NUR 3678 Exam 1 Guide With
Complete Solution
Mental illness - ANSWER marked distress, moderate to disabling or chronic
impairment
plagued by myths and misconceptions.
Interferes with functioning- difficult to relate to others
Behavior outside social norms
Ex: stripping in public
is an illness that affects that way people think, feel, behave, or interact with
others.
Disabilities related to happiness, control over behavior, appraisal of reality,
effectiveness in work, healthy self-concept, satisfying relationships, effective
coping strategies
mental illness is treatable
mental health - ANSWER our mental well-being: our emotions, our thoughts
and feelings, our ability to solve problems and overcome difficulties, our
social connections, and our understanding of the world around us.
multifaceted: involves our emotional, psychological, and social well-being
can be affected by genetics, brain chemistry, and experiences
· No consistent line exists between mental illness and - ANSWER mental
,health
DSM-5 - ANSWER The Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)is the current official guidebook used by the psychiatric community
for categorizing and diagnosing psychiatric mental health disorders in the
United States
DSM-5 lists specific criteria for each psychiatric diagnosis
Mental health disorders are clinically significant behavioral and psychological
syndromes or patterns that are associated with distress (painful symptoms)
and
disability (impairment in one or more important areas of functioning)
Must exceed expected and culturally defined responses to particular events,
such as grief after the loss of a loved one.
Diagnostic criteria usually includes a time frame
North American Nursing Diagnosis Association International (NANDA-I)
provides a common language for nursing - ANSWER -Describes a nursing
diagnosis as a clinical judgment about responses to health problems.
-Psychiatric-mental health nursing includes the diagnosis and treatment
responses to mental health problems.
eustress - ANSWER is considered normal and beneficial.
distress - ANSWER causes problems emotionally and physically
long term chronic stress - ANSWER can cause physiologic harm and
emotional difficulties
,Fight or flight - ANSWER SNS
rest and digest - ANSWER PNS
freezing - ANSWER an automatic, involuntary response to a threat. In a split
second, the brain decides that freezing (rather than fighting or running away)
is the best way to survive what's happening
deer in headlights
relief behavior - ANSWER defense mechanisms
individual coping responses
spiritual/cultural supports
social support network
Alertness heightened: stress - ANSWER -circulating adrenaline increases:
increased HR, bloodflow, BP, Respirations,
-brain stimulates hypothalamus, which stimulates ANS, SNS signals adrenal
system, epinephrine (adrenaline) is released, pituitary releases ACTH
Stress signaling system - ANSWER -SNS: pituitary gland releases ACTH and
adrenal cortex secretes cortisol
THEN
-Hormones secreted: adrenal medulla secretes stress hormones (epinephrine)
and they travel through bloodstream to organs
THEN
-stress response: smooth muscle or glands activate, pupils dilate, fight or
flight
, Stress-reduction techniques - ANSWER -Eliciting the relaxation response
-Physical activity
-Social supports (e.g., close family ties, acquaintances, spouses, friends)
-exercise
-lower caffeine
-reframing
-sleep
Structures involved in the HPA stress response - ANSWER -epinephrine:
subsides as the threat passes
-hypothalamus stimulates the HPA axis
-CRH: travels to the pituitary gland
-ACH: travels to the adrenal glands
-cortisol is released
As anxiety decreases - ANSWER dysfunctional behavior will frequently
decrease.
anxiety - ANSWER -Is the most basic emotion.
-Dysfunctional behavior is often a defense against anxiety.
-When behavior is recognized as dysfunctional, interventions can be initiated
by the nurse to reduce anxiety.
FEAR= - ANSWER a reaction to a specific danger.
ANXIETY= - ANSWER a feeling of apprehension, uneasiness, uncertainty, or
Complete Solution
Mental illness - ANSWER marked distress, moderate to disabling or chronic
impairment
plagued by myths and misconceptions.
Interferes with functioning- difficult to relate to others
Behavior outside social norms
Ex: stripping in public
is an illness that affects that way people think, feel, behave, or interact with
others.
Disabilities related to happiness, control over behavior, appraisal of reality,
effectiveness in work, healthy self-concept, satisfying relationships, effective
coping strategies
mental illness is treatable
mental health - ANSWER our mental well-being: our emotions, our thoughts
and feelings, our ability to solve problems and overcome difficulties, our
social connections, and our understanding of the world around us.
multifaceted: involves our emotional, psychological, and social well-being
can be affected by genetics, brain chemistry, and experiences
· No consistent line exists between mental illness and - ANSWER mental
,health
DSM-5 - ANSWER The Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)is the current official guidebook used by the psychiatric community
for categorizing and diagnosing psychiatric mental health disorders in the
United States
DSM-5 lists specific criteria for each psychiatric diagnosis
Mental health disorders are clinically significant behavioral and psychological
syndromes or patterns that are associated with distress (painful symptoms)
and
disability (impairment in one or more important areas of functioning)
Must exceed expected and culturally defined responses to particular events,
such as grief after the loss of a loved one.
Diagnostic criteria usually includes a time frame
North American Nursing Diagnosis Association International (NANDA-I)
provides a common language for nursing - ANSWER -Describes a nursing
diagnosis as a clinical judgment about responses to health problems.
-Psychiatric-mental health nursing includes the diagnosis and treatment
responses to mental health problems.
eustress - ANSWER is considered normal and beneficial.
distress - ANSWER causes problems emotionally and physically
long term chronic stress - ANSWER can cause physiologic harm and
emotional difficulties
,Fight or flight - ANSWER SNS
rest and digest - ANSWER PNS
freezing - ANSWER an automatic, involuntary response to a threat. In a split
second, the brain decides that freezing (rather than fighting or running away)
is the best way to survive what's happening
deer in headlights
relief behavior - ANSWER defense mechanisms
individual coping responses
spiritual/cultural supports
social support network
Alertness heightened: stress - ANSWER -circulating adrenaline increases:
increased HR, bloodflow, BP, Respirations,
-brain stimulates hypothalamus, which stimulates ANS, SNS signals adrenal
system, epinephrine (adrenaline) is released, pituitary releases ACTH
Stress signaling system - ANSWER -SNS: pituitary gland releases ACTH and
adrenal cortex secretes cortisol
THEN
-Hormones secreted: adrenal medulla secretes stress hormones (epinephrine)
and they travel through bloodstream to organs
THEN
-stress response: smooth muscle or glands activate, pupils dilate, fight or
flight
, Stress-reduction techniques - ANSWER -Eliciting the relaxation response
-Physical activity
-Social supports (e.g., close family ties, acquaintances, spouses, friends)
-exercise
-lower caffeine
-reframing
-sleep
Structures involved in the HPA stress response - ANSWER -epinephrine:
subsides as the threat passes
-hypothalamus stimulates the HPA axis
-CRH: travels to the pituitary gland
-ACH: travels to the adrenal glands
-cortisol is released
As anxiety decreases - ANSWER dysfunctional behavior will frequently
decrease.
anxiety - ANSWER -Is the most basic emotion.
-Dysfunctional behavior is often a defense against anxiety.
-When behavior is recognized as dysfunctional, interventions can be initiated
by the nurse to reduce anxiety.
FEAR= - ANSWER a reaction to a specific danger.
ANXIETY= - ANSWER a feeling of apprehension, uneasiness, uncertainty, or
