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NURS 3381 – Psych Exam 2 | Complete Study Guide with Accurate Answers | Anxiety, Depression, Suicide, and Crisis Management

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This document is a detailed study guide for Exam 2 in NURS 3381 (Psychiatric Nursing), focusing on mental health conditions and nursing care strategies. Topics include major depressive disorder, suicide risk factors and prevention, therapeutic communication, anxiety disorders, crisis intervention phases, coping mechanisms, and nursing roles in psychiatric settings. Questions are paired with accurate answers to help students master critical concepts for exams or clinical application.

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3381 Psych Exam 2 - Content (NO MEDS) questions
with accurate answers
______ ______ _____ promote community reintegration for clients.
Ans✓✓✓ Intensive outpatient programs (IOP)


________ ________ refers to the environment in which holistic
treatment occurs and includes all members of the treatment team, a
positive physical setting, interactions between those who are
hospitalized, and activities that promote recovery. Ans✓✓✓ therapeutic
milieu


________ prevention promotes health and emphasizes efforts on
preventing mental health problems from occurring Ans✓✓✓ Primary


_________ prevention focuses on early detection of mental illness.
Ans✓✓✓ secondary


__________ are people who use mental health services, and their family
members Ans✓✓✓ consumers


__________ is the feeling that a person is observing one's own
personality or body from a distance. __________ is the feeling that
outside events are unreal or part of a dream, or that objects appear larger
or smaller than they should. Ans✓✓✓ Depersonalization


Derealization

,__________ prevention focuses on rehabilitation and prevention of
further problems in clients who have previous diagnoses. Ans✓✓✓
Tertiary


_____-____ ______ have largely replaced state hospitals.


The number of state-run psychiatric hospitals has been reduced to
approximately _____ facilities Ans✓✓✓ Community-care systems


220


1999 Olmstead decision Ans✓✓✓ Supreme Court decreed: Keeping
people in psychiatric hospitals is "unjustified isolation."


A client who is often angry and aggressive can have underlying feelings
of: Ans✓✓✓ inadequacy, insecurity, guilt, fear and rejection


A nurse leads a support group for clients who have completed a
substance use disorder program.


prevention level? Ans✓✓✓ tertiary


A nurse screens older adults in the community for depression.

,prevention level? Ans✓✓✓ secondary


A nurse teaches a community education program on stress reduction
techniques.


prevention level? Ans✓✓✓ primary


Acute care facilities characteristics Ans✓✓✓ -Hospitalization to
stabilize crisis.
- interprofessional team
- Facilities might be privately owned or general hospital
- might be state owned, with much of the funding provided for indigent
clients.


acute dystonia Ans✓✓✓ severe spasms of the neck, face, tongue, and
back


Acute phase of depression Ans✓✓✓ severe clinical findings of
depression


Acute stress disorder (ASD) Ans✓✓✓ Exposure to traumatic events
causes anxiety, detachment and other manifestations about the event for
at least 3 days but for not more than 1 month following the event.

, Adjustment disorder Ans✓✓✓ A stressor triggers a reaction causing
changes in mood and/or dysfunction in performing usual activities. The
stressor and effects are less severe than with ASD or PTSD.


Adjustment disorder expected findings on assessment Ans✓✓✓ ●
Depression
● Anxiety
● Changes in behavior (arguing with others or driving erratically)


Adjustment disorder risk factors Ans✓✓✓ ● Pattern of life-long
difficulty accepting change
● Learned pattern of difficulty with social skills or coping strategies
which, when a stressor occurs, can trigger a stress response out of
proportion to the stressor


Adventitious crisis Ans✓✓✓ The occurrence of natural disasters, crime,
or national disasters. People in communities with large-scale
psychological trauma caused by a natural disaster.


Affective symptoms of Schizophrenia (Psychotic disorder) Ans✓✓✓ -
Hopelessness
-Suicidal ideation

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