors that contribute to mental health and well being? ✔️genetics, biological, ability to perspective take, response to social
cues, involvement in activities, capacity to be resilient.
What are social & economic factors that contribute to mental health and well being? ✔️availability of resources/ basic needs, access to health
care, family relationships and family response to stress.
What are environmental factors that contribute to mental health and well being? ✔️cultural beliefs, accessibility of places to access resources.
Protective factors ✔️enhance the likelihood of positive outcomes and lessen the likelihood of negative consequences from exposure to risk.
Risk Factors ✔️lower likelihood of positive outcomes and increase the likelihood of negative outcomes.
Resilience ✔️the ability and capacity for people to secure the resources they need to support their well being.
What is the most common factor for children who develop resilience? ✔️they have at least one stable and committed relationship with a
supportive parent, caregiver, or other adult.
Resiliency skills ✔️can be strengthened at any age but they are easier developed in childhood.
Surgeon General's Report ✔️Importance of mental health in relationship to over all health.
Supported that there are effective treatments for mental illness.
Human Genome Project ✔️identify genes in human DNA and the combinations created by DNA pairs.
improve databases where the info is stored and address legal issues that may arise from the work.
The work is associated with this project supports theories that mental illness is biologically and genetically linked.
National Alliance on Mental Illness (NAMI) ✔️patient involvement in treatment decisions, focus on recovery.
Substance Abuse and Mental Health Services Administration (SAMSHSA) ✔️recovery is process towards reaching full potential
What are goals for transforming the mental health system in the U.S. ✔️1. Americans understand that mental health is essential to overall
health.
2. mental healthcare is consumer- and family-driven.
3. disparities in mental health services are eliminated.
4. early mental health screening, assessment, and referral to services are common practice.
5. excellent mental healthcare is delivered, and research is accelerated.
6. technology is used to access mental healthcare and information.
Institute of Medicine Report ✔️focus on safe and effective care
nursing education
Legislation changes & goals ✔️Affordable Care Act 2020
improved healthcare coverage for uninsured and underinsured
improved mental health coverage
,What is used when classifying mental disorders? ✔️1. DSM-V guidelines- of the American Psychiatric Association for diagnosing psychiatric
disorder.
2. ICD-10-CM- international guidelines
Basic Level nursing intervention- Coordination of Care ✔️coordinates implementation of the nursing care plan and documents coordination of
care.
Basic level nursing intervention- Health and teaching and health maintenance ✔️individualized anticipatory guidance to prevent or reduce
mental illness or enhance mental health.
Basic level nursing intervention- Milieu Therapy ✔️provides, structures, and maintains a safe and therapeutic environment in collaboration with
patients, families, and other healthcare clinicians.
Basic level nursing interventions- pharmacological, biological, and integrative therapies ✔️applies current knowledge to assessing patient's
response to medication, provides medication teaching, and communicates observations to other members of the healthcare team.
Advance practice interventions- medication prescription and treatment ✔️prescription of psychotropic medications with appropriate use of
diagnostic tests; hospitals admitting privileges
advances practice intervention- psychotherapy ✔️individual, couple, group, or family therapy using evidence-based therapeutic framework and
nurse-patient relationship
advanced practice interventions- consultation ✔️sharing of clinical expertise with nurses or those in other disciplines to enhance their treatment
of the patients or address systems issues.
What is the scope of practice for mental health nursing? ✔️to promote mental health and well being through assessment, diagnosis, and
interventions related to mental health and psychiatric illness.
What are some future issues in mental health nursing? ✔️1. education- availability of clinical sites
2. aging population- increasing, increased Alzheimer's, increased need for services.
3. cultural diversity- nursing will need to adjust to provide care
4. Science, technology, and electronic healthcare
What advocacy and legislative involvement does mental health nursing have? ✔️1. advocates for patient
2. reports abuse
3. protects confidentiality
4. supports patient's rights to make decisions regarding care.
Freud & Psychoanalytic Theory- three levels of consciousness ✔️1. Conscious
2. Preconscious
3. Unconscious
Conscious level of freud & psychoanalytic theory ✔️current thoughts, perception, feelings, sensations.
aware of this information at any time.
Preconscious level of freud & psychoanalytic theory ✔️yesterday's experiences, unprotected information, this morning's experiences, last
week's feelings, idea.
easily accessible information in the back of the mind but not currently aware of it.
Unconscious level of freud and psychoanalytic theory ✔️embarrassing fears, unacceptable feelings, protected information, traumatic events,
emotionally harmful thoughts, unfulfilled wishes, desires, impulses.
hidden and not immediately available.
Personality Structure- ID ✔️primitive part of personality present at birth, impulsive.
, Personality Structure- EGO ✔️part has been modified by external influences, mediates, decision maker.
Personality Structure- SUPER EGO ✔️develops around ages 3-5, moral aspect of the personality, controls id's impulses.
Classical Psychoanalysis ✔️seldom used today, expensive and time consuming.
Goal is to uncover unconscious conflicts.
Transference ✔️unconscious feelings a patient has towards a healthcare worker connected to a significant relationship in childhood.
Countertransference ✔️unconscious feelings healthcare provider has towards patient connected to a significant relationship. Be aware of strong
reactions to patients.
What does the psychoanalytic theory do for nursing? ✔️1. creates an understanding of personality development.
2. encourages the consideration of both conscious and unconscious influences.
3. highlights the importance of attentive listening and spending time talking with someone.
Defense Mechanisms ✔️1. unconscious responses developed by the ego to prevent awareness of feelings that threaten the stability of the ego.
2. They block feelings, conflicts, and memories.
3. Distort reality.
Theory of Psychosocial Development- ERIKSON ✔️1. personality is not set by age
2. influenced not only by parents but society and culture.
3. 8 life stages with certain crisis to overcome.
What does Erikson's theory have to do with nursing? ✔️1. development is part of nursing assessment.
2. helps determine what types of interventions are more likely to be effective.
Trust vs. Mistrust ✔️1. Infancy (0-1 1/2)
2. Task- Attachment with mother, building foundation for trust in the future.
3. successful- Relates to others, hopeful about the future
4. unsuccessful- Difficulty relating to and trusting others. No one has ever been there
Autonomy vs. shame and doubt ✔️1. Early childhood (1 1/2- 3)
2. Task: Develop control of self and environment / toilet training.
3. Successful Resolution of Crisis: Self-control, will power
4. Unsuccessful Resolution of Crisis: Fear of conflict, self doubt
Initiative vs. guilt ✔️1. Preschool (3-6 yr)
2. Task: Becoming purposeful and self-directive
3. Successful Resolution of Crisis: Make decisions about what they will do ; sense of purpose. Examples include selecting what wear or play,
helping others with tasks.
4. Unsuccessful Resolution of Crisis: Aggression/fear conflict; guilt. Taking something they want.
Industry vs. Inferiority ✔️1. School age (6-12)
2. Task: Develops social, physical, and academic skills
3. Successful Resolution : Competent , completes work
4. Unsuccessful Resolution : Academic challenges, feeling inferior to others, low self esteem.
Mental Health ✔️defined by the World Health Organization is a state in which a person realizes their potential, can cope with stress, work and
contribute to society.
Mental Illness ✔️interferes developmentally, biologically, or psychologically. Impairs ability to think, regulate emotions and manage behaviors.
Definable diagnoses.
DSM-V ✔️Diagnostic and Statistical Manual of Mental Disorder, 5th edition
What are personal factors that contribute to mental health and well being? ✔️genetics, biological, ability to perspective take, response to social
cues, involvement in activities, capacity to be resilient.
What are social & economic factors that contribute to mental health and well being? ✔️availability of resources/ basic needs, access to health
care, family relationships and family response to stress.
What are environmental factors that contribute to mental health and well being? ✔️cultural beliefs, accessibility of places to access resources.
Protective factors ✔️enhance the likelihood of positive outcomes and lessen the likelihood of negative consequences from exposure to risk.
Risk Factors ✔️lower likelihood of positive outcomes and increase the likelihood of negative outcomes.
Resilience ✔️the ability and capacity for people to secure the resources they need to support their well being.
What is the most common factor for children who develop resilience? ✔️they have at least one stable and committed relationship with a
supportive parent, caregiver, or other adult.
Resiliency skills ✔️can be strengthened at any age but they are easier developed in childhood.
Surgeon General's Report ✔️Importance of mental health in relationship to over all health.
Supported that there are effective treatments for mental illness.
Human Genome Project ✔️identify genes in human DNA and the combinations created by DNA pairs.
improve databases where the info is stored and address legal issues that may arise from the work.
The work is associated with this project supports theories that mental illness is biologically and genetically linked.
National Alliance on Mental Illness (NAMI) ✔️patient involvement in treatment decisions, focus on recovery.
Substance Abuse and Mental Health Services Administration (SAMSHSA) ✔️recovery is process towards reaching full potential
What are goals for transforming the mental health system in the U.S. ✔️1. Americans understand that mental health is essential to overall
health.
2. mental healthcare is consumer- and family-driven.
3. disparities in mental health services are eliminated.
4. early mental health screening, assessment, and referral to services are common practice.
5. excellent mental healthcare is delivered, and research is accelerated.
6. technology is used to access mental healthcare and information.
Institute of Medicine Report ✔️focus on safe and effective care
nursing education
Legislation changes & goals ✔️Affordable Care Act 2020
improved healthcare coverage for uninsured and underinsured
improved mental health coverage
,What is used when classifying mental disorders? ✔️1. DSM-V guidelines- of the American Psychiatric Association for diagnosing psychiatric
disorder.
2. ICD-10-CM- international guidelines
Basic Level nursing intervention- Coordination of Care ✔️coordinates implementation of the nursing care plan and documents coordination of
care.
Basic level nursing intervention- Health and teaching and health maintenance ✔️individualized anticipatory guidance to prevent or reduce
mental illness or enhance mental health.
Basic level nursing intervention- Milieu Therapy ✔️provides, structures, and maintains a safe and therapeutic environment in collaboration with
patients, families, and other healthcare clinicians.
Basic level nursing interventions- pharmacological, biological, and integrative therapies ✔️applies current knowledge to assessing patient's
response to medication, provides medication teaching, and communicates observations to other members of the healthcare team.
Advance practice interventions- medication prescription and treatment ✔️prescription of psychotropic medications with appropriate use of
diagnostic tests; hospitals admitting privileges
advances practice intervention- psychotherapy ✔️individual, couple, group, or family therapy using evidence-based therapeutic framework and
nurse-patient relationship
advanced practice interventions- consultation ✔️sharing of clinical expertise with nurses or those in other disciplines to enhance their treatment
of the patients or address systems issues.
What is the scope of practice for mental health nursing? ✔️to promote mental health and well being through assessment, diagnosis, and
interventions related to mental health and psychiatric illness.
What are some future issues in mental health nursing? ✔️1. education- availability of clinical sites
2. aging population- increasing, increased Alzheimer's, increased need for services.
3. cultural diversity- nursing will need to adjust to provide care
4. Science, technology, and electronic healthcare
What advocacy and legislative involvement does mental health nursing have? ✔️1. advocates for patient
2. reports abuse
3. protects confidentiality
4. supports patient's rights to make decisions regarding care.
Freud & Psychoanalytic Theory- three levels of consciousness ✔️1. Conscious
2. Preconscious
3. Unconscious
Conscious level of freud & psychoanalytic theory ✔️current thoughts, perception, feelings, sensations.
aware of this information at any time.
Preconscious level of freud & psychoanalytic theory ✔️yesterday's experiences, unprotected information, this morning's experiences, last
week's feelings, idea.
easily accessible information in the back of the mind but not currently aware of it.
Unconscious level of freud and psychoanalytic theory ✔️embarrassing fears, unacceptable feelings, protected information, traumatic events,
emotionally harmful thoughts, unfulfilled wishes, desires, impulses.
hidden and not immediately available.
Personality Structure- ID ✔️primitive part of personality present at birth, impulsive.
, Personality Structure- EGO ✔️part has been modified by external influences, mediates, decision maker.
Personality Structure- SUPER EGO ✔️develops around ages 3-5, moral aspect of the personality, controls id's impulses.
Classical Psychoanalysis ✔️seldom used today, expensive and time consuming.
Goal is to uncover unconscious conflicts.
Transference ✔️unconscious feelings a patient has towards a healthcare worker connected to a significant relationship in childhood.
Countertransference ✔️unconscious feelings healthcare provider has towards patient connected to a significant relationship. Be aware of strong
reactions to patients.
What does the psychoanalytic theory do for nursing? ✔️1. creates an understanding of personality development.
2. encourages the consideration of both conscious and unconscious influences.
3. highlights the importance of attentive listening and spending time talking with someone.
Defense Mechanisms ✔️1. unconscious responses developed by the ego to prevent awareness of feelings that threaten the stability of the ego.
2. They block feelings, conflicts, and memories.
3. Distort reality.
Theory of Psychosocial Development- ERIKSON ✔️1. personality is not set by age
2. influenced not only by parents but society and culture.
3. 8 life stages with certain crisis to overcome.
What does Erikson's theory have to do with nursing? ✔️1. development is part of nursing assessment.
2. helps determine what types of interventions are more likely to be effective.
Trust vs. Mistrust ✔️1. Infancy (0-1 1/2)
2. Task- Attachment with mother, building foundation for trust in the future.
3. successful- Relates to others, hopeful about the future
4. unsuccessful- Difficulty relating to and trusting others. No one has ever been there
Autonomy vs. shame and doubt ✔️1. Early childhood (1 1/2- 3)
2. Task: Develop control of self and environment / toilet training.
3. Successful Resolution of Crisis: Self-control, will power
4. Unsuccessful Resolution of Crisis: Fear of conflict, self doubt
Initiative vs. guilt ✔️1. Preschool (3-6 yr)
2. Task: Becoming purposeful and self-directive
3. Successful Resolution of Crisis: Make decisions about what they will do ; sense of purpose. Examples include selecting what wear or play,
helping others with tasks.
4. Unsuccessful Resolution of Crisis: Aggression/fear conflict; guilt. Taking something they want.
Industry vs. Inferiority ✔️1. School age (6-12)
2. Task: Develops social, physical, and academic skills
3. Successful Resolution : Competent , completes work
4. Unsuccessful Resolution : Academic challenges, feeling inferior to others, low self esteem.
