CMAN 272 - EXAM 1 QUESTIONS & ANSWERS
Mental Health - Answer -A dynamic process in which a person's: physical, cognitive,
affective, emotional, behavioral, social dimensions interact FUNCTIONALLY with one
another and with the environment
Mental Illness/ Disorder - Answer -Physical, cognitive, affective, behavioral and social
patterns that interact DYSFUNCTIONALLY with the environment.
(Definable diagnoses related to development, biology and psychological disturbances)
Psychiatric Mental Health Nursing - Answer -Promotes mental health through the
assessment, diagnosis and treatment of human responses to mental health problems
and psychiatric disorders.
[also: employs a purposeful us of self as its art,
and uses wide range of nursing, psychosocial and neurobiological theories and
research evidence as its science.]
Nursing Phenomena of Concern - Answer -Actual/ potential mental health problems of
patient include....
-Self- care deficits
-alterations in thinking, perceiving, communicating and decision making
-symptom management
-side effects/ toxicities
-emotional problems
-maintenance of optimal mental health
-prevention of mental illness
-emotional, biological and cognitive deficits
-danger for self/others
-emotional stress, crisis r/t illness, pain disability, loss of self concept, development and
end of life issues
-psych probs r/t physical changes/illnesses
Basic Nurse Functions - Answer -1. Assessment
2. Diagnosis
3. Outcomes
4. Planning
5. Implement
A. coordinate care
B. health teaching/ promotion
C. milieu therapy
D. pharmacological, biological and integrative therapy
E. therapeutic relationship/ counseling
6. Evaluate
Advanced Practice ONLY - Answer -F. Prescriptive authority and treatment
, G. psychotherapy
H. consultation
DSM (multi-axial system) - Answer -Diagnostic Statistical Manual
Axis 1: Primary diagnosis
Axis 2: Personality disorder/ mental retardation
Axis 3: Medical conditions/ disorders (usually chronic)
Axis 4: Psychosocial/ environmental stressors (long or short term)
Axis 5: GAF
GAF - Answer -Global Assessment of Functioning (1-100)
60-51: variable
50-41: serious (SI)
20-11: needs considerable supervision (suicide attempts)
10-1: needs constant supervision (violent, unable to maintain hygiene, serious suicide
attempt w/ clear plan of death)
0: inadequate information
Freud - Answer -Changed the way mental illness is perceived
-believed mental disorders are due to unresolved issues from childhood
o Cathartic method = talk therapy
o Free association
o Dream analysis - urges & impulses of the unconscious mind are played out in our
dreams
3 levels of awareness: Conscious, Preconscious, Unconscious
Id = self-motivating - "I want chocolate"
Superego = what's right and wrong "you're on a diet
Ego = Balances the ego & superego
Discusses anxiety & defense mechanisms
Harry Stack Sullivan - Answer -Interpersonal Theory
o Purpose of behavior is to get needs met through interpersonal interactions & to lower
or avoid anxiety
o Anxiety= painful feeling arising from insecurity or preventing needs from being met
o Security Operations = measures the individual employs to lower anxiety and enhance
security
Believed therapy should educate patients & help them gain personal insight
- Mutual respect, acceptance, empathy
Reduce eliminate psych symptoms by increasing interpersonal functioning &
satisfaction w/ social relationships
4 problems = grief, role disrupts, role transitions, interpersonal deficit
Became foundation for Hildegaard Peplau's theory
Eric Erickson - Answer -Personality develops through the lifespan
o 8 psychosocial life stages industry or inferiority
Mental Health - Answer -A dynamic process in which a person's: physical, cognitive,
affective, emotional, behavioral, social dimensions interact FUNCTIONALLY with one
another and with the environment
Mental Illness/ Disorder - Answer -Physical, cognitive, affective, behavioral and social
patterns that interact DYSFUNCTIONALLY with the environment.
(Definable diagnoses related to development, biology and psychological disturbances)
Psychiatric Mental Health Nursing - Answer -Promotes mental health through the
assessment, diagnosis and treatment of human responses to mental health problems
and psychiatric disorders.
[also: employs a purposeful us of self as its art,
and uses wide range of nursing, psychosocial and neurobiological theories and
research evidence as its science.]
Nursing Phenomena of Concern - Answer -Actual/ potential mental health problems of
patient include....
-Self- care deficits
-alterations in thinking, perceiving, communicating and decision making
-symptom management
-side effects/ toxicities
-emotional problems
-maintenance of optimal mental health
-prevention of mental illness
-emotional, biological and cognitive deficits
-danger for self/others
-emotional stress, crisis r/t illness, pain disability, loss of self concept, development and
end of life issues
-psych probs r/t physical changes/illnesses
Basic Nurse Functions - Answer -1. Assessment
2. Diagnosis
3. Outcomes
4. Planning
5. Implement
A. coordinate care
B. health teaching/ promotion
C. milieu therapy
D. pharmacological, biological and integrative therapy
E. therapeutic relationship/ counseling
6. Evaluate
Advanced Practice ONLY - Answer -F. Prescriptive authority and treatment
, G. psychotherapy
H. consultation
DSM (multi-axial system) - Answer -Diagnostic Statistical Manual
Axis 1: Primary diagnosis
Axis 2: Personality disorder/ mental retardation
Axis 3: Medical conditions/ disorders (usually chronic)
Axis 4: Psychosocial/ environmental stressors (long or short term)
Axis 5: GAF
GAF - Answer -Global Assessment of Functioning (1-100)
60-51: variable
50-41: serious (SI)
20-11: needs considerable supervision (suicide attempts)
10-1: needs constant supervision (violent, unable to maintain hygiene, serious suicide
attempt w/ clear plan of death)
0: inadequate information
Freud - Answer -Changed the way mental illness is perceived
-believed mental disorders are due to unresolved issues from childhood
o Cathartic method = talk therapy
o Free association
o Dream analysis - urges & impulses of the unconscious mind are played out in our
dreams
3 levels of awareness: Conscious, Preconscious, Unconscious
Id = self-motivating - "I want chocolate"
Superego = what's right and wrong "you're on a diet
Ego = Balances the ego & superego
Discusses anxiety & defense mechanisms
Harry Stack Sullivan - Answer -Interpersonal Theory
o Purpose of behavior is to get needs met through interpersonal interactions & to lower
or avoid anxiety
o Anxiety= painful feeling arising from insecurity or preventing needs from being met
o Security Operations = measures the individual employs to lower anxiety and enhance
security
Believed therapy should educate patients & help them gain personal insight
- Mutual respect, acceptance, empathy
Reduce eliminate psych symptoms by increasing interpersonal functioning &
satisfaction w/ social relationships
4 problems = grief, role disrupts, role transitions, interpersonal deficit
Became foundation for Hildegaard Peplau's theory
Eric Erickson - Answer -Personality develops through the lifespan
o 8 psychosocial life stages industry or inferiority
