RASMUSSEN MENTAL HEALTH FINAL
EXAM LATEST REAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS
2025\2026 update
1.Milieu Therapy - ANS>>Milieu refers to the environment in which holistic treatment occurs and
includes all members of the treatment team in a positive physical setting, with interactions among thos
who are hospitalized and activities that promote recovery.
The psychiatric mental health registered nurse provides, structures, and maintains safe, therapeutic,
recovery oriented environment collaboration with health care consumers, families, and other health ca
clinicians.
Among other things milieu management includes orienting patients to their rights and responsibilities
Milieu management also includes informing patients in a culturally competent manner about the need
for structure, maintenance of a safe environment, and limits set on the unit.
The nurse selects activities (both individual and group) that meets the patient's physical and mental
health needs. The patient should always be maintained in the least restrictive environment.
2.Mental health - ANS>>Successful performance of mental functions, resulting in the ability to engage
in productive activities, enjoy fulfilling relationships, adapt to change, and cope with adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional growth, resilienc
and self-esteem throughout the life span.
It is a STATE OF WELL-BEING in which individuals are able to realize their abilities as well as contribu
to their community within the context of life stressors.
3.Mental illness - ANS>>Actual diagnoses, gets in the way of obtaining mental health.
,4.Maslow's hierarchy of needs - ANS>>Needs are placed conceptually on a pyramid, with the most bas
and important needs on the lower level.
The higher levels, the more distinctly human needs, occupy the top sections of the pyramid. According
to Maslow, when lower level needs are met, higher level needs are able to emerge.
**Physiological needs first, safety second
Physiological needs - ANS>>Food, water, oxygen, elimination, rest, and sex
Safety needs - ANS>>Security, protection, stability, structure, order, and limits.
Love and belonging needs - ANS>>Affiliation, affectionate relationships, and love
Esteem needs - ANS>>Self-esteem related to competency, achievement, and esteem from others.
Self-actualization needs - ANS>>Becoming everything one is capable of.
Self-transcendence - ANS>>When a person experiences a sense of identity that transcends or extends
beyond the personal self.
The Id - ANS>>The primitive, pleasure-seeking part of our personalities that lurks in the unconscious
mind.
The Ego - ANS>>Our sense of self. (Also unconscious mind)
Acts as an intermediary between the id and the world by using ego defense mechanisms, such as
repression, denial, and rationalization.
The Superego - ANS>>Conscious mind.
Our conscience (our sense of what is right or wrong) and is greatly influenced by our parents' or
caregivers' moral and ethical stances.
Freud's contribution to mental health - ANS>>Freud believed that personality development is based on
stages. During these stages, the id focuses on an erogenous zone of the body. These zones are oral,
anal, and phallic. Fixation through overindulgence or frustration results in pathologic conditions and
personality disorders. Freud's work has been criticized for a variety of reasons. One of the harshest
criticism stems from the concept of penis envy in which females suffer from feelings of inferiority for n
having male genitalia.
Freud - Oral—birth to 1½ years - ANS>>Pleasure-pain principle
,Primary thought processes
Unconscious instincts—source-energy-aim-object
Mouth—primary source of pleasure
Immediate release of tension/anxiety and immediate gratification through oral gratification
Task—develop a sense of trust that needs will be met
Freud - Anal—1½ to 3 years - ANS>>Reality principle—postpone immediate discharge of energy and
seek actual object to satisfy needs
Learning to defer pleasure
Gaining satisfaction from tolerating some tension-mastering impulses
Focus on toilet training—retaining/letting go; power struggle
Ego development—functions of the ego include problem-solving skills, perception, ability to mediate i
impulses
Task—delay immediate gratification
Freud - Phallic—3 to 7 years - ANS>>Superego develops via incorporating moral values, ideals, and
judgments of right and wrong that are held by parents; superego is primarily unconscious and functio
on the reward and punishment principle (sexual identity attained via resolving oedipal conflict)
Conflict differs for boy and girl masturbatory activity
Task—develop sexual identity through identification with same-sex parent
Freud - Latency—7 to 12 years - ANS>>Desexualization; libido diffused
Involved in learning social skills, exploring, building, collecting, accomplishing, and hero worship
Peer group loyalty begins
Gang and scout behavior
Growing independence from family
, Very ambivalent and labile, seeking life goals and emancipation from parents
Dependence vs. independence
Reappraisal of parents and self; intense peer loyalty
Task—form close relationships with members of the opposite sex based on genuine caring and pleasu
in the interaction
Verbal communication - ANS>>Words we speak, clear, honest, convey interest and understanding
Non-verbal communication - ANS>>The tone and pitch of a person's voice and the manner in which a
person paces speech
Body language
Physical appearance
Facial expressions
Body posture
Amount of eye contact
Eye cast (emotion expressed in the eyes)
Hand gestures
Sighs
Fidgeting
Yawning
Use of silence - ANS>>When used properly, the use of silence can be an effective tool in encouraging
individuals to open up.
Silence is not the absence of communication; it is a specific channel for transmitting and receiving
messages.
If the nurse waits to speak and allows the patient to break the silence, the patient may share thoughts
EXAM LATEST REAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS
2025\2026 update
1.Milieu Therapy - ANS>>Milieu refers to the environment in which holistic treatment occurs and
includes all members of the treatment team in a positive physical setting, with interactions among thos
who are hospitalized and activities that promote recovery.
The psychiatric mental health registered nurse provides, structures, and maintains safe, therapeutic,
recovery oriented environment collaboration with health care consumers, families, and other health ca
clinicians.
Among other things milieu management includes orienting patients to their rights and responsibilities
Milieu management also includes informing patients in a culturally competent manner about the need
for structure, maintenance of a safe environment, and limits set on the unit.
The nurse selects activities (both individual and group) that meets the patient's physical and mental
health needs. The patient should always be maintained in the least restrictive environment.
2.Mental health - ANS>>Successful performance of mental functions, resulting in the ability to engage
in productive activities, enjoy fulfilling relationships, adapt to change, and cope with adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional growth, resilienc
and self-esteem throughout the life span.
It is a STATE OF WELL-BEING in which individuals are able to realize their abilities as well as contribu
to their community within the context of life stressors.
3.Mental illness - ANS>>Actual diagnoses, gets in the way of obtaining mental health.
,4.Maslow's hierarchy of needs - ANS>>Needs are placed conceptually on a pyramid, with the most bas
and important needs on the lower level.
The higher levels, the more distinctly human needs, occupy the top sections of the pyramid. According
to Maslow, when lower level needs are met, higher level needs are able to emerge.
**Physiological needs first, safety second
Physiological needs - ANS>>Food, water, oxygen, elimination, rest, and sex
Safety needs - ANS>>Security, protection, stability, structure, order, and limits.
Love and belonging needs - ANS>>Affiliation, affectionate relationships, and love
Esteem needs - ANS>>Self-esteem related to competency, achievement, and esteem from others.
Self-actualization needs - ANS>>Becoming everything one is capable of.
Self-transcendence - ANS>>When a person experiences a sense of identity that transcends or extends
beyond the personal self.
The Id - ANS>>The primitive, pleasure-seeking part of our personalities that lurks in the unconscious
mind.
The Ego - ANS>>Our sense of self. (Also unconscious mind)
Acts as an intermediary between the id and the world by using ego defense mechanisms, such as
repression, denial, and rationalization.
The Superego - ANS>>Conscious mind.
Our conscience (our sense of what is right or wrong) and is greatly influenced by our parents' or
caregivers' moral and ethical stances.
Freud's contribution to mental health - ANS>>Freud believed that personality development is based on
stages. During these stages, the id focuses on an erogenous zone of the body. These zones are oral,
anal, and phallic. Fixation through overindulgence or frustration results in pathologic conditions and
personality disorders. Freud's work has been criticized for a variety of reasons. One of the harshest
criticism stems from the concept of penis envy in which females suffer from feelings of inferiority for n
having male genitalia.
Freud - Oral—birth to 1½ years - ANS>>Pleasure-pain principle
,Primary thought processes
Unconscious instincts—source-energy-aim-object
Mouth—primary source of pleasure
Immediate release of tension/anxiety and immediate gratification through oral gratification
Task—develop a sense of trust that needs will be met
Freud - Anal—1½ to 3 years - ANS>>Reality principle—postpone immediate discharge of energy and
seek actual object to satisfy needs
Learning to defer pleasure
Gaining satisfaction from tolerating some tension-mastering impulses
Focus on toilet training—retaining/letting go; power struggle
Ego development—functions of the ego include problem-solving skills, perception, ability to mediate i
impulses
Task—delay immediate gratification
Freud - Phallic—3 to 7 years - ANS>>Superego develops via incorporating moral values, ideals, and
judgments of right and wrong that are held by parents; superego is primarily unconscious and functio
on the reward and punishment principle (sexual identity attained via resolving oedipal conflict)
Conflict differs for boy and girl masturbatory activity
Task—develop sexual identity through identification with same-sex parent
Freud - Latency—7 to 12 years - ANS>>Desexualization; libido diffused
Involved in learning social skills, exploring, building, collecting, accomplishing, and hero worship
Peer group loyalty begins
Gang and scout behavior
Growing independence from family
, Very ambivalent and labile, seeking life goals and emancipation from parents
Dependence vs. independence
Reappraisal of parents and self; intense peer loyalty
Task—form close relationships with members of the opposite sex based on genuine caring and pleasu
in the interaction
Verbal communication - ANS>>Words we speak, clear, honest, convey interest and understanding
Non-verbal communication - ANS>>The tone and pitch of a person's voice and the manner in which a
person paces speech
Body language
Physical appearance
Facial expressions
Body posture
Amount of eye contact
Eye cast (emotion expressed in the eyes)
Hand gestures
Sighs
Fidgeting
Yawning
Use of silence - ANS>>When used properly, the use of silence can be an effective tool in encouraging
individuals to open up.
Silence is not the absence of communication; it is a specific channel for transmitting and receiving
messages.
If the nurse waits to speak and allows the patient to break the silence, the patient may share thoughts
