RN -Psychiatric Final Questions and Verified
Answers
Verbal and nonverbal communication cues must match - both send the same messsage Correct Answer:
Congruency
Lets patient know you are genuine
Lets nurse know something is up - **NURSE NEEDS TO CONDUCT FURTHER INVESTIGATION**
80% listening, 20% talking Correct Answer: Active listening
Active Listening Correct Answer: A communication technique that requires the listener to understand,
interpret, and evaluate what they hear .
Reflecting Feelings Correct Answer: Acknowledging or underlying feelings that are attached to the other
person's communication. (A tactful approach is always best.)
Sympathy Correct Answer: The nurse actually feels the feelings of others
Involves sensitivity, objectivity, empathy, genuineness, and possibly touch - being there for the client
Correct Answer: Therapeutic use of self
The "bible" of mental illness Correct Answer: DSM IV
Why was the DSM developed? Correct Answer: Provides criteria for symptoms that must be present for a
mental health diagnosis.
Lays foundation for research and treatment
Used to facilitate communication among mental health professionals
**Changes with the times based on CULTURE AND BELIEFS**
What is on Axis 1? Correct Answer: Clinically Related Diagnoses
Pathophysiological
,**MAJOR DEPRESSION, BIPOLAR, SCHIZOPHRENIA**
What is on Axis II? Correct Answer: Personality Disorders
Mental Retardation
**Paranoid, borderline, etc**
What is on Axis III? Correct Answer: Medical Diagnoses that relate to axis I and II or have a bearing
treatment
EX: **Hypertension, Diabetes, Heart Disease, Endocrine Disorders**
What is on Axis IV? Correct Answer: Environmental Factors
Severity of psychosocial stressors
EX: **Divorce, education, homeless shelter**
What is on Axis V? Correct Answer: GAF - general/global assessment of function
on a scale of 0-100
the lower the score = lower level of functioning
Maslow's heirarchy of needs Correct Answer: 5. Self Actualization**older generation can look back on
life and be happy with how they lived their life**
4. Self Esteem
3. Belonging
2. Security
1. Physiological
Focuses on total person, emphasized health instead of illness or problems. Assumed basic needs would
dominate behavior until met. Correct Answer: Maslow's heirarchy of needs
, Basic needs must be met to be able to meet higher needs Correct Answer: Milieu Environment
Freud believed that these 3 processes came together as a whole to bring about behavior Correct Answer:
Id
Ego
Superego
Operates on the pleasure principle ;
Present at birth
"I want to be somewhere else" Correct Answer: Id
Focuses on the "reality principle"
CEO, Decision maker
Present at 6 months of age
"I can't just get up and leave" Correct Answer: Ego
Concerned with right and wrong
Morality (conscience) - Angel
present at 3 years of age Correct Answer: Superego
Hyperverbocity Correct Answer: Rapid speech - a manic symptom
Positive symptoms of schizophrenia Correct Answer: Things that ADD to the personality - delusions,
hallucinations, disorganized, grossly disorganized or catatonic behavior
treats positive symptoms ONLY of schizophrenia Correct Answer: typical drugs
**1st drug of choice and treats positive and negative symptoms** of schizophrenia
they have a better side effect profile Correct Answer: atypical drugs - risperdal , zyprexa, seroquel, abilify
Answers
Verbal and nonverbal communication cues must match - both send the same messsage Correct Answer:
Congruency
Lets patient know you are genuine
Lets nurse know something is up - **NURSE NEEDS TO CONDUCT FURTHER INVESTIGATION**
80% listening, 20% talking Correct Answer: Active listening
Active Listening Correct Answer: A communication technique that requires the listener to understand,
interpret, and evaluate what they hear .
Reflecting Feelings Correct Answer: Acknowledging or underlying feelings that are attached to the other
person's communication. (A tactful approach is always best.)
Sympathy Correct Answer: The nurse actually feels the feelings of others
Involves sensitivity, objectivity, empathy, genuineness, and possibly touch - being there for the client
Correct Answer: Therapeutic use of self
The "bible" of mental illness Correct Answer: DSM IV
Why was the DSM developed? Correct Answer: Provides criteria for symptoms that must be present for a
mental health diagnosis.
Lays foundation for research and treatment
Used to facilitate communication among mental health professionals
**Changes with the times based on CULTURE AND BELIEFS**
What is on Axis 1? Correct Answer: Clinically Related Diagnoses
Pathophysiological
,**MAJOR DEPRESSION, BIPOLAR, SCHIZOPHRENIA**
What is on Axis II? Correct Answer: Personality Disorders
Mental Retardation
**Paranoid, borderline, etc**
What is on Axis III? Correct Answer: Medical Diagnoses that relate to axis I and II or have a bearing
treatment
EX: **Hypertension, Diabetes, Heart Disease, Endocrine Disorders**
What is on Axis IV? Correct Answer: Environmental Factors
Severity of psychosocial stressors
EX: **Divorce, education, homeless shelter**
What is on Axis V? Correct Answer: GAF - general/global assessment of function
on a scale of 0-100
the lower the score = lower level of functioning
Maslow's heirarchy of needs Correct Answer: 5. Self Actualization**older generation can look back on
life and be happy with how they lived their life**
4. Self Esteem
3. Belonging
2. Security
1. Physiological
Focuses on total person, emphasized health instead of illness or problems. Assumed basic needs would
dominate behavior until met. Correct Answer: Maslow's heirarchy of needs
, Basic needs must be met to be able to meet higher needs Correct Answer: Milieu Environment
Freud believed that these 3 processes came together as a whole to bring about behavior Correct Answer:
Id
Ego
Superego
Operates on the pleasure principle ;
Present at birth
"I want to be somewhere else" Correct Answer: Id
Focuses on the "reality principle"
CEO, Decision maker
Present at 6 months of age
"I can't just get up and leave" Correct Answer: Ego
Concerned with right and wrong
Morality (conscience) - Angel
present at 3 years of age Correct Answer: Superego
Hyperverbocity Correct Answer: Rapid speech - a manic symptom
Positive symptoms of schizophrenia Correct Answer: Things that ADD to the personality - delusions,
hallucinations, disorganized, grossly disorganized or catatonic behavior
treats positive symptoms ONLY of schizophrenia Correct Answer: typical drugs
**1st drug of choice and treats positive and negative symptoms** of schizophrenia
they have a better side effect profile Correct Answer: atypical drugs - risperdal , zyprexa, seroquel, abilify
