Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
Mental Health - ansAble to recognize own potential, cope with normal stress, work
productively and make contribution to community.
Mental Illness - ansSignificant dysfunction in mental functioning related to developmental,
biological, and physiological disturbances. Culturally defined.
Diathesis Stress Model - ansMental health disorders result from a combination of genetic
vulnerability and negative environmental stressors
Freud - anspsychoanalytic theory
"Talk Therapy" - ansCathartic Method. Getting things off our chest
What is an essential part of Talk Therapy? - ansDream Analysis
Levels of Awareness - ans1. Conscious
2. Preconscious
3. Unconscious
Personality Structure - ans1. Id
2. Ego
3. Superego
Id - ansPleasure principle. Reflex action. Primary process
Ego - ansProblem solver. Reality tester
Superego - ansMoral component
Psychosexual Stages of Development - ansExperiences during the early stages of life
determine individuals lifetime adjustment patterns and personality.
Oral Stage
Anal Stage
Phallic Stage
Latent Stage
Genital Stage
Defense Mechanisms and Anxiety - ansOperate on unconscious level. Deny, falsify or distort
reality to make it less threatening.
Used concepts of Psychoanalysis - ansTransferance and Countertransference
Transference - ansUnconscious feelings that the patient has toward a healthcare worker that
were originally felt in childhood for a significant other
Countertransference - ansUnconscious feelings that the healthcare worker has toward the
patient.
-formation of personality
-conscious and unconscious influences
-importance of individual talk sessions
-attentive listening
Sullivan - ansinterpersonal theory
Interpersonal Theory - ansThe purpose of all behavior is to get needs met through
interpersonal interactions and reduce or avoid anxiety.
(interactions are a way to decrease anxiety)
Problem Areas - ans1. Grief
2. Role Disputes
3. Role Transition
4. Interpersonal Deficit
,Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
What needs to be resolved for the patient to eliminate psychiatric symptoms? - ansProblem
areas
Participant Oberserver - ansThe nurse interacts with the patient as an authentic human being
and not be isolated from the therapeutic environment.
-mutality
-respect for the patient
-unconditional acceptance
-empathy
Who's work was the foundation for Hildegard Peplau's Theory? - ansSullivan
The nurse patient relatinonship - ansThe nurse is:
-safe
-confidential
-reliable
-consistent
Hildregard Peplau's - ansTheory of Interpersonal Relationships
Theory of Interpersonal Relationships - ansPatients are who they are and not their behaviors.
Empathy
Theory of Interpersonal Relationship Phases - ans1. Preorientation
2. Orientation
3. Working
4. Termination
Preorientation Phase - ansIdentified later. Not an original phase. Prior to meeting the patient.
Obtain information about the patient from chart, significant others, or other healthcare
members. Examine fears, feelings and anxieties.
Orientation Phase - ansCreate an environment for trust and rapport. Establish contract for
intervention. Assessment data. Identify clients strength and weakness. Become aware of
transferance and countertransferance issues. Problems identified and goals established. Can
last a few meetings or extend overtime, Initial interview.
Development of a realistic plan of care (Establishing rapport, parameters of relationship,
formal/informal contract, termination)
Establishing rapport - ansrelationship characterized by trust, support, and understandings
Parameters of relationship - ansPatient needs to know about the nurse and the purpose of the
meeting
Formal/informal contract - ansemphasizes the patients participation and responsibility
Termination - ansThe final stage of Interpersonal Relationship. However, planning begins in
Orientation phase.
Confidentiality - ansThe patient has the right to know who will be given their information on
the treatment team.
Working Phase - ansMaintain relationship, gather further data, promote patient's problem
solving skills, self esteem and use of language, facilitate behavioral change, overcome
resistant behaviors, evaluate problems and goals/ redefine, and promote practice and
expression of alternative behaviors.
Extreme circumstances for breaking confidentiality - ans1. Child Abuse
2. Elder Abuse
,Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
3. Duty to warn- threats of self harm/harm to other intent to not follow through or treatment
plan
Termination Phase - ansSummarize goals and objectives achieved, discuss ways to
incorporate new coping strategies, review situations of relationships, exchange memories and
feelings about termination of the relationship are recognized and explored
The art of nursing - ansProvide care, compassion and advocacy. Enhance comfort and well
being
The science of nursing - ansApplication of knowledge to understand a broad range of human
problems and psychosocial phenomena and intervene in relieving patient's suffering and
promote growth.
Peplau's skill of the Mental Health Nurse - ansThe nurse watches the patient and listens to the
patient and develops impressions about the meaning of the patient's situation. By employing
this process the nurse is able to view the patient as a unique individual.
Peplau's theory of anxiety - ansThe higher the anxiety the less ability to learn. There are
levels of anxiety and interventions to lower anxiety
The behavioral theories - ans1. Pavlov's classical conditioning
2. Watson's Behaviorism
3. Skinner's Operant conditioning
Nursing Interventions for behavioral theories - ansmodify or replace the behavior and
behavior mangement
Behavioral Therapies - ans-Modeling
- Operant Conditioning
- Systemic Desensitization
-Aversion Therapy
-Biofeedback
Cognitive Behavioral Theories - ansDynamic interplay between individuals and the
environment. Thoughts come before feelings and actions. Thoughts about the world and our
place in it are based on our own unique perspectives, which may or may not be based on
reality.
Rational-emotive Behavioral Therapy - ansTheorized by Ellis. Aimed to eradicate irrational
beliefs. Recognize thoughts that are not accurate.
Cognitive Behavioral Therapy - ansTheorized by Beck. Test distorted beliefs and change way
of thinking reduce symptoms. Active, directive, time-limited, structured. Designed to identify
reality test and correct distorted and dysfunctional beliefs
Schemas - ansUnique assumptions people have about themselves
Automatic thoughts - ansunthinking response based on schemas
Cognitive distortions - ansautomatic thoughts are irrational and lead to false assumptions and
misinterpretations
Humanistic Theories - ans-Maslow's Hierarchy of Needs
- Theory of Human motivation
Maslow's Hierarchy of Needs - ansWhen lower needs are met, higher needs are able to
emerge.
Physiological
Safety
Love/belonging
Esteem
, Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
Self Actualization
Theory of human motivation - ansemphasis on human potential and the patient's strength.
Prioritizing nursing actions in the nurse patient relationship
Developmental Theories - ans-Cognitive Development
-Ego Theory
Cognitive Development - ansTheorized by Piaget.
Sensorimotor
Preoperational
Concrete operational
Formal operational
Ego Theory - ansTheorized by Erikson. Eight stages of development. Personality continues to
develop through old age. Developmental model is important part of the nursing assessment
because it determines what interventions are effective.
Dorthea Dix - ansLobbied for better living conditions for the mentally ill in the 1840's.
Created psychiatric hospitals
Thorazine discovered to help behavioral symptoms - ans1950's
Mental Health Parity Act 1996 - ansRequired insurance companies to provide equal treatment
coverage for psychiatric disorders
Patient protection and Affordable Care act - ansCoverage for most uninsured Americans
through expanded medical eligibility. Created health insurance exchanges to offer more
choices
ethics - answhat is considered right or wrong in society
Bioethics - ansUsed in relation to ethical dilemmas surrounding health care
Ethical Dilemma - ansConflict between two or more courses of action, each with favorable
and unfavorable consequences
Free will - anscriminal law is based on the assumption that we are all responsible, capable of
making choices and know right from wrong.
5 Principles of Bioethics - ans1. beneficence
2. autonomy
3. justice
4. fidelity
5. veracity
Beneficence - ansThe duty to promote good
Autonomy - ansrespecting the rights of others to make their own decisions
Justice - ansDistribute resources or care equally
Fidelity - ansNonmaleficence. Maintaining loyalty and commitment; doing no wrong to a
patient
Veracity - ansOne's duty to always communicate truthfully
Informal Admission - ansSought by patient
Voluntary Admission - ansSought by patient or gaurdian
Temporary Admission - ansPerson confused or demented. So ill need emergency admission
Involuntary Admission - ansAdmission without patients consent. Person held for up to 5 days
and has to have a commitment hearing during that time. Behavior for commitment is within a
30 day range. 30
Long Term Involuntary Admission - ansMedical certification
Judicial review
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
Mental Health - ansAble to recognize own potential, cope with normal stress, work
productively and make contribution to community.
Mental Illness - ansSignificant dysfunction in mental functioning related to developmental,
biological, and physiological disturbances. Culturally defined.
Diathesis Stress Model - ansMental health disorders result from a combination of genetic
vulnerability and negative environmental stressors
Freud - anspsychoanalytic theory
"Talk Therapy" - ansCathartic Method. Getting things off our chest
What is an essential part of Talk Therapy? - ansDream Analysis
Levels of Awareness - ans1. Conscious
2. Preconscious
3. Unconscious
Personality Structure - ans1. Id
2. Ego
3. Superego
Id - ansPleasure principle. Reflex action. Primary process
Ego - ansProblem solver. Reality tester
Superego - ansMoral component
Psychosexual Stages of Development - ansExperiences during the early stages of life
determine individuals lifetime adjustment patterns and personality.
Oral Stage
Anal Stage
Phallic Stage
Latent Stage
Genital Stage
Defense Mechanisms and Anxiety - ansOperate on unconscious level. Deny, falsify or distort
reality to make it less threatening.
Used concepts of Psychoanalysis - ansTransferance and Countertransference
Transference - ansUnconscious feelings that the patient has toward a healthcare worker that
were originally felt in childhood for a significant other
Countertransference - ansUnconscious feelings that the healthcare worker has toward the
patient.
-formation of personality
-conscious and unconscious influences
-importance of individual talk sessions
-attentive listening
Sullivan - ansinterpersonal theory
Interpersonal Theory - ansThe purpose of all behavior is to get needs met through
interpersonal interactions and reduce or avoid anxiety.
(interactions are a way to decrease anxiety)
Problem Areas - ans1. Grief
2. Role Disputes
3. Role Transition
4. Interpersonal Deficit
,Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
What needs to be resolved for the patient to eliminate psychiatric symptoms? - ansProblem
areas
Participant Oberserver - ansThe nurse interacts with the patient as an authentic human being
and not be isolated from the therapeutic environment.
-mutality
-respect for the patient
-unconditional acceptance
-empathy
Who's work was the foundation for Hildegard Peplau's Theory? - ansSullivan
The nurse patient relatinonship - ansThe nurse is:
-safe
-confidential
-reliable
-consistent
Hildregard Peplau's - ansTheory of Interpersonal Relationships
Theory of Interpersonal Relationships - ansPatients are who they are and not their behaviors.
Empathy
Theory of Interpersonal Relationship Phases - ans1. Preorientation
2. Orientation
3. Working
4. Termination
Preorientation Phase - ansIdentified later. Not an original phase. Prior to meeting the patient.
Obtain information about the patient from chart, significant others, or other healthcare
members. Examine fears, feelings and anxieties.
Orientation Phase - ansCreate an environment for trust and rapport. Establish contract for
intervention. Assessment data. Identify clients strength and weakness. Become aware of
transferance and countertransferance issues. Problems identified and goals established. Can
last a few meetings or extend overtime, Initial interview.
Development of a realistic plan of care (Establishing rapport, parameters of relationship,
formal/informal contract, termination)
Establishing rapport - ansrelationship characterized by trust, support, and understandings
Parameters of relationship - ansPatient needs to know about the nurse and the purpose of the
meeting
Formal/informal contract - ansemphasizes the patients participation and responsibility
Termination - ansThe final stage of Interpersonal Relationship. However, planning begins in
Orientation phase.
Confidentiality - ansThe patient has the right to know who will be given their information on
the treatment team.
Working Phase - ansMaintain relationship, gather further data, promote patient's problem
solving skills, self esteem and use of language, facilitate behavioral change, overcome
resistant behaviors, evaluate problems and goals/ redefine, and promote practice and
expression of alternative behaviors.
Extreme circumstances for breaking confidentiality - ans1. Child Abuse
2. Elder Abuse
,Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
3. Duty to warn- threats of self harm/harm to other intent to not follow through or treatment
plan
Termination Phase - ansSummarize goals and objectives achieved, discuss ways to
incorporate new coping strategies, review situations of relationships, exchange memories and
feelings about termination of the relationship are recognized and explored
The art of nursing - ansProvide care, compassion and advocacy. Enhance comfort and well
being
The science of nursing - ansApplication of knowledge to understand a broad range of human
problems and psychosocial phenomena and intervene in relieving patient's suffering and
promote growth.
Peplau's skill of the Mental Health Nurse - ansThe nurse watches the patient and listens to the
patient and develops impressions about the meaning of the patient's situation. By employing
this process the nurse is able to view the patient as a unique individual.
Peplau's theory of anxiety - ansThe higher the anxiety the less ability to learn. There are
levels of anxiety and interventions to lower anxiety
The behavioral theories - ans1. Pavlov's classical conditioning
2. Watson's Behaviorism
3. Skinner's Operant conditioning
Nursing Interventions for behavioral theories - ansmodify or replace the behavior and
behavior mangement
Behavioral Therapies - ans-Modeling
- Operant Conditioning
- Systemic Desensitization
-Aversion Therapy
-Biofeedback
Cognitive Behavioral Theories - ansDynamic interplay between individuals and the
environment. Thoughts come before feelings and actions. Thoughts about the world and our
place in it are based on our own unique perspectives, which may or may not be based on
reality.
Rational-emotive Behavioral Therapy - ansTheorized by Ellis. Aimed to eradicate irrational
beliefs. Recognize thoughts that are not accurate.
Cognitive Behavioral Therapy - ansTheorized by Beck. Test distorted beliefs and change way
of thinking reduce symptoms. Active, directive, time-limited, structured. Designed to identify
reality test and correct distorted and dysfunctional beliefs
Schemas - ansUnique assumptions people have about themselves
Automatic thoughts - ansunthinking response based on schemas
Cognitive distortions - ansautomatic thoughts are irrational and lead to false assumptions and
misinterpretations
Humanistic Theories - ans-Maslow's Hierarchy of Needs
- Theory of Human motivation
Maslow's Hierarchy of Needs - ansWhen lower needs are met, higher needs are able to
emerge.
Physiological
Safety
Love/belonging
Esteem
, Mastering NSG 411 Exam 1: Your
Comprehensive Guide to Success.
An Ultimate Study Guide 100% Verified and
Certified by Expert.
Self Actualization
Theory of human motivation - ansemphasis on human potential and the patient's strength.
Prioritizing nursing actions in the nurse patient relationship
Developmental Theories - ans-Cognitive Development
-Ego Theory
Cognitive Development - ansTheorized by Piaget.
Sensorimotor
Preoperational
Concrete operational
Formal operational
Ego Theory - ansTheorized by Erikson. Eight stages of development. Personality continues to
develop through old age. Developmental model is important part of the nursing assessment
because it determines what interventions are effective.
Dorthea Dix - ansLobbied for better living conditions for the mentally ill in the 1840's.
Created psychiatric hospitals
Thorazine discovered to help behavioral symptoms - ans1950's
Mental Health Parity Act 1996 - ansRequired insurance companies to provide equal treatment
coverage for psychiatric disorders
Patient protection and Affordable Care act - ansCoverage for most uninsured Americans
through expanded medical eligibility. Created health insurance exchanges to offer more
choices
ethics - answhat is considered right or wrong in society
Bioethics - ansUsed in relation to ethical dilemmas surrounding health care
Ethical Dilemma - ansConflict between two or more courses of action, each with favorable
and unfavorable consequences
Free will - anscriminal law is based on the assumption that we are all responsible, capable of
making choices and know right from wrong.
5 Principles of Bioethics - ans1. beneficence
2. autonomy
3. justice
4. fidelity
5. veracity
Beneficence - ansThe duty to promote good
Autonomy - ansrespecting the rights of others to make their own decisions
Justice - ansDistribute resources or care equally
Fidelity - ansNonmaleficence. Maintaining loyalty and commitment; doing no wrong to a
patient
Veracity - ansOne's duty to always communicate truthfully
Informal Admission - ansSought by patient
Voluntary Admission - ansSought by patient or gaurdian
Temporary Admission - ansPerson confused or demented. So ill need emergency admission
Involuntary Admission - ansAdmission without patients consent. Person held for up to 5 days
and has to have a commitment hearing during that time. Behavior for commitment is within a
30 day range. 30
Long Term Involuntary Admission - ansMedical certification
Judicial review
