Mental Health Nursing Exam 1
Peplau's Stages & Tasks of Relationships: What occurs during the termination phase? What will the
nurse evaluate for? - Answer--Client no longer needs professional services & gives up dependent
behavior.
-Nurse will evaluate if goals were met & ensure that there is a therapeutic closure.
Erickson's Psychosocial Stages: What are the outcomes of the maturity stage of Ego vs. Despair? -
Answer--Older adults need to look back on life & feel a sense of fulfillment.
-Success at this state leads to a feeling of wisdom, while failure results in regret, bitterness, & despair.
Erickson's Psychosocial Stages: What is the Maturity ( ____ to _____) stage's basic conflict? - Answer-
Maturity (65 to death):
Ego Identity vs. Despair.
Erickson's Psychosocial Stages: What are the outcomes of the middle adult stage of Generativity vs.
Stagnation? - Answer--Adults need to create or nurture things that will outlast them, often by having
children or creating positive change that benefits other people.
-Success leads to feelings of usefulness & accomplishment, while failure results in shallow involvement
in the world.
,Erickson's Psychosocial Stages: What are the important events during the Adolescence stage of Identity
vs. Role Confusion? - Answer-Social Relationships/Identity.
Erickson's Psychosocial Stages: What are the outcomes of the adolescence stage of Identity vs. Role
Confusion? - Answer--Teens need to develop a sense of self & personal identity.
-Success leads to an ability to stay true to yourself, while failure leads to role confusion & a weak sense
of self.
Erickson's Psychosocial Stages: What are the outcomes of the early childhood stage of Initiative vs.
Guilt? - Answer--Children need to begin asserting control & power over the environment.
-Success in this state leads to a sense of purpose.
-Children who try to exert too much power experience disapproval.
What are the three influencing factors of mental health? - Answer-1.) Individual: a person's biological
makeup, autonomy & independence, self-esteem, capacity for growth, vitality, ability to find meaning in
life, emotional resilience or hardiness, sense of belonging, reality orientation, & coping or stress
management abilities.
2.) Interpersonal: include effective communication, ability to help others, intimacy, & balance of
separateness, & connectedness.
3.) Sociocultural/cultural: a sense of community, access to adequate resources, intolerance of violence,
support of diversity among people, mastery of the environment & a positive, yet realistic, view of one's
world.
What are the three purposes of the DSM-5? - Answer-1.) Standardize nomenclature, language.
2.) Identify defining characteristics or symptoms.
3.) Assist in identifying underlying causes.
DSM classification allows the practitioner to identify what three factors that relate to a patient's
condition? - Answer-1.) Major psychiatric disorders.
2.) Medical concerns. 3.) Psychosocial & environmental problems.
,True or False?: The definition of mental health is standardized & universally accepted. - Answer-False,
there is no single universal definition of mental health, which has many components and is influenced by
myriad factors.
When did psychopharmacology, or the development of psychotropic drugs begin? - Answer-1950's.
What is the "revolving door effect"? What is this due to? - Answer-The continuous flow of clients being
admitted & discharged quickly which overwhelms general hospital psychiatric units due to
deinstitutionalization.
Patients are often _____________ or kept in the ED while waiting to see if the crisis de-escalates or till
an inpatient bed can be located or becomes available. - Answer-Patients are often (boarded) or kept in
the ED while waiting to see if the crisis de-escalates or till an inpatient bed can be located or becomes
available.
Which statement best reflects the current state of mental health & mental illness?
A.) Mental health-care costs exceed the costs for cancer care.
B.) Most adults & children receive adequate mental health care.
C.) Community resources for the homeless with mental illness are adequate.
D.) Deinstitutionalization has reduced the revolving door effect. - Answer-A. Mental health-care costs
exceed the costs for cancer care.
-Rationale: The economic burdens of mental illness exceeds that for all types of cancer care.
-Only 1 in 4 adults & 1 in 5 children receive the necessary mental health care. Community resources for
homeless clients with mental illness are inadequate. Deinstitutionalization has led to the "revolving-
door" effect.
What are the four Healthy People 2020 objectives for mental health? - Answer-1.) Increase the number
of people identified, diagnosed, treated, helped to live healthier lives.
2.) Decrease rates of suicide, homelessness.
, 3.) Increase employment of those with serious mental illness.
4.) Provide more services for incarcerated persons with mental health problems.
True or False?: Community-based programs are preferable for treating many people with mental illness.
- Answer-True, although there are flaws in the system, community-based programs have positive
aspects that make them preferable for treating many people with mental illness.
Who was Hildegard Peplau? - Answer-She described the therapeutic nurse-client relationship with it's
phases & tasks & wrote extensively about anxiety. The interpersonal dimension that was crucial to her
beliefs forms the foundations of practice today.
What basic level function of mental health nurses involves interventions & communication techniques,
problem solving, crisis intervention, stress management, & behavior modification? - Answer-Counseling.
What basic level function of mental health nurses involves maintaining a therapeutic environment,
teaching skills, encouraging communication between the client & others, & promoting growth through
role modeling? - Answer-Millieu therapy.
What basic level function of mental health nurses involves encouraging independence, increasing self-
esteem, & improving function & health? - Answer-Self-care activities.
What basic level function of mental health nurses involves administering medications, teaching, &
observing? - Answer-Psychobiologic interventions.
True or False: The National League for Nursing required schools to include a psychiatric nursing
experience before the first nursing school included a psychiatric nursing course in its curriculum. -
Answer-False, Johns Hopkins was the first school of nursing to include a course in psychiatric nursing in
its curriculum; this was done in 1913. It was not until 1950 that the National League for Nursing required
schools to include an experience in psychiatric nursing.
Peplau's Stages & Tasks of Relationships: What occurs during the termination phase? What will the
nurse evaluate for? - Answer--Client no longer needs professional services & gives up dependent
behavior.
-Nurse will evaluate if goals were met & ensure that there is a therapeutic closure.
Erickson's Psychosocial Stages: What are the outcomes of the maturity stage of Ego vs. Despair? -
Answer--Older adults need to look back on life & feel a sense of fulfillment.
-Success at this state leads to a feeling of wisdom, while failure results in regret, bitterness, & despair.
Erickson's Psychosocial Stages: What is the Maturity ( ____ to _____) stage's basic conflict? - Answer-
Maturity (65 to death):
Ego Identity vs. Despair.
Erickson's Psychosocial Stages: What are the outcomes of the middle adult stage of Generativity vs.
Stagnation? - Answer--Adults need to create or nurture things that will outlast them, often by having
children or creating positive change that benefits other people.
-Success leads to feelings of usefulness & accomplishment, while failure results in shallow involvement
in the world.
,Erickson's Psychosocial Stages: What are the important events during the Adolescence stage of Identity
vs. Role Confusion? - Answer-Social Relationships/Identity.
Erickson's Psychosocial Stages: What are the outcomes of the adolescence stage of Identity vs. Role
Confusion? - Answer--Teens need to develop a sense of self & personal identity.
-Success leads to an ability to stay true to yourself, while failure leads to role confusion & a weak sense
of self.
Erickson's Psychosocial Stages: What are the outcomes of the early childhood stage of Initiative vs.
Guilt? - Answer--Children need to begin asserting control & power over the environment.
-Success in this state leads to a sense of purpose.
-Children who try to exert too much power experience disapproval.
What are the three influencing factors of mental health? - Answer-1.) Individual: a person's biological
makeup, autonomy & independence, self-esteem, capacity for growth, vitality, ability to find meaning in
life, emotional resilience or hardiness, sense of belonging, reality orientation, & coping or stress
management abilities.
2.) Interpersonal: include effective communication, ability to help others, intimacy, & balance of
separateness, & connectedness.
3.) Sociocultural/cultural: a sense of community, access to adequate resources, intolerance of violence,
support of diversity among people, mastery of the environment & a positive, yet realistic, view of one's
world.
What are the three purposes of the DSM-5? - Answer-1.) Standardize nomenclature, language.
2.) Identify defining characteristics or symptoms.
3.) Assist in identifying underlying causes.
DSM classification allows the practitioner to identify what three factors that relate to a patient's
condition? - Answer-1.) Major psychiatric disorders.
2.) Medical concerns. 3.) Psychosocial & environmental problems.
,True or False?: The definition of mental health is standardized & universally accepted. - Answer-False,
there is no single universal definition of mental health, which has many components and is influenced by
myriad factors.
When did psychopharmacology, or the development of psychotropic drugs begin? - Answer-1950's.
What is the "revolving door effect"? What is this due to? - Answer-The continuous flow of clients being
admitted & discharged quickly which overwhelms general hospital psychiatric units due to
deinstitutionalization.
Patients are often _____________ or kept in the ED while waiting to see if the crisis de-escalates or till
an inpatient bed can be located or becomes available. - Answer-Patients are often (boarded) or kept in
the ED while waiting to see if the crisis de-escalates or till an inpatient bed can be located or becomes
available.
Which statement best reflects the current state of mental health & mental illness?
A.) Mental health-care costs exceed the costs for cancer care.
B.) Most adults & children receive adequate mental health care.
C.) Community resources for the homeless with mental illness are adequate.
D.) Deinstitutionalization has reduced the revolving door effect. - Answer-A. Mental health-care costs
exceed the costs for cancer care.
-Rationale: The economic burdens of mental illness exceeds that for all types of cancer care.
-Only 1 in 4 adults & 1 in 5 children receive the necessary mental health care. Community resources for
homeless clients with mental illness are inadequate. Deinstitutionalization has led to the "revolving-
door" effect.
What are the four Healthy People 2020 objectives for mental health? - Answer-1.) Increase the number
of people identified, diagnosed, treated, helped to live healthier lives.
2.) Decrease rates of suicide, homelessness.
, 3.) Increase employment of those with serious mental illness.
4.) Provide more services for incarcerated persons with mental health problems.
True or False?: Community-based programs are preferable for treating many people with mental illness.
- Answer-True, although there are flaws in the system, community-based programs have positive
aspects that make them preferable for treating many people with mental illness.
Who was Hildegard Peplau? - Answer-She described the therapeutic nurse-client relationship with it's
phases & tasks & wrote extensively about anxiety. The interpersonal dimension that was crucial to her
beliefs forms the foundations of practice today.
What basic level function of mental health nurses involves interventions & communication techniques,
problem solving, crisis intervention, stress management, & behavior modification? - Answer-Counseling.
What basic level function of mental health nurses involves maintaining a therapeutic environment,
teaching skills, encouraging communication between the client & others, & promoting growth through
role modeling? - Answer-Millieu therapy.
What basic level function of mental health nurses involves encouraging independence, increasing self-
esteem, & improving function & health? - Answer-Self-care activities.
What basic level function of mental health nurses involves administering medications, teaching, &
observing? - Answer-Psychobiologic interventions.
True or False: The National League for Nursing required schools to include a psychiatric nursing
experience before the first nursing school included a psychiatric nursing course in its curriculum. -
Answer-False, Johns Hopkins was the first school of nursing to include a course in psychiatric nursing in
its curriculum; this was done in 1913. It was not until 1950 that the National League for Nursing required
schools to include an experience in psychiatric nursing.
