NURS 325 FINAL EXAM 2025 MENTAL HEALTH
NURSING VERIFIED SARAH HANSEN BLUEPRINT
What is primary prevention?
Reduction of risk factors before occurrence of disease, condition, or injury
Services aimed at reducing the incidence of mental disorders within the population
Primary prevention targets both individuals and the environment and its emphasis is twofold.
Assisting individuals to increase their ability to cope effectively with stress
Targeting and diminishing harmful forces (stressors) within the environment
What is secondary prevention?
Early detection of the potential for development of a disease or condition, or the existence of a
disease while asymptomatic
Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing
the prevalence and duration of the illness
Accomplished through early identification of problems and prompt initiation of effective treatment
Nursing in secondary prevention focuses on recognition of symptoms and provision of, or referral for,
treatment.
What is tertiary prevention?
Treatment of an existing symptomatic disease process to ameliorate its effects, or delay or prevent its
progress
Services aimed at reducing the residual defects that are associated with severe and persistent mental
illness
Done in 2 ways:
•Preventing complications of the illness
•Promoting rehabilitation directed toward achievement of each individual’s maximum level of
functioning
What are maturational and situational crises?
Maturational:
,•Adolescence
•Marriage
•Parenthood
•Midlife
•Retirement
Situational:
•Poverty
•High rate of life change events
•Environmental conditions
•Trauma
What are the treatment options in a crisis?
Nursing:
Assessment
Planning
Implementation
Coordination
Monitoring
Evaluation
Other:
Community mental health centers
Assertive Community Treatment (ACT)
Day-evening treatment/partial hospitalization programs
Community residential facilities
Psychiatric home health care
Family involvement in SMI
?
, What are the Kubler-Ross stages of grief?
Denial
Anger
Bargaining
Depression
Acceptance
**Does not always follow this exact order
What is conversion disorder?
•Neurological symptoms in the absence of a neurological diagnosis
•Presence of deficits in voluntary motor or sensory functions
•Common symptoms—paralysis, blindness, movement and gait disorders, numbness, paresthesias, loss
of vision or hearing, or episodes resembling epilepsy
**Therapeutic response: "I am pleased to hear you say that you recognize your anxiety may be the
cause of your swallowing problems."
What are dissociative disorders?
•Occur after significant adverse experiences/traumas
•Individuals respond to stress with severe interruption of consciousness
•Unconscious defense mechanism
•Protects individual against overwhelming anxiety through emotional separation
**The more severe the trauma, the more severe the dissociation
What is Dissociative Identity Disorder?
•Presence of two or more distinct personality states
•Each alternate personality (alter) has own pattern of
-> Perceiving
-> Relating to and
-> Thinking about the self and environment
NURSING VERIFIED SARAH HANSEN BLUEPRINT
What is primary prevention?
Reduction of risk factors before occurrence of disease, condition, or injury
Services aimed at reducing the incidence of mental disorders within the population
Primary prevention targets both individuals and the environment and its emphasis is twofold.
Assisting individuals to increase their ability to cope effectively with stress
Targeting and diminishing harmful forces (stressors) within the environment
What is secondary prevention?
Early detection of the potential for development of a disease or condition, or the existence of a
disease while asymptomatic
Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing
the prevalence and duration of the illness
Accomplished through early identification of problems and prompt initiation of effective treatment
Nursing in secondary prevention focuses on recognition of symptoms and provision of, or referral for,
treatment.
What is tertiary prevention?
Treatment of an existing symptomatic disease process to ameliorate its effects, or delay or prevent its
progress
Services aimed at reducing the residual defects that are associated with severe and persistent mental
illness
Done in 2 ways:
•Preventing complications of the illness
•Promoting rehabilitation directed toward achievement of each individual’s maximum level of
functioning
What are maturational and situational crises?
Maturational:
,•Adolescence
•Marriage
•Parenthood
•Midlife
•Retirement
Situational:
•Poverty
•High rate of life change events
•Environmental conditions
•Trauma
What are the treatment options in a crisis?
Nursing:
Assessment
Planning
Implementation
Coordination
Monitoring
Evaluation
Other:
Community mental health centers
Assertive Community Treatment (ACT)
Day-evening treatment/partial hospitalization programs
Community residential facilities
Psychiatric home health care
Family involvement in SMI
?
, What are the Kubler-Ross stages of grief?
Denial
Anger
Bargaining
Depression
Acceptance
**Does not always follow this exact order
What is conversion disorder?
•Neurological symptoms in the absence of a neurological diagnosis
•Presence of deficits in voluntary motor or sensory functions
•Common symptoms—paralysis, blindness, movement and gait disorders, numbness, paresthesias, loss
of vision or hearing, or episodes resembling epilepsy
**Therapeutic response: "I am pleased to hear you say that you recognize your anxiety may be the
cause of your swallowing problems."
What are dissociative disorders?
•Occur after significant adverse experiences/traumas
•Individuals respond to stress with severe interruption of consciousness
•Unconscious defense mechanism
•Protects individual against overwhelming anxiety through emotional separation
**The more severe the trauma, the more severe the dissociation
What is Dissociative Identity Disorder?
•Presence of two or more distinct personality states
•Each alternate personality (alter) has own pattern of
-> Perceiving
-> Relating to and
-> Thinking about the self and environment
