PSYCHOSOCIAL EXAM 1 TEST ACTUAL QUESTIONS AND ANSWERS
Mental health - CORRECT ANSWER✅✅A state of well-being in which every individual realizes his or her
own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able
to make a contribution to the community.
Whole health - CORRECT ANSWER✅✅Begins with mental health (American Psychiatric Nurses
Association Position Statement).
Mental illness - CORRECT ANSWER✅✅Health conditions involving changes in thinking, emotion, or
behavior (or a combination of these).
Mental illnesses - CORRECT ANSWER✅✅Associated with distress and/or problems functioning in social,
work or family activities.
Behavior deviation - CORRECT ANSWER✅✅Behavior that deviates from socially accepted norms does
not necessarily indicate mental illness.
Influences on mental health - CORRECT ANSWER✅✅Factors include family, spirituality, religion,
developmental events, personality traits, demographic and geographic locations, culture, health
practices, hormones, biology, inherited factors, environmental experiences, and support system.
Diagnostic and Statistical Manual (DSM) 5 - CORRECT ANSWER✅✅Published by the American
Psychiatric Association in 1952; DSM-5 (2013) contains criteria for 157 disorders.
DSM-5-TR - CORRECT ANSWER✅✅Includes updated diagnostic criteria and coding.
Identification of disorders - CORRECT ANSWER✅✅Based on criteria from clinical settings; important to
classify the disorder, not the person.
Psychiatric mental health nursing - CORRECT ANSWER✅✅Promoting mental health through
assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric
disorders.
,Basic level intervention (RN) - CORRECT ANSWER✅✅Coordination of care, health
teaching/maintenance, pharmacological/biological/integrative therapies.
Advanced practice intervention (APRN) - CORRECT ANSWER✅✅Includes all basic level interventions
plus medication prescription/treatment, psychotherapy, and consultation.
Continuum of mental health treatment - CORRECT ANSWER✅✅Ranges from primary care (least
restrictive) to state hospitals (most restrictive) based on patient's level of acuity, safety, insurance
coverage, and availability of beds.
Milieu (therapeutic milieu) - CORRECT ANSWER✅✅Structured environmental surroundings that
promote safety and healing for a patient; includes physical safety, emotional safety, structured
environment, and integral support from staff, family, and friends.
Current trends/challenges in mental health - CORRECT ANSWER✅✅Include decreased inpatient length
of stay, pandemic-related impact, reduced access to healthcare, expanding access to technology, and
legislative initiatives.
Healthy People 2030 Goal - CORRECT ANSWER✅✅Improve mental health by increasing treatment for
substance use and mental health disorders and screening adolescents for depression.
Types of relationships - CORRECT ANSWER✅✅Include social relationships, intimate relationships, and
therapeutic relationships.
Peplau's Phases of the Nurse-Patient Relationship - CORRECT ANSWER✅✅Include preorientation,
orientation, working, and termination phases.
Transference - CORRECT ANSWER✅✅Transferring feelings about a person(s) to another unrelated
person.
Counter transference - CORRECT ANSWER✅✅Transferring of nurse's feelings onto the client.
, Mental Status Exam (MSE) - CORRECT ANSWER✅✅Essentially the 'mental head-to-toe'; documentation
of objective data.
Psychosocial Assessment - CORRECT ANSWER✅✅Documentation of subjective data including previous
hospitalizations, educational background, and occupational background.
Social relationship - CORRECT ANSWER✅✅Friendship or socialization where needs are met on both
sides and communication content is superficial.
Intimate relationship - CORRECT ANSWER✅✅Physical and emotional connections with a desire to love
and be loved, including friendship.
Therapeutic relationship - CORRECT ANSWER✅✅Utilizes communication skills to enhance an
individual's growth and potential, involving mutual identification of areas to explore.
Appearance in MSE - CORRECT ANSWER✅✅Includes grooming, dress, level of hygiene, pupil
dilation/constriction, and relationship between appearance and age.
Behavior in MSE - CORRECT ANSWER✅✅How the patient moves physically, including excessive or
reduced body movements.
Speech in MSE - CORRECT ANSWER✅✅Includes rate, volume, and disturbances such as articulation
problems.
Mood in MSE - CORRECT ANSWER✅✅Verbalized emotional state such as sad, labile, or euphoric.
Affect in MSE - CORRECT ANSWER✅✅Observed emotional state such as flat, bland, or animated.
Disorders of the form of thought - CORRECT ANSWER✅✅Includes thought processes and thought
content such as delusions and obsessions.
Mental health - CORRECT ANSWER✅✅A state of well-being in which every individual realizes his or her
own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able
to make a contribution to the community.
Whole health - CORRECT ANSWER✅✅Begins with mental health (American Psychiatric Nurses
Association Position Statement).
Mental illness - CORRECT ANSWER✅✅Health conditions involving changes in thinking, emotion, or
behavior (or a combination of these).
Mental illnesses - CORRECT ANSWER✅✅Associated with distress and/or problems functioning in social,
work or family activities.
Behavior deviation - CORRECT ANSWER✅✅Behavior that deviates from socially accepted norms does
not necessarily indicate mental illness.
Influences on mental health - CORRECT ANSWER✅✅Factors include family, spirituality, religion,
developmental events, personality traits, demographic and geographic locations, culture, health
practices, hormones, biology, inherited factors, environmental experiences, and support system.
Diagnostic and Statistical Manual (DSM) 5 - CORRECT ANSWER✅✅Published by the American
Psychiatric Association in 1952; DSM-5 (2013) contains criteria for 157 disorders.
DSM-5-TR - CORRECT ANSWER✅✅Includes updated diagnostic criteria and coding.
Identification of disorders - CORRECT ANSWER✅✅Based on criteria from clinical settings; important to
classify the disorder, not the person.
Psychiatric mental health nursing - CORRECT ANSWER✅✅Promoting mental health through
assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric
disorders.
,Basic level intervention (RN) - CORRECT ANSWER✅✅Coordination of care, health
teaching/maintenance, pharmacological/biological/integrative therapies.
Advanced practice intervention (APRN) - CORRECT ANSWER✅✅Includes all basic level interventions
plus medication prescription/treatment, psychotherapy, and consultation.
Continuum of mental health treatment - CORRECT ANSWER✅✅Ranges from primary care (least
restrictive) to state hospitals (most restrictive) based on patient's level of acuity, safety, insurance
coverage, and availability of beds.
Milieu (therapeutic milieu) - CORRECT ANSWER✅✅Structured environmental surroundings that
promote safety and healing for a patient; includes physical safety, emotional safety, structured
environment, and integral support from staff, family, and friends.
Current trends/challenges in mental health - CORRECT ANSWER✅✅Include decreased inpatient length
of stay, pandemic-related impact, reduced access to healthcare, expanding access to technology, and
legislative initiatives.
Healthy People 2030 Goal - CORRECT ANSWER✅✅Improve mental health by increasing treatment for
substance use and mental health disorders and screening adolescents for depression.
Types of relationships - CORRECT ANSWER✅✅Include social relationships, intimate relationships, and
therapeutic relationships.
Peplau's Phases of the Nurse-Patient Relationship - CORRECT ANSWER✅✅Include preorientation,
orientation, working, and termination phases.
Transference - CORRECT ANSWER✅✅Transferring feelings about a person(s) to another unrelated
person.
Counter transference - CORRECT ANSWER✅✅Transferring of nurse's feelings onto the client.
, Mental Status Exam (MSE) - CORRECT ANSWER✅✅Essentially the 'mental head-to-toe'; documentation
of objective data.
Psychosocial Assessment - CORRECT ANSWER✅✅Documentation of subjective data including previous
hospitalizations, educational background, and occupational background.
Social relationship - CORRECT ANSWER✅✅Friendship or socialization where needs are met on both
sides and communication content is superficial.
Intimate relationship - CORRECT ANSWER✅✅Physical and emotional connections with a desire to love
and be loved, including friendship.
Therapeutic relationship - CORRECT ANSWER✅✅Utilizes communication skills to enhance an
individual's growth and potential, involving mutual identification of areas to explore.
Appearance in MSE - CORRECT ANSWER✅✅Includes grooming, dress, level of hygiene, pupil
dilation/constriction, and relationship between appearance and age.
Behavior in MSE - CORRECT ANSWER✅✅How the patient moves physically, including excessive or
reduced body movements.
Speech in MSE - CORRECT ANSWER✅✅Includes rate, volume, and disturbances such as articulation
problems.
Mood in MSE - CORRECT ANSWER✅✅Verbalized emotional state such as sad, labile, or euphoric.
Affect in MSE - CORRECT ANSWER✅✅Observed emotional state such as flat, bland, or animated.
Disorders of the form of thought - CORRECT ANSWER✅✅Includes thought processes and thought
content such as delusions and obsessions.
