NURS 525 Psych Exam 1 With
Complete Solution
Mental Health is... - ANSWER state of successful performance of mental
function, resulting in productive activities, fulfilling relationships with other
people, and the ability to adapt to change and to cope with challenges
Mental Disorders are... - ANSWER health conditions that are characterized by
alterations in thinking, mood, or behavior associated with distress and/or
impaired functioning
Mental Illness is... - ANSWER term that refers collectively to all diagnosable
mental disorders
Dorothea Dix - ANSWER -former school teacher
-believed society was obligated to those with mental illness, moral tx of the
mentally ill
-instrumental in opening 32 state hospitals, advocated shelter, nutritious
food, and warm clothing
-believed mental illness was curable - openly challenged 19th century
perceptions of mental health
Linda Richards - ANSWER -first American psych nurse
-developed better nursing care in psych hospitals
-"the mentally sick should be at least as well cared for as the physically sick"
Hildegard Peplau - ANSWER -"Mother of Psych Nursing"
,-evolved role of psych nursing
-based clinical competence on interpersonal techniques and use of nursing
process
Therapeutic Milieu - ANSWER A safe and secure structured environment that
facilitates the therapeutic interaction between clients and members of the
professional team.
Transference - ANSWER an unconscious response OF PATIENTS in which they
experience feelings and attitudes toward the nurse that were originally
associated with significant figures in their lives that may be positive or
negative
Counter transference - ANSWER an emotional response OF THE NURSE that
is generated by the patient's qualities that stimulate emotions based on their
own personal experience that results in behavior based that is not
appropriate to the therapeutic relationship
Relationship Phases - ANSWER 1. Pre-interaction
2. Orientation
3. Working
4. Termination
Relationship Phases - Pre-interaction phase - ANSWER prep for the
encounter
Relationship Phases - Orientation Phase - ANSWER what the encounter will
be focused on/what will hopefully be achieved
-create environment of trust and support
,-agree on nature of the problem; assessment
-set goals
-establish a contract for intervention, expectations, and responsibilities
Relationship Phases - Working Phase - ANSWER -develop skills, evaluate
progress
-explore stressors
-promote the development of insight - link them to perceptions, thoughts,
feelings, and actions
-translate the insights into action and change in behavior
Relationship Phases - Termination Phase - ANSWER -summarize and
highlight progress
-process loss
-bridge to next provider
Diagnostic and Statistical Manual of Mental Disorders (DSM) - ANSWER
-contains descriptions, sx, and other criteria for diagnosing mental disorders
-authoritative guide on diagnosis
-first published in 1952
-published by American Psychiatric Association
-provides classification and listing of officially recognized disorders
Mental Status Exam (MSE) - ANSWER -part of psych interview
-psych equivalent to physical exam
, -explores all areas of mental fx
-provides snapshot of the patient's mental status
-data gathered throughout the interview
-most info does not require direct questioning
MSE Components - ANSWER 1. Appearance & Behavior
2. Motor Activity
3. Speech
4. Mood
5. Affect
6. Thought Content
7. Thought Process
8. Perceptual Disturbances
9. Cognition
10. Abstract Thinking
11. Insight
12. Judgment
Delusions - ANSWER fixed, false beliefs that cannot be corrected by logic and
are not consistent with culture and education of the patient
Hallucinations - ANSWER false sensory perception experienced without
stimulus; usually experienced as oriented in the outside world and not within
the mind as imagination
Complete Solution
Mental Health is... - ANSWER state of successful performance of mental
function, resulting in productive activities, fulfilling relationships with other
people, and the ability to adapt to change and to cope with challenges
Mental Disorders are... - ANSWER health conditions that are characterized by
alterations in thinking, mood, or behavior associated with distress and/or
impaired functioning
Mental Illness is... - ANSWER term that refers collectively to all diagnosable
mental disorders
Dorothea Dix - ANSWER -former school teacher
-believed society was obligated to those with mental illness, moral tx of the
mentally ill
-instrumental in opening 32 state hospitals, advocated shelter, nutritious
food, and warm clothing
-believed mental illness was curable - openly challenged 19th century
perceptions of mental health
Linda Richards - ANSWER -first American psych nurse
-developed better nursing care in psych hospitals
-"the mentally sick should be at least as well cared for as the physically sick"
Hildegard Peplau - ANSWER -"Mother of Psych Nursing"
,-evolved role of psych nursing
-based clinical competence on interpersonal techniques and use of nursing
process
Therapeutic Milieu - ANSWER A safe and secure structured environment that
facilitates the therapeutic interaction between clients and members of the
professional team.
Transference - ANSWER an unconscious response OF PATIENTS in which they
experience feelings and attitudes toward the nurse that were originally
associated with significant figures in their lives that may be positive or
negative
Counter transference - ANSWER an emotional response OF THE NURSE that
is generated by the patient's qualities that stimulate emotions based on their
own personal experience that results in behavior based that is not
appropriate to the therapeutic relationship
Relationship Phases - ANSWER 1. Pre-interaction
2. Orientation
3. Working
4. Termination
Relationship Phases - Pre-interaction phase - ANSWER prep for the
encounter
Relationship Phases - Orientation Phase - ANSWER what the encounter will
be focused on/what will hopefully be achieved
-create environment of trust and support
,-agree on nature of the problem; assessment
-set goals
-establish a contract for intervention, expectations, and responsibilities
Relationship Phases - Working Phase - ANSWER -develop skills, evaluate
progress
-explore stressors
-promote the development of insight - link them to perceptions, thoughts,
feelings, and actions
-translate the insights into action and change in behavior
Relationship Phases - Termination Phase - ANSWER -summarize and
highlight progress
-process loss
-bridge to next provider
Diagnostic and Statistical Manual of Mental Disorders (DSM) - ANSWER
-contains descriptions, sx, and other criteria for diagnosing mental disorders
-authoritative guide on diagnosis
-first published in 1952
-published by American Psychiatric Association
-provides classification and listing of officially recognized disorders
Mental Status Exam (MSE) - ANSWER -part of psych interview
-psych equivalent to physical exam
, -explores all areas of mental fx
-provides snapshot of the patient's mental status
-data gathered throughout the interview
-most info does not require direct questioning
MSE Components - ANSWER 1. Appearance & Behavior
2. Motor Activity
3. Speech
4. Mood
5. Affect
6. Thought Content
7. Thought Process
8. Perceptual Disturbances
9. Cognition
10. Abstract Thinking
11. Insight
12. Judgment
Delusions - ANSWER fixed, false beliefs that cannot be corrected by logic and
are not consistent with culture and education of the patient
Hallucinations - ANSWER false sensory perception experienced without
stimulus; usually experienced as oriented in the outside world and not within
the mind as imagination
