NUR 356 Exam 1 Questions with Correct Answers Latest Update

NUR 356 Exam 1 Questions with Correct Answers Latest Update Maslow's Hierarchy of Needs - Answers (level 1) Physiological Needs (level 2) Safety and Security (level 3) Relationships, Love and Affection (level 4) Self Esteem (level 5) Self Actualization what are the 6 indicators of mental health? - Answers 1. A Positive Attitude Toward Self. 2. Growth, Development, and the Ability to Achieve Self-actualization 3. Integration 4. Autonomy 5. Perception of Reality 6. Environmental Mastery. what is incomprehensibility of mental illness? - Answers the inability to understand the motivation behind the behavior what is cultural relativity of mental illness? - Answers the "normality" of the behavior is determined by the culture what is mental illness? - Answers - characterized by maladaptive responses to stressors, - evidenced by thoughts, feelings, or behaviors that - do not align with normal local and cultural norms - interfere with one's daily life what is anxiety - Answers a feeling of discomfort and apprehension related to fear of impending danger T/F: low levels of anxiety can be good - Answers true ** can be adaptive and can provide the motivation required for survival ** ex. fight or flight when does anxiety become problematic? - Answers when one's anxiety response interferes with the ability to meet basic needs of life name Peplau's four levels of anxiety - Answers 1. mild anxiety 2. moderate anxiety 3. severe anxiety 4. panic anxiety describe mild anxiety - Answers - individual employs coping mechanisms (smoking, crying, pacing) - usually "normal" anxiety describe moderate anxiety - Answers - strength of ego is tested - perceptual fields begins to diminish describe severe anxiety - Answers - limited attention - symptoms appear (HA, palpitation, sweaty) - perceptual fields diminish greatly describe panic anxiety - Answers - the most intense state - can't focus - can lead to exhaustion what is severe anxiety - Answers extended periods of severe repressed anxiety that can result in psychoneurotic behavior patterns ex. neurosis what is neurosis - Answers - psychiatric disturbances characterized by excessive anxiety - symptoms such as obsession, compulsion phobia T/F: people are AWARE they have distress and maladaptive coping mechanisms with neurosis - Answers true characteristics of neuroses - Answers - aware of distress and maladaptive coping mech. - unaware of causes of distress - helpless - no loss of contact with reality what is panic anxiety - Answers - not capable of processing what is happening - may lose contact with reality T/F: grief can lengthen the grieving process - Answers true T/F: anticipatory grieving may shorten the grief response - Answers true what is bereavement overload in association with grief? - Answers some individuals may feel that it is difficult to overcome, or even impossible what is prolonged grief? - Answers intense preoccupation with memories of the lost for a while after loss has occurred what is delayed or inhibited grief - Answers individual is fixed in the denial stage what is distorted grief - Answers individual is fixed in the anger stage What is utilitarianism? - Answers action based on the end result that produces the most good/happiness for people what is kantianism - Answers suggests that decisions and actions are bound by a sense of duty when can you GO AGAINST the right to refuse treatment? - Answers if someone is a danger to themself or others explain the "right to least restrictive treatment alternative" - Answers - if a pt can be treated in an outpatient setting, they should not be hospitalized - if a pt is hospitalized, they should not be sedated, restrained, or secluded unless less restrictive steps were unsuccessful Doctrine of privileged communication - Answers grants certain professionals privileges under which they may refuse to reveal information about, and communications with, clients (ex. psychiatrists and attorneys) what are some exceptions to the doctrine of privileged communication and HIPAA - Answers - a duty to warn - suspected child or elder abuse a duty to warn - Answers Mental health professional's responsibility to break confidentiality and notify the potential victim whom a client has specifically threatened. when is an order for a restraint supposed to be renewed for adults (18+) - Answers - every 4 hours - or per facility policies when is an order supposed to be renewed for people 9-17yrs - Answers every 2 hours when is an order supposed to be renewed for those under 9 years - Answers every hour how often do you check a pt for their needs and comfort when in a restraint - Answers check every 15min when should there be involuntary hospital admissions - Answers - emergency commitments (danger to self or others) - mentally ill person in need of treatment - gravely disabled client