NURS 383 EXAM 1 with correct answers
Mental Health - ** VERIFIED ANSWERS **✔✔A state of well-being in which each individual is
able to realize his or her own potential, cope with the normal stresses of life, work productively and
fruitfully, and make a contribution to the community.
Mental Illness - ** VERIFIED ANSWERS **✔✔psychiatric disorders that have definable dx;
dysfunctions may be related to developmental, biological, or psychological disturbances in mental
function; the ability to think, emotions, and behaviors may be affected
Psych patient's rights under the law - ** VERIFIED ANSWERS **✔✔-Right to Treatment
-Right to Refuse Treatment
-Right to Informed Consent
-Rights Regarding Psychiatric Advance Directives
-Rights Regarding Restraint and Seclusion
-Rights Regarding Confidentiality
What factors can affect the severity and progression of mental illness? - ** VERIFIED ANSWERS
**✔✔- individual attributes/behaviors (inborn and learned)
- social and economic circumstances
- environmental factors (political climate and culture)
Resilience - ** VERIFIED ANSWERS **✔✔ability and capacity for people to secure the resources
they need to support their well-being; being resilient does not mean being unaffected by stressors
Diathesis Stress Model - ** VERIFIED ANSWERS **✔✔the most accepted explanation for mental
illness that asserts that most psychiatric disorders are a result of a combination of genetic
vulnerability and negative environmental stressors (nature and nurture)
,T or F? The distinction between mental and physical illness is arterficial - ** VERIFIED ANSWERS
**✔✔True; mental illness is brain based and therefore is a physical illness
The Recovery Movement in mental health services - ** VERIFIED ANSWERS **✔✔shifted the focus
of decision making from just doctors w/o pt input where compliance is emphasized to a focus on
self-determination and self-direction
Kindling Hypothesis - ** VERIFIED ANSWERS **✔✔-brain chemicals react to everything that
happens to you
-things that happen to children, stay embedded in them and affect their behavior and mental health
for life
Comorbid Conditions - ** VERIFIED ANSWERS **✔✔simultaneous existence of two or more
disorders; schizophernia AND diabetes
Incidence vs. Prevalence - ** VERIFIED ANSWERS **✔✔Incidence: rate of occurrence in a specified
group of people; gives info about the risk of contracting a disease
Prevalence: total number of current cases of a disease (new and existing)
DSM-5 - ** VERIFIED ANSWERS **✔✔describes criteria for at least 157 disorders; used in various
mental health settings and is the dominant method of categorizing and dx mental illness in the US
What was the first psychotropic drug produced? - ** VERIFIED ANSWERS **✔✔Thorazine
Scope of practice for mental health RN - ** VERIFIED ANSWERS **✔✔-coordination of care
-health teaching and health maintenance
-mileu therapy
-pharmacological, biological, and integrative therapies
,Scope of practice for advanced nurse practitioners - ** VERIFIED ANSWERS **✔✔(everything RN's
do plus...)
-medication prescription and treatment
-psychotherapy
-consultation
Psychoanalytic theory - ** VERIFIED ANSWERS **✔✔- developed by Sigmund Freud
- tools used: free association, dream/fantasy analysis, mechanism recognition, interpretation
- purpose is to uncover unconscious conflicts
Levels of Awareness - ** VERIFIED ANSWERS **✔✔1. Conscious: material the person is aware of at
any one time (perceptions, memories, thoughts, feelings)
2. Preconscious: material that can be retrieved through conscious effort
3. Unconscious: includes repressed memories (trauma), passions, and unnacceptable urges
Id - ** VERIFIED ANSWERS **✔✔what we are at birth; totally unconscious and impulsive and
lacks the ability to problem solve; source of all drives, instincts, reflexes, and needs
Ego - ** VERIFIED ANSWERS **✔✔resides in all levels of awareness; problem solver and reality
tester; able to differentiate subjective experiences, memory images, and objective reality
Superego - ** VERIFIED ANSWERS **✔✔moral component of personality; resides in all levels of
awareness; may induce guilt if behavior falls short of ideal
Defense Mechanisms - ** VERIFIED ANSWERS **✔✔- all operate on an unconscious level (not
suppression)
- deny, fasify, or distort reality to make it less threatening
Transference vs Countertransference - ** VERIFIED ANSWERS **✔✔Transference = unconscious
feeling patient has about healthcare worker that was originally felt in childhood for a significant
other; intesifies when one person is in authority
, Countertransference = unconscious feeling healthcare worker has toward patient; impairs the
therapeutic relationship due to overinvovement
Behavioral examples. Id/Ego/Superego?
"I found this wallet; I will keep the money."
"Mom and Dad are gone. Let's party!!!!!"
"I'll have sex with whomever I please, whenever I please." - ** VERIFIED ANSWERS **✔✔Id
Behavioral examples. Id/Ego/Superego?
"I already have money. This money doesn't belong to me. Maybe the person who owns this wallet
doesn't have any money."
"Mom and Dad said no friends over while they are away. Too risky."
"Promiscuity can be very dangerous." - ** VERIFIED ANSWERS **✔✔Ego
Behavioral examples. Id/Ego/Superego?
"It is never right to take some- thing that doesn't belong to you."
"Never disobey your parents."
"Sex outside of marriage is always wrong." - ** VERIFIED ANSWERS **✔✔Superego
Freud's Stages of Psychosexual Development
1. Learning independence and control, with focus on the excretory function (1-3)
2. Identification with parent of same gender; development of sexual identity; focus on genital organs
(3-6)
3. Sexuality repressed; focus on relationships with same-gender peers (6-12)
4. Libido reawakened as genital organs mature; focus on relationships with members of the opposite
gender (12+)
5. Relief from anxiety through oral gratification of needs (0-1)
Mental Health - ** VERIFIED ANSWERS **✔✔A state of well-being in which each individual is
able to realize his or her own potential, cope with the normal stresses of life, work productively and
fruitfully, and make a contribution to the community.
Mental Illness - ** VERIFIED ANSWERS **✔✔psychiatric disorders that have definable dx;
dysfunctions may be related to developmental, biological, or psychological disturbances in mental
function; the ability to think, emotions, and behaviors may be affected
Psych patient's rights under the law - ** VERIFIED ANSWERS **✔✔-Right to Treatment
-Right to Refuse Treatment
-Right to Informed Consent
-Rights Regarding Psychiatric Advance Directives
-Rights Regarding Restraint and Seclusion
-Rights Regarding Confidentiality
What factors can affect the severity and progression of mental illness? - ** VERIFIED ANSWERS
**✔✔- individual attributes/behaviors (inborn and learned)
- social and economic circumstances
- environmental factors (political climate and culture)
Resilience - ** VERIFIED ANSWERS **✔✔ability and capacity for people to secure the resources
they need to support their well-being; being resilient does not mean being unaffected by stressors
Diathesis Stress Model - ** VERIFIED ANSWERS **✔✔the most accepted explanation for mental
illness that asserts that most psychiatric disorders are a result of a combination of genetic
vulnerability and negative environmental stressors (nature and nurture)
,T or F? The distinction between mental and physical illness is arterficial - ** VERIFIED ANSWERS
**✔✔True; mental illness is brain based and therefore is a physical illness
The Recovery Movement in mental health services - ** VERIFIED ANSWERS **✔✔shifted the focus
of decision making from just doctors w/o pt input where compliance is emphasized to a focus on
self-determination and self-direction
Kindling Hypothesis - ** VERIFIED ANSWERS **✔✔-brain chemicals react to everything that
happens to you
-things that happen to children, stay embedded in them and affect their behavior and mental health
for life
Comorbid Conditions - ** VERIFIED ANSWERS **✔✔simultaneous existence of two or more
disorders; schizophernia AND diabetes
Incidence vs. Prevalence - ** VERIFIED ANSWERS **✔✔Incidence: rate of occurrence in a specified
group of people; gives info about the risk of contracting a disease
Prevalence: total number of current cases of a disease (new and existing)
DSM-5 - ** VERIFIED ANSWERS **✔✔describes criteria for at least 157 disorders; used in various
mental health settings and is the dominant method of categorizing and dx mental illness in the US
What was the first psychotropic drug produced? - ** VERIFIED ANSWERS **✔✔Thorazine
Scope of practice for mental health RN - ** VERIFIED ANSWERS **✔✔-coordination of care
-health teaching and health maintenance
-mileu therapy
-pharmacological, biological, and integrative therapies
,Scope of practice for advanced nurse practitioners - ** VERIFIED ANSWERS **✔✔(everything RN's
do plus...)
-medication prescription and treatment
-psychotherapy
-consultation
Psychoanalytic theory - ** VERIFIED ANSWERS **✔✔- developed by Sigmund Freud
- tools used: free association, dream/fantasy analysis, mechanism recognition, interpretation
- purpose is to uncover unconscious conflicts
Levels of Awareness - ** VERIFIED ANSWERS **✔✔1. Conscious: material the person is aware of at
any one time (perceptions, memories, thoughts, feelings)
2. Preconscious: material that can be retrieved through conscious effort
3. Unconscious: includes repressed memories (trauma), passions, and unnacceptable urges
Id - ** VERIFIED ANSWERS **✔✔what we are at birth; totally unconscious and impulsive and
lacks the ability to problem solve; source of all drives, instincts, reflexes, and needs
Ego - ** VERIFIED ANSWERS **✔✔resides in all levels of awareness; problem solver and reality
tester; able to differentiate subjective experiences, memory images, and objective reality
Superego - ** VERIFIED ANSWERS **✔✔moral component of personality; resides in all levels of
awareness; may induce guilt if behavior falls short of ideal
Defense Mechanisms - ** VERIFIED ANSWERS **✔✔- all operate on an unconscious level (not
suppression)
- deny, fasify, or distort reality to make it less threatening
Transference vs Countertransference - ** VERIFIED ANSWERS **✔✔Transference = unconscious
feeling patient has about healthcare worker that was originally felt in childhood for a significant
other; intesifies when one person is in authority
, Countertransference = unconscious feeling healthcare worker has toward patient; impairs the
therapeutic relationship due to overinvovement
Behavioral examples. Id/Ego/Superego?
"I found this wallet; I will keep the money."
"Mom and Dad are gone. Let's party!!!!!"
"I'll have sex with whomever I please, whenever I please." - ** VERIFIED ANSWERS **✔✔Id
Behavioral examples. Id/Ego/Superego?
"I already have money. This money doesn't belong to me. Maybe the person who owns this wallet
doesn't have any money."
"Mom and Dad said no friends over while they are away. Too risky."
"Promiscuity can be very dangerous." - ** VERIFIED ANSWERS **✔✔Ego
Behavioral examples. Id/Ego/Superego?
"It is never right to take some- thing that doesn't belong to you."
"Never disobey your parents."
"Sex outside of marriage is always wrong." - ** VERIFIED ANSWERS **✔✔Superego
Freud's Stages of Psychosexual Development
1. Learning independence and control, with focus on the excretory function (1-3)
2. Identification with parent of same gender; development of sexual identity; focus on genital organs
(3-6)
3. Sexuality repressed; focus on relationships with same-gender peers (6-12)
4. Libido reawakened as genital organs mature; focus on relationships with members of the opposite
gender (12+)
5. Relief from anxiety through oral gratification of needs (0-1)
