NUR 305 Final Exam 1 Questions with
Guaranteed Pass Solutions (2025)
Updated.
Evolution of Mental Health Care - Answer - ancient times: sickness was indication of
displeasure of deities
- Time of Hippocrates/Aristotle: priests provide counseling work to mentally ill
- Early Christians: perform exorcisms, if not successful--> ostracized or killed
- medieval area: contaminated environ. thought to cause mental disorder. Removed from "sick"
environment -->asylum
- renaissance: mental illness caused by demons. Locked in prison
Recovery Model - Answer -*most important goal* for individuals w/ mental disorder
- treatment is based on belief that mental illness and emotion issues are treatable, recovery is
an expectation
What are the components of recovery? - Answer - hope
- self direction
- individualized/person centered
- empowerment
- holistic
- nonlinear
- strength based
- peer support
- respect
- responsibility
Deinstitutionalization - Answer - release of those confined to mental institutions for long
periods of time
- Dorothea Dix believed instituatlization was contributing to the illness
Public Stigma - Answer - stereotypes leading to prejudice and discrimination
,- they begin to believe they are unpredictable
- think they cannot bceome productive members of society
- think they may have caused their illness
- low self esteem
Epidemiology - Answer *prevelance, incidence, rate*
^know those
- prevalence: total # w/ the disiroder in a population @ a given time
- incidence: rate including only new causes occuring w/i a defined period of time
- Rate: cases in population/total cases and non cases
DSM 5 Axis Classification System - Answer - new updated classification system
- single axis
- physical and psychiatric Dxs are BOTH considered medical Dxs. No boundaries separating one
disorder from another (ex: Aspergers and Autism-> no combined)
What is involved in a mental status exam for nursing assessment? - Answer - General
Observations
- Orientation
- Mood/Affect
- Speech
- Thought Process
- Cognition/Intellectual Performance
(OOMASTC)
Mental Status Exam: Mood/Affect (define the two) - Answer = mood: overall emotions that a
patient expresses
- affect: persons capacity to vary outward emotional expression (can be observed in facial
expressions, vocal fluctations, and gestures)
What are some different moods - Answer euthymic: normal
, What does the nurse check for during a mental status exam with thought process? - Answer -
assesses for rapid change of ideas, inaility to get to the point, loose/no connectsion among
ideas and words, rhyming/repetition, unheard words
How can the nurse measure cognition and intellectual performance during a mental status exam
when testing for: Attention and Concentration - Answer - start w/ 100, substract 7 until
reaching 65
How can the nurse measure cognition and intellectual performance during a mental status exam
when testing for: Abstric reasoning/comprehension - Answer - give them a proverb to
interpret
How to conduct a psychosocial assessment? - Answer 1) Mental Status Exam
2) Behavioral Responses (depressed ptnt may cry, anxious person may twist hair)
3) Risk Factor Assessment (risk to patients safety, risk for developing disorder,...) (where
suicidal/assualtive/homicide is addressed)
Competency - Answer - degree to which apatient can understand and appreciate the
information given during the consent process
- cognitive ability to process info @ a specific time
What are some assessment areas for competence? - Answer 1) communicate choices: Patient
should be able to repeat what they have heard
2) Understand relevant info: patient should be able to paraphrase treatment
3) Appreciate situation and its consequences: patient shoul dbe able to discuss disorder, need
for treatment, and likely outcome
4) use of logical though process to compare risks/benefits: patient should be able to discuss
logical reasons for treatment
What are some examples of commitment criteria? - Answer 1) mentally disorderd
2) harm to self/others
3) unable to take care of self
What are some examples of Committment Codes - Answer - 1013: 48 hours of committment
(Sat/Sun count)
Guaranteed Pass Solutions (2025)
Updated.
Evolution of Mental Health Care - Answer - ancient times: sickness was indication of
displeasure of deities
- Time of Hippocrates/Aristotle: priests provide counseling work to mentally ill
- Early Christians: perform exorcisms, if not successful--> ostracized or killed
- medieval area: contaminated environ. thought to cause mental disorder. Removed from "sick"
environment -->asylum
- renaissance: mental illness caused by demons. Locked in prison
Recovery Model - Answer -*most important goal* for individuals w/ mental disorder
- treatment is based on belief that mental illness and emotion issues are treatable, recovery is
an expectation
What are the components of recovery? - Answer - hope
- self direction
- individualized/person centered
- empowerment
- holistic
- nonlinear
- strength based
- peer support
- respect
- responsibility
Deinstitutionalization - Answer - release of those confined to mental institutions for long
periods of time
- Dorothea Dix believed instituatlization was contributing to the illness
Public Stigma - Answer - stereotypes leading to prejudice and discrimination
,- they begin to believe they are unpredictable
- think they cannot bceome productive members of society
- think they may have caused their illness
- low self esteem
Epidemiology - Answer *prevelance, incidence, rate*
^know those
- prevalence: total # w/ the disiroder in a population @ a given time
- incidence: rate including only new causes occuring w/i a defined period of time
- Rate: cases in population/total cases and non cases
DSM 5 Axis Classification System - Answer - new updated classification system
- single axis
- physical and psychiatric Dxs are BOTH considered medical Dxs. No boundaries separating one
disorder from another (ex: Aspergers and Autism-> no combined)
What is involved in a mental status exam for nursing assessment? - Answer - General
Observations
- Orientation
- Mood/Affect
- Speech
- Thought Process
- Cognition/Intellectual Performance
(OOMASTC)
Mental Status Exam: Mood/Affect (define the two) - Answer = mood: overall emotions that a
patient expresses
- affect: persons capacity to vary outward emotional expression (can be observed in facial
expressions, vocal fluctations, and gestures)
What are some different moods - Answer euthymic: normal
, What does the nurse check for during a mental status exam with thought process? - Answer -
assesses for rapid change of ideas, inaility to get to the point, loose/no connectsion among
ideas and words, rhyming/repetition, unheard words
How can the nurse measure cognition and intellectual performance during a mental status exam
when testing for: Attention and Concentration - Answer - start w/ 100, substract 7 until
reaching 65
How can the nurse measure cognition and intellectual performance during a mental status exam
when testing for: Abstric reasoning/comprehension - Answer - give them a proverb to
interpret
How to conduct a psychosocial assessment? - Answer 1) Mental Status Exam
2) Behavioral Responses (depressed ptnt may cry, anxious person may twist hair)
3) Risk Factor Assessment (risk to patients safety, risk for developing disorder,...) (where
suicidal/assualtive/homicide is addressed)
Competency - Answer - degree to which apatient can understand and appreciate the
information given during the consent process
- cognitive ability to process info @ a specific time
What are some assessment areas for competence? - Answer 1) communicate choices: Patient
should be able to repeat what they have heard
2) Understand relevant info: patient should be able to paraphrase treatment
3) Appreciate situation and its consequences: patient shoul dbe able to discuss disorder, need
for treatment, and likely outcome
4) use of logical though process to compare risks/benefits: patient should be able to discuss
logical reasons for treatment
What are some examples of commitment criteria? - Answer 1) mentally disorderd
2) harm to self/others
3) unable to take care of self
What are some examples of Committment Codes - Answer - 1013: 48 hours of committment
(Sat/Sun count)
