NFDN 2007 Midterm Exam Test Questions and Answers Graded A+
1. CPMHN provides a basis for the evaluation of professional, ethical psychiatric and mental
health nursing practice competencies
Organized by domains of practice
2. MSE mental status examination
- provides a snap shot of the person, observations at the time of the interview
3. Mood - general sustained emotion that colours a persons perception
4. Affect - Expression of a mood in a pattern of observable behaviours
= how moods are presented
5. Blunt Affect limited range of emotion
6. Flat Affect dulled or no emotion
7. Labile Affect Intense and frequently shifting emotional extremes
8. Illusions Misperception of a real external stimulus
- ex: cords looking like a snake
9. Hallucination false sensory perception not associated with real external stimulus
- auditory, tactile, visual
- ex: hearing voices
10. Thought Content What the person is thinking about
- beliefs, ideas, obsessions
11. Delusion - False, fake belief based on incorrect inferences about reality
- Not shared by others
- cannot be corrected with reason
12. Obsession Receptive thought, emotion, or impulse
13. Thought Process Manner in which thoughts are formed and expressed
,14. Neologisms Invented words by client
15. Clang Associa- relating ideas based on sound and rhyme
tion
16. Erotomania belief that someone is in love with them or involved in a relationship with them
17. Flight of ideas a confused state in which thoughts and speech go in all directions with no unifying
concept
18. Echolalia Imitation or repetition of what someone says
19. Verbigeration purposeless repetition of words or phrases
20. Sensorium measures brain function and cognitive abilities
- LOC
- Orientation
- Memory
- Attention and Concentration
21. Insight - Understanding the reality of a set of circumstances
22. Judgement - ability to reach a logical decision about a situation
- choosing a course of action after examining various possibilities
23. Suicide risk as- - Suicidal Ideation
sessment in- - Threats of suicide
cludes..... - Suicide Attempts
24. Milieu Therapy - Environment is designed to meet the pmts emotional and interpersonal needs
- Validates the clients individuality by having the client feel more safe in a familiar
environment
- Includes surroundings, activities, cultural setting
, 25. psychotropic drugs that attect mental processes
medications - take time to reach a therapeutic level
- lowes dose = given first
- follow up is needed: mange side ettects, ensure compliance, make adjustments
26. electroconvul- Electrical current passes through the brain to produce a generalized seizure
sive therapy (ECT) - treatment of major depression
* re-orientate the patient after ECT procedure *
27. Major side effect - Memory loss
of ECT when used
a lot is....
28. Psychoeduca - Structured groups directed to specific concepts and teaching-learning aims
-tional - includes: activities, improving skills, enhance knowledge
groups - Members are purposefully selected
- aim to modify attitudes, beliefs about the self and distorted behaviours
29. Cognitive- Be- - Very structured
havioural Groups - modifies thoughts and behaviours
- Led by people who have experienced a specific life crisis as well
30. self-help groups - everyone has a similar goal or reason of being there
(support - usually no professionals tend these groups
groups) - ex: AA, grief groups
- Following the experiences of WW2, the need for psychiatric services increased
- shift from institutions to community based support
31. What effect did
WW2 have on
mentally ill pa-
tients?
1. CPMHN provides a basis for the evaluation of professional, ethical psychiatric and mental
health nursing practice competencies
Organized by domains of practice
2. MSE mental status examination
- provides a snap shot of the person, observations at the time of the interview
3. Mood - general sustained emotion that colours a persons perception
4. Affect - Expression of a mood in a pattern of observable behaviours
= how moods are presented
5. Blunt Affect limited range of emotion
6. Flat Affect dulled or no emotion
7. Labile Affect Intense and frequently shifting emotional extremes
8. Illusions Misperception of a real external stimulus
- ex: cords looking like a snake
9. Hallucination false sensory perception not associated with real external stimulus
- auditory, tactile, visual
- ex: hearing voices
10. Thought Content What the person is thinking about
- beliefs, ideas, obsessions
11. Delusion - False, fake belief based on incorrect inferences about reality
- Not shared by others
- cannot be corrected with reason
12. Obsession Receptive thought, emotion, or impulse
13. Thought Process Manner in which thoughts are formed and expressed
,14. Neologisms Invented words by client
15. Clang Associa- relating ideas based on sound and rhyme
tion
16. Erotomania belief that someone is in love with them or involved in a relationship with them
17. Flight of ideas a confused state in which thoughts and speech go in all directions with no unifying
concept
18. Echolalia Imitation or repetition of what someone says
19. Verbigeration purposeless repetition of words or phrases
20. Sensorium measures brain function and cognitive abilities
- LOC
- Orientation
- Memory
- Attention and Concentration
21. Insight - Understanding the reality of a set of circumstances
22. Judgement - ability to reach a logical decision about a situation
- choosing a course of action after examining various possibilities
23. Suicide risk as- - Suicidal Ideation
sessment in- - Threats of suicide
cludes..... - Suicide Attempts
24. Milieu Therapy - Environment is designed to meet the pmts emotional and interpersonal needs
- Validates the clients individuality by having the client feel more safe in a familiar
environment
- Includes surroundings, activities, cultural setting
, 25. psychotropic drugs that attect mental processes
medications - take time to reach a therapeutic level
- lowes dose = given first
- follow up is needed: mange side ettects, ensure compliance, make adjustments
26. electroconvul- Electrical current passes through the brain to produce a generalized seizure
sive therapy (ECT) - treatment of major depression
* re-orientate the patient after ECT procedure *
27. Major side effect - Memory loss
of ECT when used
a lot is....
28. Psychoeduca - Structured groups directed to specific concepts and teaching-learning aims
-tional - includes: activities, improving skills, enhance knowledge
groups - Members are purposefully selected
- aim to modify attitudes, beliefs about the self and distorted behaviours
29. Cognitive- Be- - Very structured
havioural Groups - modifies thoughts and behaviours
- Led by people who have experienced a specific life crisis as well
30. self-help groups - everyone has a similar goal or reason of being there
(support - usually no professionals tend these groups
groups) - ex: AA, grief groups
- Following the experiences of WW2, the need for psychiatric services increased
- shift from institutions to community based support
31. What effect did
WW2 have on
mentally ill pa-
tients?
