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Exam (elaborations) Mental Health Exam 1 (NSG221) with rationales

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Herzing University Mental Health Exam 1 Review Chapters 1-5 (Weeks 1-3) Questions answers and rationales included

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Mental Health Exam 1 Review
Chapters 1-5 (Weeks 1-3)
Exam has 75 questions (6 are select all that apply)
1. What is incidence? Incidence is a way to measure frequency of a disease and calculates the number of
new cases

2. What is the DSM-5? It’s the 2013 update to the diagnostic and Statistical Manual of Mental Disorders ,
the taxonomic and diagnostic tool published by the American Association .

3. What is the role of the Advanced Practice Nurse on a psychic unit? What can an APN do that a BSN
cannot? Prescribe meds
4. What is the difference in RN DX and a DX from the DSM-5?

DWSM 5 is used to diagnose psychiatric disorder ; nursing DX provides framework for identifying
appropriate nursing interventions for dealing with a patient 's reactions to a disorder Advocacy :
report abuse or neglect , uphold patient confidentiality , support patient 's right to make decisions ,
maintain all patient 's rights ; support of individual to promote his or her own well - being Resilience
: ability and capacity for people to secure the resources they need to support their well - being
Primary Prevention : health population with a goal of preventing health issues from occurring
Mental Health Stigma : negative attitudes or behaviors towards those who possess a mental illness ;
flawed , characterized by social shunning , disgrace and shame Freud 's ID : first seen at birth ,
unconscious and impulsive , source of all drives , instincts , reflexes , and needs ( screaming infant
that wants to eat because they are hungry ) Freud 's Ego : develops within first few years of life ,
resides in conscious , preconscious , and unconscious levels of awareness , problem solving and
reality tester , attempts to navigate outside world , able to differentiate subjective experiences ,
memory and objective reality , delayed gratification ( main is hungry , ego allows him not only to
think about hunger , but as to plan on where he wants to eat and seek that destination ) Freud 's
Superego : develops between age 3 - 5 , represents moral component of personality , resides in
conscious , preconscious , and unconscious levels of awareness , consists of all the " should " and "
should nots " ID , EGO , & SUPEREGO WORK TOGETHER UNDER LEADERSHIP OF ? THE
EGO Erikson 's developmental path : Infancy ( 0 - 1.5 ) trust vs. mistrust , form attachment to
mother ; Early childhood ( 1.5 - 3yrs ) : autonomy vs. shame and doubt , potty training ; preschool
( 3-6yr ) : initiative vs. guilt becoming purposeful and directive ; School age ( 6-12yr . ) : industry
vs. inferiority , developing social , school , physical skills ; Adolescence ( 12

5. What is the advocacy all about?

, a. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the
support of an individual to promote his or her own well-being, as understood by that
individual. The 3 environmental advocacies aim is to reduce industrial and commercial
waste by proper segregation and using eco-friendly materials. It also aims to use plants as
a medicinal herb to create a natural remedy for certain illness in which will reduce the
rapid manufacture in factories
6. Know these terms:

i. What is the role of the pelisse?
ii. Resilience: ability and capacity for people to secure the resources they need to support their well-being

iii. Primary Prevention: health population with a goal of preventing health issues from occurring

iv. Mental Health Sigma: negative attitudes or behaviors towards those who possess a mental illness;
flawed, characterized by social shunning, disgrace and shame

v. Freud’s Id (pleasure principle, Its all about me, babies cries: first seen at birth, unconscious and
impulsive, source of all drives, instincts, reflexes, and needs (screaming infant that wants to eat
because they are hungry)

vi. Freud’s Ego (reality principle, Problem solve, First few years of life): develops within first few years
of life, resides in conscious, preconscious, and unconscious levels of awareness, problem solving and
reality tester, attempts to navigate outside world, able to differentiate subjective experiences, memory
and objective reality, delayed gratification (main is hungry, ego allows him not only to think about
hunger, but as to plan on where he wants to eat and seek that destination)

vii. Freud’s Superego (Moral “should not”): develops between age 3-5, represents moral component of
personality, resides in conscious, preconscious, and unconscious levels of awareness, consists of all the
“should” and “should nots” ID, EGO, & SUPEREGO WORK TOGETHER UNDER
LEADERSHIP OF? THE EGO

viii. Erikson’s developmental path: Infancy (0-1.5) trust vs. mistrust, form attachment to mother; Early
childhood (1.5-3yrs): autonomy vs. shame and doubt, potty training; preschool (3-6yr): initiative vs.
guilt becoming purposeful and directive; School age (6-12yr.): industry vs. inferiority, developing
social, school, physical skills; Adolescence (12-22 yr): identity vs. role confusion, develop sense of
identity; Early adult (22-35): intimacy vs. isolation, establishing intimate bonds of love and
friendship; Middle Adult (35-65): generativity vs. self-absorption, fulfilling life goals, family, career,
society; Late years (65-death): integrity vs. despair, looking back on one’s life and accepting meaning

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