REAL EXAM ALL QUESTIONS AND CORRECT
ANSWERS|AGRADE
Save
Milieu Therapy - (correct Answer) - 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
those 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 care
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.
Mental health - (correct Answer) - 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, resilience,
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 contribute to
their community within the context of life stressors.
Mental illness - (correct Answer) - Actual diagnoses, gets in the way of obtaining mental health.
,Medical conditions that affect a person's thinking, feeling, mood, ability to relate to others, and daily
functioning. Basically, mental illness can be seen as the result of flawed biological, psychological, or
social processes.
Fortunately mental illnesses are treatable, and individuals can experience symptom relief, and complete
cure in some cases, with treatment and support.
Maslow's hierarchy of needs - (correct Answer) - Needs are placed conceptually on a pyramid, with the
most basic 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 - (correct Answer) - Food, water, oxygen, elimination, rest, and sex
Safety needs - (correct Answer) - Security, protection, stability, structure, order, and limits.
Love and belonging needs - (correct Answer) - Affiliation, affectionate relationships, and love
Esteem needs - (correct Answer) - Self-esteem related to competency, achievement, and esteem from
others.
Self-actualization needs - (correct Answer) - Becoming everything one is capable of.
Self-transcendence - (correct Answer) - When a person experiences a sense of identity that transcends or
extends beyond the personal self.
The Id - (correct Answer) - The primitive, pleasure-seeking part of our personalities that lurks in the
unconscious mind.
The Ego - (correct Answer) - 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 - (correct Answer) - 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 - (correct Answer) - 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 not
having male genitalia.
Freud - Oral—birth to 1½ years - (correct Answer) - Pleasure-pain principle
Id, the instinctive and primitive mind, is dominant
Demanding, impulsive, irrational, asocial, selfish, trustful, omnipotent, and dependent
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 - (correct Answer) - 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 id
, impulses
Task—delay immediate gratification
Freud - Phallic—3 to 7 years - (correct Answer) - Superego develops via incorporating moral values,
ideals, and judgments of right and wrong that are held by parents; superego is primarily unconscious and
functions 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 - (correct Answer) - 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
Task—sexuality is repressed during this time; learn to form close relationship(s) with same-sex peers
Freud - Genital phase (adolescence)—13 to 20 years - (correct Answer) - Fluctuation regarding emotion
stability and physical maturation
Very ambivalent and labile, seeking life goals and emancipation from parents
Dependence vs. independence