NSG 411 EXAM 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is mental health vs mental illness - CORRECT ANSWER - adaptation to stressors vs
maladaptive response to stressors
Flat affective - CORRECT ANSWER - no emotion or expression
perserverate - CORRECT ANSWER - repeating behaviors/thoughts about same thing over
and over
Nurse's role in a crisis - CORRECT ANSWER - establish back to previous self before
crisis (not cure)
3 anxiety levels - CORRECT ANSWER - Mild: Everyday stressors; running late to work
Moderate: Added stressors; spilling coffee
Severe: hyper-focused on stressor
Crisis: coping mechanisms exhausted from other mental illnesses (pre-existing)
Nursing interventions fro each anxiety level - CORRECT ANSWER - Mild: have good
customer service; apologize
Moderate: verbally de-escalate
Severe: SET LIMITS; safety is a priority
Panic/crisis: Restraints*
Altruism - CORRECT ANSWER - act goodwill for others
Compensation - CORRECT ANSWER - counterbalancing weaknesses by emphasizing
strengths
,Denial - CORRECT ANSWER - refusal to accept reality
Displacement - CORRECT ANSWER - redirecting thoughts/feelings onto someone else
Identification - CORRECT ANSWER - repeated behaviors based off of an irrational fear
Intellectualization - CORRECT ANSWER - distance themselves from feeling the
emotions, rather than deal with it
Introjection - CORRECT ANSWER - taking stimuli from environment and adopting them
as their own
Projection - CORRECT ANSWER - attributed your negative thoughts as other people's
thoughts
Ex: i think I'm fat, so i think other ppl think I'm fat
Reaction formation - CORRECT ANSWER - converting unwanted thoughts/feelings into
their opposite
Regression - CORRECT ANSWER - reverting to earlier developmental stage
Repression - CORRECT ANSWER - Unconscious forgetting
Supression - CORRECT ANSWER - Conscious forgetting
Sublimation - CORRECT ANSWER - channeling unacceptable feelings into acceptable
ones
, Ex:(painting portraits instead of graffiti) (channeling aggression into contact sport)
Fugue - CORRECT ANSWER - unexpected travel away from home
Echopraxia - CORRECT ANSWER - Mimicry or imitation of the movements of another
person.
Echolalia - CORRECT ANSWER - parrot like repetition
Transference vs Countertransference - CORRECT ANSWER - Negative
feelings/behaviors
1. Transference: pt to nurse
2. Countertransference: nurse to pt
Examples of Non-therapeutic communication - CORRECT ANSWER - -reassurance
-rejecting
-approve/disapprove
-advice
-probing
Dispositional crisis - CORRECT ANSWER - an acute response to an external situational
stressor
->loss of relationship
Anticipated life transition crisis example - CORRECT ANSWER - anticipating death of
loved one
Traumatic stress - CORRECT ANSWER - unexpected external stressor
Exam Questions and CORRECT Answers
What is mental health vs mental illness - CORRECT ANSWER - adaptation to stressors vs
maladaptive response to stressors
Flat affective - CORRECT ANSWER - no emotion or expression
perserverate - CORRECT ANSWER - repeating behaviors/thoughts about same thing over
and over
Nurse's role in a crisis - CORRECT ANSWER - establish back to previous self before
crisis (not cure)
3 anxiety levels - CORRECT ANSWER - Mild: Everyday stressors; running late to work
Moderate: Added stressors; spilling coffee
Severe: hyper-focused on stressor
Crisis: coping mechanisms exhausted from other mental illnesses (pre-existing)
Nursing interventions fro each anxiety level - CORRECT ANSWER - Mild: have good
customer service; apologize
Moderate: verbally de-escalate
Severe: SET LIMITS; safety is a priority
Panic/crisis: Restraints*
Altruism - CORRECT ANSWER - act goodwill for others
Compensation - CORRECT ANSWER - counterbalancing weaknesses by emphasizing
strengths
,Denial - CORRECT ANSWER - refusal to accept reality
Displacement - CORRECT ANSWER - redirecting thoughts/feelings onto someone else
Identification - CORRECT ANSWER - repeated behaviors based off of an irrational fear
Intellectualization - CORRECT ANSWER - distance themselves from feeling the
emotions, rather than deal with it
Introjection - CORRECT ANSWER - taking stimuli from environment and adopting them
as their own
Projection - CORRECT ANSWER - attributed your negative thoughts as other people's
thoughts
Ex: i think I'm fat, so i think other ppl think I'm fat
Reaction formation - CORRECT ANSWER - converting unwanted thoughts/feelings into
their opposite
Regression - CORRECT ANSWER - reverting to earlier developmental stage
Repression - CORRECT ANSWER - Unconscious forgetting
Supression - CORRECT ANSWER - Conscious forgetting
Sublimation - CORRECT ANSWER - channeling unacceptable feelings into acceptable
ones
, Ex:(painting portraits instead of graffiti) (channeling aggression into contact sport)
Fugue - CORRECT ANSWER - unexpected travel away from home
Echopraxia - CORRECT ANSWER - Mimicry or imitation of the movements of another
person.
Echolalia - CORRECT ANSWER - parrot like repetition
Transference vs Countertransference - CORRECT ANSWER - Negative
feelings/behaviors
1. Transference: pt to nurse
2. Countertransference: nurse to pt
Examples of Non-therapeutic communication - CORRECT ANSWER - -reassurance
-rejecting
-approve/disapprove
-advice
-probing
Dispositional crisis - CORRECT ANSWER - an acute response to an external situational
stressor
->loss of relationship
Anticipated life transition crisis example - CORRECT ANSWER - anticipating death of
loved one
Traumatic stress - CORRECT ANSWER - unexpected external stressor
