Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Stages of Stress Response - correct answers✅✅1. Alarm -
physical responses are initiated
2. Resistance - defensive attempt to adapt to the stressor.
3. Exhaustion - adaptive energy depleted > diseases of
exhaustion (ulcers, colitis, headaches, mental disorders, coronary
artery disease > mortality
** Stress has negative impact on immune system**
Alarm - This occurs when we first perceive something as stressful,
and then the body initiates the fight-or-flight response (as
discussed earlier).
Resistance - If the perceived stress continues, the body stays
activated at a higher metabolic level in an effort to offset the
persistent stress. The body cannot maintain this level indefinitely,
and its resources will eventually deplete.
Exhaustion - Prolonged exposure to the stressor will result in the
depletion of the body's resources, and the resulting wear and tear
will suppress the immune system and cause bodily functions to
deteriorate. This can lead to a variety of health issues and
illnesses, including heart disease, digestive problems, depression,
and diabetes.
Pre-disposing Factors to Stress Response - correct answers✅✅-
Genetic
- Past experiences
- Existing conditions
,Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Traits of Mental Health - correct answers✅✅- rational thinking
- communicate appropriately
- care
- positive attitude towards self
- emotional growth, self-actualization
- autonomy (self control & awareness)
- integration: adaptive response to
What is Mental Illness? - correct answers✅✅mental illness as a
disturbance in thoughts or mood that causes maladaptive
behavior, inability to cope with normal stresses, and/or impaired
functioning
Risk and Protective Factors for Mental Disorders - correct
answers✅✅- resiliency & available support
- family & developmental influences
- personality
- cultural, spiritual, religious beliefs
- perceptions, health practices, beliefs
- social influences
- biology, genetics, hormones
- psychosocial, socioeconomic, demographic, environment
,Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Peplau's Roles of Psych Nurse - correct answers✅✅1. Stranger
- initial role
2. Resource person - provide answers to questions
3. Counselor - use interpersonal techniques to assist pts
4. Teacher - identify learning needs and provides teaching to pt &
family
5. Leader - leads working w/ pt to develop care plan (diff styles)
6. Technical expert - provides clinical skills needed
7. Surrogate - can be perceived as symbols of other individuals
(mother, caregiver)
Therapeutic Nurse-Client Relationship - correct
answers✅✅Self-understanding is required: know your
experiences, biases, and judgements, but leave them outside the
door. Know your emotions, your needs, your behaviors.
Understand the impact on self and others.
Essential Conditions to therapy:
- Rapport
- Trust - confidentiality
- Respect
- Genuineness
- Empathy
, Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Transference - correct answers✅✅- the unconscious
displacement (transfer) to the nurse of feelings held for a person
in the client's past
- interferes with therapeutic relationship, causes conflicting
feelings, especially anger and hostility
Countertransference - correct answers✅✅the nurse's
behavioral and emotional response to a client in which the nurse
transfers his feelings held for a person from his past onto the
client
Phases of Therapeutic Relationships - correct answers✅✅1.
Pre-interaction: explore self-perceptions
2. Orientation: establish trust & contract for intervention
3. Working Phase: promote client change
4. Termination: evaluate goals, ensure therapeutic closure
What is the DSM-5? - correct answers✅✅The Diagnostic and
Statistical Manual of Mental Disorders, 5th edition,2013:
official medical guidelines of the American Psychiatric Association
for diagnosing psychiatric disorders. Provides
guidance/understanding for nurse assessment and education
about disorders.
NANDA diagnosis identifies the patient's response to health
problems
1 StudyGuide Questions and Answers
Stages of Stress Response - correct answers✅✅1. Alarm -
physical responses are initiated
2. Resistance - defensive attempt to adapt to the stressor.
3. Exhaustion - adaptive energy depleted > diseases of
exhaustion (ulcers, colitis, headaches, mental disorders, coronary
artery disease > mortality
** Stress has negative impact on immune system**
Alarm - This occurs when we first perceive something as stressful,
and then the body initiates the fight-or-flight response (as
discussed earlier).
Resistance - If the perceived stress continues, the body stays
activated at a higher metabolic level in an effort to offset the
persistent stress. The body cannot maintain this level indefinitely,
and its resources will eventually deplete.
Exhaustion - Prolonged exposure to the stressor will result in the
depletion of the body's resources, and the resulting wear and tear
will suppress the immune system and cause bodily functions to
deteriorate. This can lead to a variety of health issues and
illnesses, including heart disease, digestive problems, depression,
and diabetes.
Pre-disposing Factors to Stress Response - correct answers✅✅-
Genetic
- Past experiences
- Existing conditions
,Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Traits of Mental Health - correct answers✅✅- rational thinking
- communicate appropriately
- care
- positive attitude towards self
- emotional growth, self-actualization
- autonomy (self control & awareness)
- integration: adaptive response to
What is Mental Illness? - correct answers✅✅mental illness as a
disturbance in thoughts or mood that causes maladaptive
behavior, inability to cope with normal stresses, and/or impaired
functioning
Risk and Protective Factors for Mental Disorders - correct
answers✅✅- resiliency & available support
- family & developmental influences
- personality
- cultural, spiritual, religious beliefs
- perceptions, health practices, beliefs
- social influences
- biology, genetics, hormones
- psychosocial, socioeconomic, demographic, environment
,Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Peplau's Roles of Psych Nurse - correct answers✅✅1. Stranger
- initial role
2. Resource person - provide answers to questions
3. Counselor - use interpersonal techniques to assist pts
4. Teacher - identify learning needs and provides teaching to pt &
family
5. Leader - leads working w/ pt to develop care plan (diff styles)
6. Technical expert - provides clinical skills needed
7. Surrogate - can be perceived as symbols of other individuals
(mother, caregiver)
Therapeutic Nurse-Client Relationship - correct
answers✅✅Self-understanding is required: know your
experiences, biases, and judgements, but leave them outside the
door. Know your emotions, your needs, your behaviors.
Understand the impact on self and others.
Essential Conditions to therapy:
- Rapport
- Trust - confidentiality
- Respect
- Genuineness
- Empathy
, Psychiatric Mental Health Nursing, Exam
1 StudyGuide Questions and Answers
Transference - correct answers✅✅- the unconscious
displacement (transfer) to the nurse of feelings held for a person
in the client's past
- interferes with therapeutic relationship, causes conflicting
feelings, especially anger and hostility
Countertransference - correct answers✅✅the nurse's
behavioral and emotional response to a client in which the nurse
transfers his feelings held for a person from his past onto the
client
Phases of Therapeutic Relationships - correct answers✅✅1.
Pre-interaction: explore self-perceptions
2. Orientation: establish trust & contract for intervention
3. Working Phase: promote client change
4. Termination: evaluate goals, ensure therapeutic closure
What is the DSM-5? - correct answers✅✅The Diagnostic and
Statistical Manual of Mental Disorders, 5th edition,2013:
official medical guidelines of the American Psychiatric Association
for diagnosing psychiatric disorders. Provides
guidance/understanding for nurse assessment and education
about disorders.
NANDA diagnosis identifies the patient's response to health
problems
