- Mental Health Final EXAM TEST (QUESTIONS
AND ANSWERS) UPDATED
1). Milieu
Ans: the environment in which holistic treatment occurs and includes all members of
the treatment team
2). Mental health
Ans: balance of psychological and emotional well-being; ability to adapt to life-
changing events
3). Mental illness
Ans: medical conditions that cause dysfunction of the brain and neurotransmitters
that affect a person's thinking, feeling, mood, ability to relate to others and daily
functioning
4). Maslow's hierarchy of needs
Ans: physiological, safety, love/belonging, esteem, self-actualization; must start at
bottom to work upwards
5). Erikson's stages of development
Ans: 1. Trust vs. mistrust (Birth to 12-18 months)
2. Autonomy vs. Shame and Doubt (12-18 months to 3 years)
3. Initiative vs. Guilt (3 years to 5-6 years)
4. Industry vs. Inferiority (5-6 years to adolescence; 6-12 yrs)
5. Identity vs. role diffusion (Adolescence; 12-20 yrs)
6. Intimacy vs. Isolation (Early adulthood; 20-30 yrs)
7. Generativity vs. Stagnation (Middle adulthood; 30-60 years)
8. Ego-Integrity vs. Despair (Late adulthood; 60+ yrs)
6). Freud
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, Ans: 1) Oral: birth-1.5yrs; pleasure-pain principle; Id: unconscious mind
2) Anal: 1.5-3yrs; reality principle
3) Phallic: 3-7yrs; reward and punishment principle (superego develops)
4) Latency: 7-12yrs; sexuality is repressed, form close bonds w/same sex
5) Genital phase (adolesence): 13-20yrs; relationships w/opposite sex
7). Sullivan
Ans: 1) Infancy (birth-1.5yrs): mothering object relieves tension through empathetic
intervention/tenderness; goal: biological satisfaction & psychological security
2) Childhood (1.5-6yrs): muscular maturation & learning to communicate verbally; task:
learn to delay satisfaction of wishes
3) Juvenile (6-9yrs): absorbed in learning to deal w/ever widening outside world/peers/
adults; task: develop interpersonal relationships
4) Preadolescence (9-12yrs): develop intimate relationships w/same sex; task: learn to
care for others of same sex outside of family; "normal homosexual phase"
Adolscence (12-20yrs): Early (12-14yrs) establishing satisfying relationships w/opposite
sex, Late (14-20yrs) interdependent and establishing durable sexual relations w/select
member of opposite sex
8). Therapeutic communication
Ans: Verbal and nonverbal communication techniques that encourage patients to
express their feelings and to achieve a positive relationship (silence, accepting, giving
recognition, offering self, offering general leads, giving broad openings, making
observations, encouraging description of percetion)
9). Phases of nurse-patient relationship
Ans: orientation: setting boundaries/objectives, working towards a common goal,
confidentiality established
working: symptoms/problem solving skill, challengig negative thoughts and behaviors
termination: can take a long amount of time, ending relationship, role has now ended
10). Boundaries with patients
Ans: do not overshare, focus is on the patient, do not accept gifts, no special favors,
blurring boundaries (overhelping, controlling, narcissism)
11). Negligence
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, Ans: omission to act and can be charged if nurse does not report a foreseeable harm
to the pt
12). Autonomy
Ans: respecting the rights of others to make their own decisions
13). Justice
Ans: the duty to distribute resources or care equally, regardless of personal attributes
14). Benficence
Ans: the duty to act so as to benefit or promote the good of others
15). Fidelity (nonmaleficence)
Ans: maintaining loyalty and commitment to the patient and doing no wrong to the
patient
16). Veracity
Ans: one's duty to communicate truthfully
17). Civil rights
Ans: people with mental illness are guaranteed the same rights under the federal and
state laws as any other citizen
18). Civil rights examples
Ans: right to refuse medications (unless court ordered), right to informed consent,
right to be involved in treatment, right to consult w/spiritual advisors, right to visitors
(unless needing restriction), right to request to leave (if voluntary), right to make self-care
decisions (shower, clothing, etc)
19). Informed consent
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AND ANSWERS) UPDATED
1). Milieu
Ans: the environment in which holistic treatment occurs and includes all members of
the treatment team
2). Mental health
Ans: balance of psychological and emotional well-being; ability to adapt to life-
changing events
3). Mental illness
Ans: medical conditions that cause dysfunction of the brain and neurotransmitters
that affect a person's thinking, feeling, mood, ability to relate to others and daily
functioning
4). Maslow's hierarchy of needs
Ans: physiological, safety, love/belonging, esteem, self-actualization; must start at
bottom to work upwards
5). Erikson's stages of development
Ans: 1. Trust vs. mistrust (Birth to 12-18 months)
2. Autonomy vs. Shame and Doubt (12-18 months to 3 years)
3. Initiative vs. Guilt (3 years to 5-6 years)
4. Industry vs. Inferiority (5-6 years to adolescence; 6-12 yrs)
5. Identity vs. role diffusion (Adolescence; 12-20 yrs)
6. Intimacy vs. Isolation (Early adulthood; 20-30 yrs)
7. Generativity vs. Stagnation (Middle adulthood; 30-60 years)
8. Ego-Integrity vs. Despair (Late adulthood; 60+ yrs)
6). Freud
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, Ans: 1) Oral: birth-1.5yrs; pleasure-pain principle; Id: unconscious mind
2) Anal: 1.5-3yrs; reality principle
3) Phallic: 3-7yrs; reward and punishment principle (superego develops)
4) Latency: 7-12yrs; sexuality is repressed, form close bonds w/same sex
5) Genital phase (adolesence): 13-20yrs; relationships w/opposite sex
7). Sullivan
Ans: 1) Infancy (birth-1.5yrs): mothering object relieves tension through empathetic
intervention/tenderness; goal: biological satisfaction & psychological security
2) Childhood (1.5-6yrs): muscular maturation & learning to communicate verbally; task:
learn to delay satisfaction of wishes
3) Juvenile (6-9yrs): absorbed in learning to deal w/ever widening outside world/peers/
adults; task: develop interpersonal relationships
4) Preadolescence (9-12yrs): develop intimate relationships w/same sex; task: learn to
care for others of same sex outside of family; "normal homosexual phase"
Adolscence (12-20yrs): Early (12-14yrs) establishing satisfying relationships w/opposite
sex, Late (14-20yrs) interdependent and establishing durable sexual relations w/select
member of opposite sex
8). Therapeutic communication
Ans: Verbal and nonverbal communication techniques that encourage patients to
express their feelings and to achieve a positive relationship (silence, accepting, giving
recognition, offering self, offering general leads, giving broad openings, making
observations, encouraging description of percetion)
9). Phases of nurse-patient relationship
Ans: orientation: setting boundaries/objectives, working towards a common goal,
confidentiality established
working: symptoms/problem solving skill, challengig negative thoughts and behaviors
termination: can take a long amount of time, ending relationship, role has now ended
10). Boundaries with patients
Ans: do not overshare, focus is on the patient, do not accept gifts, no special favors,
blurring boundaries (overhelping, controlling, narcissism)
11). Negligence
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, Ans: omission to act and can be charged if nurse does not report a foreseeable harm
to the pt
12). Autonomy
Ans: respecting the rights of others to make their own decisions
13). Justice
Ans: the duty to distribute resources or care equally, regardless of personal attributes
14). Benficence
Ans: the duty to act so as to benefit or promote the good of others
15). Fidelity (nonmaleficence)
Ans: maintaining loyalty and commitment to the patient and doing no wrong to the
patient
16). Veracity
Ans: one's duty to communicate truthfully
17). Civil rights
Ans: people with mental illness are guaranteed the same rights under the federal and
state laws as any other citizen
18). Civil rights examples
Ans: right to refuse medications (unless court ordered), right to informed consent,
right to be involved in treatment, right to consult w/spiritual advisors, right to visitors
(unless needing restriction), right to request to leave (if voluntary), right to make self-care
decisions (shower, clothing, etc)
19). Informed consent
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