NSG 411 Exam 1 UPDATED Exam
Questions and CORRECT Answers
Mental Health - CORRECT ANSWER - Able to recognize own potential, cope with
normal stress, work productively and make contribution to community.
Mental Illness - CORRECT ANSWER - Significant dysfunction in mental functioning
related to developmental, biological, and physiological disturbances. Culturally defined.
Diathesis Stress Model - CORRECT ANSWER - Mental health disorders result from a
combination of genetic vulnerability and negative environmental stressors
Freud - CORRECT ANSWER - psychoanalytic theory
"Talk Therapy" - CORRECT ANSWER - Cathartic Method. Getting things off our chest
What is an essential part of Talk Therapy? - CORRECT ANSWER - Dream Analysis
Levels of Awareness - CORRECT ANSWER - 1. Conscious
2. Preconscious
3. Unconscious
Personality Structure - CORRECT ANSWER - 1. Id
2. Ego
3. Superego
Id - CORRECT ANSWER - Pleasure principle. Reflex action. Primary process
,Ego - CORRECT ANSWER - Problem solver. Reality tester
Superego - CORRECT ANSWER - Moral component
Psychosexual Stages of Development - CORRECT ANSWER - Experiences 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 - CORRECT ANSWER - Operate on unconscious
level. Deny, falsify or distort reality to make it less threatening.
Used concepts of Psychoanalysis - CORRECT ANSWER - Transferance and
Countertransference
Transference - CORRECT ANSWER - Unconscious feelings that the patient has toward a
healthcare worker that were originally felt in childhood for a significant other
Countertransference - CORRECT ANSWER - Unconscious feelings that the healthcare
worker has toward the patient.
-formation of personality
-conscious and unconscious influences
-importance of individual talk sessions
-attentive listening
,Sullivan - CORRECT ANSWER - interpersonal theory
Interpersonal Theory - CORRECT ANSWER - The 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 - CORRECT ANSWER - 1. Grief
2. Role Disputes
3. Role Transition
4. Interpersonal Deficit
What needs to be resolved for the patient to eliminate psychiatric symptoms? - CORRECT
ANSWER - Problem areas
Participant Oberserver - CORRECT ANSWER - The 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? - CORRECT ANSWER -
Sullivan
The nurse patient relatinonship - CORRECT ANSWER - The nurse is:
-safe
-confidential
, -reliable
-consistent
Hildregard Peplau's - CORRECT ANSWER - Theory of Interpersonal Relationships
Theory of Interpersonal Relationships - CORRECT ANSWER - Patients are who they are
and not their behaviors.
Empathy
Theory of Interpersonal Relationship Phases - CORRECT ANSWER - 1. Preorientation
2. Orientation
3. Working
4. Termination
Preorientation Phase - CORRECT ANSWER - Identified 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 - CORRECT ANSWER - Create 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 - CORRECT ANSWER - relationship characterized by trust, support,
and understandings
Questions and CORRECT Answers
Mental Health - CORRECT ANSWER - Able to recognize own potential, cope with
normal stress, work productively and make contribution to community.
Mental Illness - CORRECT ANSWER - Significant dysfunction in mental functioning
related to developmental, biological, and physiological disturbances. Culturally defined.
Diathesis Stress Model - CORRECT ANSWER - Mental health disorders result from a
combination of genetic vulnerability and negative environmental stressors
Freud - CORRECT ANSWER - psychoanalytic theory
"Talk Therapy" - CORRECT ANSWER - Cathartic Method. Getting things off our chest
What is an essential part of Talk Therapy? - CORRECT ANSWER - Dream Analysis
Levels of Awareness - CORRECT ANSWER - 1. Conscious
2. Preconscious
3. Unconscious
Personality Structure - CORRECT ANSWER - 1. Id
2. Ego
3. Superego
Id - CORRECT ANSWER - Pleasure principle. Reflex action. Primary process
,Ego - CORRECT ANSWER - Problem solver. Reality tester
Superego - CORRECT ANSWER - Moral component
Psychosexual Stages of Development - CORRECT ANSWER - Experiences 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 - CORRECT ANSWER - Operate on unconscious
level. Deny, falsify or distort reality to make it less threatening.
Used concepts of Psychoanalysis - CORRECT ANSWER - Transferance and
Countertransference
Transference - CORRECT ANSWER - Unconscious feelings that the patient has toward a
healthcare worker that were originally felt in childhood for a significant other
Countertransference - CORRECT ANSWER - Unconscious feelings that the healthcare
worker has toward the patient.
-formation of personality
-conscious and unconscious influences
-importance of individual talk sessions
-attentive listening
,Sullivan - CORRECT ANSWER - interpersonal theory
Interpersonal Theory - CORRECT ANSWER - The 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 - CORRECT ANSWER - 1. Grief
2. Role Disputes
3. Role Transition
4. Interpersonal Deficit
What needs to be resolved for the patient to eliminate psychiatric symptoms? - CORRECT
ANSWER - Problem areas
Participant Oberserver - CORRECT ANSWER - The 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? - CORRECT ANSWER -
Sullivan
The nurse patient relatinonship - CORRECT ANSWER - The nurse is:
-safe
-confidential
, -reliable
-consistent
Hildregard Peplau's - CORRECT ANSWER - Theory of Interpersonal Relationships
Theory of Interpersonal Relationships - CORRECT ANSWER - Patients are who they are
and not their behaviors.
Empathy
Theory of Interpersonal Relationship Phases - CORRECT ANSWER - 1. Preorientation
2. Orientation
3. Working
4. Termination
Preorientation Phase - CORRECT ANSWER - Identified 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 - CORRECT ANSWER - Create 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 - CORRECT ANSWER - relationship characterized by trust, support,
and understandings
