NUR 223-PSYCH NURSE- TEST 1 QUESTIONS &
ANSWERS VERIFIED 100% CORRECT!!
Bipolar Affective Disorder (BAD) is identified by which Axis? Answer - Axis I
(Clinical Disorder-Psych Disorder)
Dementia is defined by which Axis? Answer - Axis I (Clinical Disorder-Psych
Disorder)
Personality Disorders are identified by which Axis? Answer - Axis II (Personality
or Intellectual Developmental Disorders)
1st Benchmark: Enlightenment Period Answer - Asylums- "Protection, social
support, or sanctuary from stresses of life"
2nd Benchmark: Period of Scientific Study Answer - ○ Study of mind and
treatment
○Freud
3rd Benchmark: Period of Psychotropic Drugs Answer - ○ 1st antipsychotic:
Chlorpromazine (Thorazine)
○ 1st antimanic: Lithium
○ 1st antidepressant: Imipramine (Tofranil)
○ Hospitals stays shortened
4th Benchmark: Period of Community Mental Health Answer - ○
Deinstitutionalization
,○ Community Mental Health Centers
○ Focus is on treatment
5th Benchmark: Decade of the Brain Answer - ○ Increase in brain research
○ Biological explanations of Mental Health
Discuss the 3 interventions necessary for psychotherapeutic management.
What is the priority nursing diagnosis for all milieus? Answer - Most important
outcome for mileus management is safety; psychotherapetic managament- ALL
three elements are important for treatment. If any of those are missing,
treatment cannot be conducted
What is the Tarasoff law? How is this law implemented? Answer - Mental
health professionals are required to warn others if someone is going to harm
himself or someone else. We work with the treatment team if there is a threat
so they will handle that person.
Major Depressive Disorder (MDD) neurotransmitter: Answer - Norepinephrine
and serotonin
Bipolar Affective Disorder (BAD) neurotransmitter: Answer - Serotonin,
dopamine, and epinephrine
Anxiety neurotransmitter: Answer - GABA
Schizophrenia Spectrum Disorders neurotransmitters: Answer - Dopamine
Alzheimer's Disease neurotransmitters: Answer - Acetylcholine
, Broad openings (therapeutic): Answer - indicating response "is there
something you'd like to talk about?"
Making Observations (therapeutic): Answer - "you appear tense" or "i noticed
that you're biting your lip"
Suggesting Collaboration (therapeutic): Answer - "perhaps you and I can
discuss and discover the triggers for your anxiety"
Therapeutic Communication Technique Rule: Answer - Never use the word
WHY!!!
Agreeing (non-therapeutic) Answer - indicating accord with the patient...
"that's right", "I agree"
Defending (non-therapeutic) Answer - attempting to protect someone or
something from verbal attack... "I'm sure your doctor has your best interests in
mind"
Making stereotyped comments (non-therapeutic) Answer - offering
meaningless cliches or comments..."Just keep a positive attitude and you'll be
better in no time"
Discuss the concept of the Assault Cycle and explain how this concept should
be considered when working with aggressive patients. Answer - 5 stages--(not
everyone goes through all stages)---triggering phase, escalation phase, crisis
phase, recovery phase and post-crisis depression phase
Triggering Phase- Nonviolent anger Answer - ■ Behavior reflects coping
mechanisms
ANSWERS VERIFIED 100% CORRECT!!
Bipolar Affective Disorder (BAD) is identified by which Axis? Answer - Axis I
(Clinical Disorder-Psych Disorder)
Dementia is defined by which Axis? Answer - Axis I (Clinical Disorder-Psych
Disorder)
Personality Disorders are identified by which Axis? Answer - Axis II (Personality
or Intellectual Developmental Disorders)
1st Benchmark: Enlightenment Period Answer - Asylums- "Protection, social
support, or sanctuary from stresses of life"
2nd Benchmark: Period of Scientific Study Answer - ○ Study of mind and
treatment
○Freud
3rd Benchmark: Period of Psychotropic Drugs Answer - ○ 1st antipsychotic:
Chlorpromazine (Thorazine)
○ 1st antimanic: Lithium
○ 1st antidepressant: Imipramine (Tofranil)
○ Hospitals stays shortened
4th Benchmark: Period of Community Mental Health Answer - ○
Deinstitutionalization
,○ Community Mental Health Centers
○ Focus is on treatment
5th Benchmark: Decade of the Brain Answer - ○ Increase in brain research
○ Biological explanations of Mental Health
Discuss the 3 interventions necessary for psychotherapeutic management.
What is the priority nursing diagnosis for all milieus? Answer - Most important
outcome for mileus management is safety; psychotherapetic managament- ALL
three elements are important for treatment. If any of those are missing,
treatment cannot be conducted
What is the Tarasoff law? How is this law implemented? Answer - Mental
health professionals are required to warn others if someone is going to harm
himself or someone else. We work with the treatment team if there is a threat
so they will handle that person.
Major Depressive Disorder (MDD) neurotransmitter: Answer - Norepinephrine
and serotonin
Bipolar Affective Disorder (BAD) neurotransmitter: Answer - Serotonin,
dopamine, and epinephrine
Anxiety neurotransmitter: Answer - GABA
Schizophrenia Spectrum Disorders neurotransmitters: Answer - Dopamine
Alzheimer's Disease neurotransmitters: Answer - Acetylcholine
, Broad openings (therapeutic): Answer - indicating response "is there
something you'd like to talk about?"
Making Observations (therapeutic): Answer - "you appear tense" or "i noticed
that you're biting your lip"
Suggesting Collaboration (therapeutic): Answer - "perhaps you and I can
discuss and discover the triggers for your anxiety"
Therapeutic Communication Technique Rule: Answer - Never use the word
WHY!!!
Agreeing (non-therapeutic) Answer - indicating accord with the patient...
"that's right", "I agree"
Defending (non-therapeutic) Answer - attempting to protect someone or
something from verbal attack... "I'm sure your doctor has your best interests in
mind"
Making stereotyped comments (non-therapeutic) Answer - offering
meaningless cliches or comments..."Just keep a positive attitude and you'll be
better in no time"
Discuss the concept of the Assault Cycle and explain how this concept should
be considered when working with aggressive patients. Answer - 5 stages--(not
everyone goes through all stages)---triggering phase, escalation phase, crisis
phase, recovery phase and post-crisis depression phase
Triggering Phase- Nonviolent anger Answer - ■ Behavior reflects coping
mechanisms
