NUR234 ECPI Exam 1 MH Questions and Answers Solved Correctly Latest Update 2025-2026
What three factors influence mental health? - Answers •Inherited characteristics
•Childhood nurturing
•Life circumstances
patient is responsive, opens eyes spontaneously, and answers questions appropriately - Answers alert
When does acute PTSD occur? - Answers <6 months of a trauma
patient can open eyes and respond to questions, but is drowsy and falls asleep readily - Answers
lethargic
When do signs of chronic PTSD occur? - Answers >6 months of a trauma
patient responds to light shaking, but is confused and slow to respond - Answers obtunded
What is your role as a MH nurse? - Answers TEACHING
patient barely responds to painful stimuli (ie: rubbing sternum) - Answers stuporous
patient unresponsive. abnormal posturing may be present. - Answers comatose
Who initially developed psychoanalysis in the early 1900s? - Answers Sigmund Freud
What is the first psychopharmacological substance to treat depression by stimulating neural activity,
causing speeded-up body functions and associated energy and mood changes? - Answers amphetamines
arms flexed and internally rotated, legs extended and internally rotated (towards the COR) - Answers
deCORticate rigidity
What therapeutic process involves more verbal therapist-to-patient interaction than psychoanalysis? -
Answers psychotherapy
head arched back, arms and legs extended - Answers decerebrate rigidity
Therapeutic process first developed by Sigmund Freud to resolve internal conflicts by assessing
unconscious thoughts and feelings. - Answers psychoanalysis
patient has the right to make his/her own decisions, even if it is not in their best interest - Answers
autonomy
form of psychotherapy that employs the same tools as psychoanalysis, but is focused more on the
client's present state, rather than early life and tends to last longer than other treatment approaches. -
Answers psychodynamic psychotherapy
do what is best for the patient (do good) - Answers beneficence
,keep promises (loyalty, faithfulness) - Answers fidelity
form of psychotherapy that assists patients in addressing specific problems.
can improve interpersonal relationships and communication - Answers interpersonal psychotherapy IPT
what is the goal of interpersonal psychotherapy (IPT)? - Answers to improve interpersonal and social
functioning which will reduce psychiatric manifestations
provide fairness in care and allocation of resources (spend appropriate time per patient based on
individual needs) - Answers justice
spontaneous, uncensored verbalization of whatever comes to a patients mind - Answers free association
do no harm - Answers Nonmaleficence
believed by Freud to be urges and impulses of the unconscious mind that played out through dreams -
Answers dream analysis/interpretation
tell the truth, be honest - Answers veracity
feelings that a patient develops toward therapist associated to similar feelings for a significant person in
the patients life - Answers transference
even patients who are involuntarily admitted have the right to ___ ___ - Answers refuse treatment
feelings that the healthcare worker develops for a patient associated to a significant person in the
healthcare worker's life (can be positive or negative) - Answers countertransference
What are the provider's responsibilities regarding informed consent? - Answers -communicating the
purpose of the procedure
-communicating a complete description of procedure
-communicating risks vs benefits
-communicate other options available
-ALL in patients PRIMARY language
-form of psychotherapy that focuses on thought and behaviors to solve current problems
-the belief is that thoughts come before feelings and actions
-treats depression, anxiety, eating disorders, and other issues that can improve by changing attitude
toward life experiences - Answers cognitive therapy
What are the N's responsibilities regarding informed consent? - Answers -make sure the provider gave
the required information
, -ensure patient is competent to give informed consent (ie: adult, not impaired)
-collect signature on consent document
-notify provider if patient has any questions or doesn't understand any information provided
-form of psychotherapy that is based on the theory that behavior is learned and has consequences
-abnormal behavior results from an attempt to avoid painful feelings
-changing abnormal/maladaptive behavior can occur w/o insight to underlying causes
-teach ways to decrease anxiety or avoidant behaviors using relaxation training and modeling
-used successfully to treat phobias, substance use or addictive disorders and other issues - Answers
behavioral therapy
What are alternatives to restraints? - Answers ∙Rule out causes for agitation
∙Consider relocation closer to nurses station
∙Involve family in patient's care
∙Ask someone to "sit" with the patient
∙Use alarm systems to warn of unassisted activity
∙Check environment for hazards
∙Use floor mats on each side of the bed
∙Reduce stimulation
∙Encourage relaxation or diversional activities
-a form of cognitive-behavioral psychotherapy for clients who have personality disorder and exhibit self-
injurious behaviors
-focuses on gradual behavior changes and provides validation and acceptance - Answers dialectical
behavioral therapy
return focus back to patient: - Answers reflecting
-assists a patient to identify negative thoughts that produce anxiety
-examine the cause of negative thoughts
-develop supportive ideas that replace negative thoughts - Answers cognitive reframing
What three factors influence mental health? - Answers •Inherited characteristics
•Childhood nurturing
•Life circumstances
patient is responsive, opens eyes spontaneously, and answers questions appropriately - Answers alert
When does acute PTSD occur? - Answers <6 months of a trauma
patient can open eyes and respond to questions, but is drowsy and falls asleep readily - Answers
lethargic
When do signs of chronic PTSD occur? - Answers >6 months of a trauma
patient responds to light shaking, but is confused and slow to respond - Answers obtunded
What is your role as a MH nurse? - Answers TEACHING
patient barely responds to painful stimuli (ie: rubbing sternum) - Answers stuporous
patient unresponsive. abnormal posturing may be present. - Answers comatose
Who initially developed psychoanalysis in the early 1900s? - Answers Sigmund Freud
What is the first psychopharmacological substance to treat depression by stimulating neural activity,
causing speeded-up body functions and associated energy and mood changes? - Answers amphetamines
arms flexed and internally rotated, legs extended and internally rotated (towards the COR) - Answers
deCORticate rigidity
What therapeutic process involves more verbal therapist-to-patient interaction than psychoanalysis? -
Answers psychotherapy
head arched back, arms and legs extended - Answers decerebrate rigidity
Therapeutic process first developed by Sigmund Freud to resolve internal conflicts by assessing
unconscious thoughts and feelings. - Answers psychoanalysis
patient has the right to make his/her own decisions, even if it is not in their best interest - Answers
autonomy
form of psychotherapy that employs the same tools as psychoanalysis, but is focused more on the
client's present state, rather than early life and tends to last longer than other treatment approaches. -
Answers psychodynamic psychotherapy
do what is best for the patient (do good) - Answers beneficence
,keep promises (loyalty, faithfulness) - Answers fidelity
form of psychotherapy that assists patients in addressing specific problems.
can improve interpersonal relationships and communication - Answers interpersonal psychotherapy IPT
what is the goal of interpersonal psychotherapy (IPT)? - Answers to improve interpersonal and social
functioning which will reduce psychiatric manifestations
provide fairness in care and allocation of resources (spend appropriate time per patient based on
individual needs) - Answers justice
spontaneous, uncensored verbalization of whatever comes to a patients mind - Answers free association
do no harm - Answers Nonmaleficence
believed by Freud to be urges and impulses of the unconscious mind that played out through dreams -
Answers dream analysis/interpretation
tell the truth, be honest - Answers veracity
feelings that a patient develops toward therapist associated to similar feelings for a significant person in
the patients life - Answers transference
even patients who are involuntarily admitted have the right to ___ ___ - Answers refuse treatment
feelings that the healthcare worker develops for a patient associated to a significant person in the
healthcare worker's life (can be positive or negative) - Answers countertransference
What are the provider's responsibilities regarding informed consent? - Answers -communicating the
purpose of the procedure
-communicating a complete description of procedure
-communicating risks vs benefits
-communicate other options available
-ALL in patients PRIMARY language
-form of psychotherapy that focuses on thought and behaviors to solve current problems
-the belief is that thoughts come before feelings and actions
-treats depression, anxiety, eating disorders, and other issues that can improve by changing attitude
toward life experiences - Answers cognitive therapy
What are the N's responsibilities regarding informed consent? - Answers -make sure the provider gave
the required information
, -ensure patient is competent to give informed consent (ie: adult, not impaired)
-collect signature on consent document
-notify provider if patient has any questions or doesn't understand any information provided
-form of psychotherapy that is based on the theory that behavior is learned and has consequences
-abnormal behavior results from an attempt to avoid painful feelings
-changing abnormal/maladaptive behavior can occur w/o insight to underlying causes
-teach ways to decrease anxiety or avoidant behaviors using relaxation training and modeling
-used successfully to treat phobias, substance use or addictive disorders and other issues - Answers
behavioral therapy
What are alternatives to restraints? - Answers ∙Rule out causes for agitation
∙Consider relocation closer to nurses station
∙Involve family in patient's care
∙Ask someone to "sit" with the patient
∙Use alarm systems to warn of unassisted activity
∙Check environment for hazards
∙Use floor mats on each side of the bed
∙Reduce stimulation
∙Encourage relaxation or diversional activities
-a form of cognitive-behavioral psychotherapy for clients who have personality disorder and exhibit self-
injurious behaviors
-focuses on gradual behavior changes and provides validation and acceptance - Answers dialectical
behavioral therapy
return focus back to patient: - Answers reflecting
-assists a patient to identify negative thoughts that produce anxiety
-examine the cause of negative thoughts
-develop supportive ideas that replace negative thoughts - Answers cognitive reframing
