NURS 4010 Final Exam – Practice Questions, Study Guide & Comprehensive Nursing Exam
Review 2026
perception - correct answer ✔✔not everyone sees everything the same way
why do we see different things? - correct answer ✔✔prior knowledge, belief system (from
school, parents), judgments, prior experiences
working with patient's perception - correct answer ✔✔how does she view herself? what is your
perception? what's important to remember?
mental health - correct answer ✔✔-WHO- a state of well-being in which each individual is able
to realize his/her own potential, cope with the normal stress of life, work productively, and
make a contribution to the community
-a person cannot be considered healthy without taking into account mental health as well as
physical health
-mind/body connection
-mental health provides people with the capacity for rational thinking, communication, skill,s
learning, emotional growth, resilience, and self-esteem
-shaped by belief, culture, society, politics, reimbursement
components of mental health: self-knowledge - correct answer ✔✔-mentally healthy individuals
have a positive attitude towards themselves
-objective view of self, including acceptance of own strengths and limitations
-successful adaptation to stressors from the internal or external environment, evidenced by
thoughts, feelings and behaviors that are age appropriate and congruent with local and cultural
norms
-knowing when you are stressed, when not, when you are okay
,components of mental health: resolves conflicts - correct answer ✔✔-in a way that works
-being assertive
-letting people know what you need
components of mental health: meets needs - correct answer ✔✔-of others and self
-in order to meet the needs of others, people need to first be able to meet their own needs
-can't take care of your parent or child without being able to care for yourself
components of mental health: responsible for actions - correct answer ✔✔-a healthy individual
is able to make choices and accept responsibility for the outcomes of their behavior
components of mental health: adapts to new situations; handles crises - correct answer ✔✔-
individual is able to maintain balance
-responds adaptively to the environment
-able to handle crises
components of mental health: resilience - correct answer ✔✔-process of adapting and helps
people facing tragedies, loss, trauma, and severe stress
-ability to secure resources they need to support their well-being
-resilient people typically learn early on how to handle situations to come to a positive outcome
-effective at regulating their emotions- resilient people can bounce back
factors influencing mental health - correct answer ✔✔-*stress*- both positive (excitement) and
negative, a little stress about an exam helps you study but becomes bad when debilitating
-*disease*- especially chronic disease, affects mental health
-*trauma*- physical and psychological, can make people feel out of control
-*drug abuse*- especially neurotoxins, people use drugs when stressed, but changes chemicals
in brain to make it worse
,-*cultural factors*- gender, racial
-*environmental issues*- poverty, genetics
mental health continuum - correct answer ✔✔-adaptive to maladaptive
-maladaptive- diagnosable mental illness
-mental health to mental illness
defining mental disorders - correct answer ✔✔-universal concept of mental illness is difficult
-mental illness is characterized as maladaptive responses to stressors from the internal or
external environment, evidenced by thoughts, feelings, and behaviors that are *incongruent
with the local and cultural norms* and that *interfere with the individual's social, occupational,
and/or physical functioning*
-not diagnosable unless it is interfering with some level of functioning- goes for ALL diseases
burden of mental illness - correct answer ✔✔-primary burden is the illness itself
-secondary is the stigma attached to mental disorders
-lack of parity in insurance coverage- no insurance- no access to care- very hard to treat
-companies do not treat mental illness like physical illness
-economic costs to individual and society
-1 in 4 adults experiences a mental health disorder in a given year
-early identification is key to prevent debilitation and suicide
DSM-V - correct answer ✔✔-developed by APA for evaluation of the client's mental status and
standardization of symptomology to develop diagnoses of mental illness
-for clinicians to have a common language to communicate characteristics of mental disorders
presented by their patients
-diagnosis manual- what psychiatrists use to diagnose
-makes diagnoses standardized
, nursing care in psych - correct answer ✔✔-based on response to illness
-treat problems that are happening due to the effects of the illness, not treat the illness itself
-treat problems associated with an illness
-holistic- treat biological, psychological, social and spiritual components
-part of multidisciplinary team
-client is actively engaged in their care
multidisciplinary TEAM - correct answer ✔✔-nurses caring for them, charge nurse, psychiatrist
(attending & resident), social worker, discharge planner (where go from here, abuse/neglect?),
therapist, substance abuse counselor, rec therapist, pharmacist, client is actively engaged in
their care
-whole team meets together every day or 3 times a week
where is mental illness treated? - correct answer ✔✔inpatient facilities, community settings,
emergency rooms/ departments, private providers
role of the nurse - correct answer ✔✔-varies with nurse's preparation
-guided by Practice Standards
-must involve both the art and the science of nursing
therapeutic use of self - correct answer ✔✔-"the ability to use one's personality consciously &
in full awareness in an attempt to establish relatedness & structure nursing interventions"
-requires self awareness & self understanding/compassion
-foundation or philosophical belief about life, death and overall human condition
-have to have understanding and compassion for people
Review 2026
perception - correct answer ✔✔not everyone sees everything the same way
why do we see different things? - correct answer ✔✔prior knowledge, belief system (from
school, parents), judgments, prior experiences
working with patient's perception - correct answer ✔✔how does she view herself? what is your
perception? what's important to remember?
mental health - correct answer ✔✔-WHO- a state of well-being in which each individual is able
to realize his/her own potential, cope with the normal stress of life, work productively, and
make a contribution to the community
-a person cannot be considered healthy without taking into account mental health as well as
physical health
-mind/body connection
-mental health provides people with the capacity for rational thinking, communication, skill,s
learning, emotional growth, resilience, and self-esteem
-shaped by belief, culture, society, politics, reimbursement
components of mental health: self-knowledge - correct answer ✔✔-mentally healthy individuals
have a positive attitude towards themselves
-objective view of self, including acceptance of own strengths and limitations
-successful adaptation to stressors from the internal or external environment, evidenced by
thoughts, feelings and behaviors that are age appropriate and congruent with local and cultural
norms
-knowing when you are stressed, when not, when you are okay
,components of mental health: resolves conflicts - correct answer ✔✔-in a way that works
-being assertive
-letting people know what you need
components of mental health: meets needs - correct answer ✔✔-of others and self
-in order to meet the needs of others, people need to first be able to meet their own needs
-can't take care of your parent or child without being able to care for yourself
components of mental health: responsible for actions - correct answer ✔✔-a healthy individual
is able to make choices and accept responsibility for the outcomes of their behavior
components of mental health: adapts to new situations; handles crises - correct answer ✔✔-
individual is able to maintain balance
-responds adaptively to the environment
-able to handle crises
components of mental health: resilience - correct answer ✔✔-process of adapting and helps
people facing tragedies, loss, trauma, and severe stress
-ability to secure resources they need to support their well-being
-resilient people typically learn early on how to handle situations to come to a positive outcome
-effective at regulating their emotions- resilient people can bounce back
factors influencing mental health - correct answer ✔✔-*stress*- both positive (excitement) and
negative, a little stress about an exam helps you study but becomes bad when debilitating
-*disease*- especially chronic disease, affects mental health
-*trauma*- physical and psychological, can make people feel out of control
-*drug abuse*- especially neurotoxins, people use drugs when stressed, but changes chemicals
in brain to make it worse
,-*cultural factors*- gender, racial
-*environmental issues*- poverty, genetics
mental health continuum - correct answer ✔✔-adaptive to maladaptive
-maladaptive- diagnosable mental illness
-mental health to mental illness
defining mental disorders - correct answer ✔✔-universal concept of mental illness is difficult
-mental illness is characterized as maladaptive responses to stressors from the internal or
external environment, evidenced by thoughts, feelings, and behaviors that are *incongruent
with the local and cultural norms* and that *interfere with the individual's social, occupational,
and/or physical functioning*
-not diagnosable unless it is interfering with some level of functioning- goes for ALL diseases
burden of mental illness - correct answer ✔✔-primary burden is the illness itself
-secondary is the stigma attached to mental disorders
-lack of parity in insurance coverage- no insurance- no access to care- very hard to treat
-companies do not treat mental illness like physical illness
-economic costs to individual and society
-1 in 4 adults experiences a mental health disorder in a given year
-early identification is key to prevent debilitation and suicide
DSM-V - correct answer ✔✔-developed by APA for evaluation of the client's mental status and
standardization of symptomology to develop diagnoses of mental illness
-for clinicians to have a common language to communicate characteristics of mental disorders
presented by their patients
-diagnosis manual- what psychiatrists use to diagnose
-makes diagnoses standardized
, nursing care in psych - correct answer ✔✔-based on response to illness
-treat problems that are happening due to the effects of the illness, not treat the illness itself
-treat problems associated with an illness
-holistic- treat biological, psychological, social and spiritual components
-part of multidisciplinary team
-client is actively engaged in their care
multidisciplinary TEAM - correct answer ✔✔-nurses caring for them, charge nurse, psychiatrist
(attending & resident), social worker, discharge planner (where go from here, abuse/neglect?),
therapist, substance abuse counselor, rec therapist, pharmacist, client is actively engaged in
their care
-whole team meets together every day or 3 times a week
where is mental illness treated? - correct answer ✔✔inpatient facilities, community settings,
emergency rooms/ departments, private providers
role of the nurse - correct answer ✔✔-varies with nurse's preparation
-guided by Practice Standards
-must involve both the art and the science of nursing
therapeutic use of self - correct answer ✔✔-"the ability to use one's personality consciously &
in full awareness in an attempt to establish relatedness & structure nursing interventions"
-requires self awareness & self understanding/compassion
-foundation or philosophical belief about life, death and overall human condition
-have to have understanding and compassion for people
