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NURS 3381 – Psych Exam 1 Study Guide | 200+ Verified Q&A | Mental Health Theories, Neurotransmitters, Legal & Ethical Concepts

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This in-depth document for NURS 3381 covers over 200 clinically accurate questions and answers related to foundational psychiatric nursing concepts. It includes topics such as Freud’s psychoanalytic theory, neurotransmitters and their roles, psychopharmacology (FGAs, SGAs, SSRIs, MAOIs, etc.), therapeutic communication, cultural psychiatry, MSE components, Maslow’s hierarchy, involuntary admission laws, mental health legislation, crisis care, and trauma-informed practice. It also reviews major disorders (schizophrenia, depression, anxiety), nursing interventions, ethical principles, and evidence-based models in psychiatric care.

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N3381 - Exam 1 (Psych - S. Justice) questions with
accurate answers
A psychosocial assessment during MSE should include assessment of
____ (2) Ans✓✓✓ spiritual
cultural/social


About 1 in 3 cases of _________ develops into agoraphobia. Ans✓✓✓
panic disorder
(agoraphobia = excessive fear of being in places/situations help is not
available and escape may be difficult or embarrassing)


According to Freud, repression of any of the 3 aspects of self will result
in what? Ans✓✓✓ anxiety


According to Freud, which is the moral component of personality
structure? Ans✓✓✓ superego


An example of a second generation antipsychotic aka _______ is
___________.
Pt should be monitored for (2) Ans✓✓✓ atypical antipsychotics
risperidone
orthostatic hypotension & sedation
FALL RISK!

,An involuntary admission is limited to _____. Ans✓✓✓ 60 days, then
psych & legal review of admission is required


Another name for First Generation Agents is _______.
What neurotransmitter do they affect and how? Ans✓✓✓ dopamine
receptor agonists (DRAs)
dopamine!
they bind to dopamine receptors and block dopamine transmissions


Atypical antipsychotics aka _______ have a risk for ________ which
has these symptoms (4) Ans✓✓✓ aka SGA
metabolic syndrome
↑ weight
↑ triglyceride lvls
↑ blood glucose
insulin resistance (results in ↑ BG)


Can any nurse lead group therapy sessions? Ans✓✓✓ No, must be
psychiatric advanced practice RN


Care plans should always follow these 4 principles Ans✓✓✓ safe
appropriate
individualized
evidence based

,Communication skills of exploring can begin how? (3) Ans✓✓✓ tell
me
describe
give me an example


decorticate vs decerebrate Ans✓✓✓ decorticate: corpse like
decerebrate: head and arms extended


define attending in therapeutic communication terms Ans✓✓✓ a
special kind of listening that refers to intensity of presence


Define countertransference Ans✓✓✓ nurse displaces characteristics of
people in their past onto a client


Define EBP model Ans✓✓✓ 1. uses scientific evidence to guide care
2. aka medical model
3. increases gap b/w research and practice


Define incidence Ans✓✓✓ annual diagnosis rate of a disease
(# of new cases each year)


Define KSA in regards to QSEN Ans✓✓✓ knowledge

, skills
attitude


Define milieu therapy Ans✓✓✓ orienting the client to the physical
setting, their environment (aka therapeutic environment)


Define pibloktoq and what is its country of origin? Ans✓✓✓
uncontrollable desire to tear off clothes and expose themselves to severe
winter weather
country: Greenland, Alaska, arctic Canada


Define prevelance Ans✓✓✓ estimated population of people living with
a mental illness


Define rationalization Ans✓✓✓ justifying an action to satisfy the
listener
(ex: says cant go hiking bc doesnt have shoes but actually worried about
BG monitoring)


Define RCT Ans✓✓✓ randomized control trial


Define recovery model (3) Ans✓✓✓ 1. consumer & family driven
2. consumers are partners
3. recovery oriented

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