MENTAL HEALTH FINAL EXAM REVIEW
• Introduction in Psychiatric Nursing
• Basic Brain Anatomy- what do the different part of brain
control?
o Frontal Lobe: Thought Processes & Voluntary Movement
(decision making)
o Temporal Lobe: Auditory Processes (language, speech,
connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation, reading, math,
proprioception)
o Hypothalamus: maintains homeostasis, regulates BP, Temp,
libido, hunger, thirst, and sleep/wake cycles.
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into chemical
signals released at the synapse
▪ Synapse- (pg. 51)- The space between neurons in which
neurotransmitters are released and either inhibit/excite the
adjacent neuron. The 4 NT’s are dopamine, norepinephrine,
serotonin and acetylcholine.
• Milieu Therapy: Creating a SAFE, structured inpatient/outpatient
setting where the mentally ill can test new behaviors and coping
mechanisms with others.
o Creating a SAFE, structured inpatient/outpatient setting where
, patients with mental illness can test new behaviors and
interactions.
o Climate is essential to healing: paint color, relaxed environments
are conducive to the healing process.
o Florence Nightingale believed that the environment helps heal
• Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a constant
body temperature. If all the needs were deprived, this level
would take priority.
o Safety Needs: Security, protection, freedom from
fear/anxiety/chaos, and the need for law, order, and limits.
o Intimacy & Solidarity vs. Isolation (young adults 20-30)
Young Adults need to form intimate, loving relationships.
(Relationships)
o Generativity vs. Self-Absorption: (adults 30-65) Needto
create/nurture things by having children. (Work & Parenthood)
o Integrity vs. Despair (elderly 65+) Need to look back and feel
fulfilled by accomplishments; have wisdom and noregrets
(Reflection on Life)
o Belonging and Love Needs: intimate relationship, love,
affection, and belonging, having a family and a home and being
part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel confident,
,Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
valued, and valuable. When self-esteem is compromised, we feel
inferior, worthless, and helpless.
o Self-actualization: Reaching our full potential to feel inner
peace and fulfillment.
Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
, Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
• Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing individual and
family roles in recovery. (Based off of Sullivan’s Interpersonal
Theory). Relationships greatly influence recovery
• Freud- what did he contribute to psychiatric setting?
(Unconscious thoughts)
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly influenced by our
parents morals and ethical stances
o Erickson’s
▪ Trust vs. Mistrust (infant 0- 1 ½) trust developed if
caregivers give affection, love, care, attention, and
reliability. (Feeding)
▪ Autonomy vs. Shame (toddlers 1 ½ - 3) kids need to
Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
• Introduction in Psychiatric Nursing
• Basic Brain Anatomy- what do the different part of brain
control?
o Frontal Lobe: Thought Processes & Voluntary Movement
(decision making)
o Temporal Lobe: Auditory Processes (language, speech,
connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation, reading, math,
proprioception)
o Hypothalamus: maintains homeostasis, regulates BP, Temp,
libido, hunger, thirst, and sleep/wake cycles.
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into chemical
signals released at the synapse
▪ Synapse- (pg. 51)- The space between neurons in which
neurotransmitters are released and either inhibit/excite the
adjacent neuron. The 4 NT’s are dopamine, norepinephrine,
serotonin and acetylcholine.
• Milieu Therapy: Creating a SAFE, structured inpatient/outpatient
setting where the mentally ill can test new behaviors and coping
mechanisms with others.
o Creating a SAFE, structured inpatient/outpatient setting where
, patients with mental illness can test new behaviors and
interactions.
o Climate is essential to healing: paint color, relaxed environments
are conducive to the healing process.
o Florence Nightingale believed that the environment helps heal
• Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a constant
body temperature. If all the needs were deprived, this level
would take priority.
o Safety Needs: Security, protection, freedom from
fear/anxiety/chaos, and the need for law, order, and limits.
o Intimacy & Solidarity vs. Isolation (young adults 20-30)
Young Adults need to form intimate, loving relationships.
(Relationships)
o Generativity vs. Self-Absorption: (adults 30-65) Needto
create/nurture things by having children. (Work & Parenthood)
o Integrity vs. Despair (elderly 65+) Need to look back and feel
fulfilled by accomplishments; have wisdom and noregrets
(Reflection on Life)
o Belonging and Love Needs: intimate relationship, love,
affection, and belonging, having a family and a home and being
part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel confident,
,Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
valued, and valuable. When self-esteem is compromised, we feel
inferior, worthless, and helpless.
o Self-actualization: Reaching our full potential to feel inner
peace and fulfillment.
Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
, Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT
• Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing individual and
family roles in recovery. (Based off of Sullivan’s Interpersonal
Theory). Relationships greatly influence recovery
• Freud- what did he contribute to psychiatric setting?
(Unconscious thoughts)
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly influenced by our
parents morals and ethical stances
o Erickson’s
▪ Trust vs. Mistrust (infant 0- 1 ½) trust developed if
caregivers give affection, love, care, attention, and
reliability. (Feeding)
▪ Autonomy vs. Shame (toddlers 1 ½ - 3) kids need to
Rasmussen College : NUR 2488 Mental Health Final Exam
Review Latest Updated 2021/2022,100% CORRECT