Nursing 341 - Mental Health Exam 1 (Ch. 1-11) Questions
With Complete Solutions
Admission procedures:
- what are the 6 kinds? Correct Answers 1. Informal
2. Voluntary
3. Temporary
4. Involuntary admission
5. Long-term involuntary admission
6. Involuntary outpatient admission
Attention Deficit Hyperactivity Disorder (ADHD): Correct
Answers An inappropriate degree of:
- inattention
- impulsiveness
- hyperactivity
Bupropion (Wellbutrin, Zyban) MOA: Correct Answers - acts
as a norepinephrine-dopamine reuptake inhibitor and also
inhibits nicotinic acetylcholine receptors to reduce the addictive
action of nicotine
Bupropion (Wellbutrin, Zyban) use: Correct Answers -
antidepressant (Wellbutrin) and smoking cessation (Zyban)
Countertransference:
- what is it? Correct Answers - nurse to patient
- when the nurse unconsciously and inappropriately displaces
onto the patient feelings and behaviors related to significant
figures in the nurses' past
,Cultural awareness: Correct Answers - the nurse recognizes the
enormous impact culture makes on what patients' health values
and practices are, how and when patients decide they are ill and
need care, and what treatments they will seek when illness
occurs
Cultural desire: Correct Answers - indicates that the nurse is not
acting out of a sense of duty but from a sincere and genuine
concern for patients' welfare
- willingness to listen until patient's viewpoint is understood
- patience, considerations and empathy
Cultural encounters: Correct Answers - deter nurses from
stereotyping
- help nurses gain confidence in cross-cultural interactions
- help nurses aloud or reduce cultural pain
Cultural knowledge: Correct Answers - prevents nurses from
assuming that they share a patient's underlying worldview and
values
- it highlights areas in which there may be cultural differences
- assist in understanding behaviors that might otherwise be
misinterpreted
Cultural skill: Correct Answers - the ability to perform a
cultural assessment in a sensitive way
- goal is to mutually agree to a therapeutic plan
Diathesis-Stress Model: Correct Answers - most accepted
explanation for mental illness (combination of the two)
- Diathesis = biological predisposition
,- Stress = environmental stress or trauma
Distress: Correct Answers - a negative, draining energy that
results in anxiety, depression, confusion, helplessness,
hopelessness, and fatigue
Erikson's Ego Theory:
- what are the 8 stages and age timeframes? Correct Answers 1.
Trust vs. mistrust (age 0-1.5)
2. Autonomy vs. shame and doubt (age 1.5-3)
3. Initiative vs. guilt (age 3-6)
4. Industry vs. inferiority (age 6-12)
5. Identity vs. role confusion (age 12-20)
6. Intimacy vs. isolation (age 20-35)
7. Generativity vs. self-absorption (age 35-65)
8. Integrity vs. despair (age 65+)
Erikson's Ego Theory:
- what does it include?
- why is this important to mental health? Correct Answers -
eight stages of development
- people with mental health issues do not progress through
certain stages; also aids nursing assessment to determine type of
interventions that would be most effective
Eustress: Correct Answers - a positive, beneficial energy that
motivates and results in feelings of happiness, hopefulness, and
purposeful movement
- result of a positive perception toward a stressor
Freud's Psychoanalytic Theory:
, - what are the levels of awareness? Correct Answers 1.
Conscious = contains all the material a person is aware of at any
one time, including perceptions, memories, thoughts, fantasies,
and feelings
2. Preconscious = contains material that can be retrieved rather
easily through conscious effort
3. Unconscious = includes all repressed memories, passions, and
unacceptable urges lying deep below the surface
Freud's Psychoanalytic Theory:
- What are the personality structures? Correct Answers 1. Id
(devil)
- pleasure principle
- reflex action
- primary process
(ex: a hungry, screaming infant)
2. Ego (mediator between the devil and angel - moral conscious)
- problem solver
- reality tester
3. Superego (angel)
- moral component
(ex: an idealist and a perfectionist)
Freud's Psychoanalytic Theory:
- what does it say about defense mechanisms and anxiety?
Correct Answers - operate on unconscious level
- deny, falsify, or distort reality to make it less threatening
General Adaptation Syndrome (GAS) Correct Answers 1.
Alarm or acute stress stage
2. Resistance or adaptation stage
With Complete Solutions
Admission procedures:
- what are the 6 kinds? Correct Answers 1. Informal
2. Voluntary
3. Temporary
4. Involuntary admission
5. Long-term involuntary admission
6. Involuntary outpatient admission
Attention Deficit Hyperactivity Disorder (ADHD): Correct
Answers An inappropriate degree of:
- inattention
- impulsiveness
- hyperactivity
Bupropion (Wellbutrin, Zyban) MOA: Correct Answers - acts
as a norepinephrine-dopamine reuptake inhibitor and also
inhibits nicotinic acetylcholine receptors to reduce the addictive
action of nicotine
Bupropion (Wellbutrin, Zyban) use: Correct Answers -
antidepressant (Wellbutrin) and smoking cessation (Zyban)
Countertransference:
- what is it? Correct Answers - nurse to patient
- when the nurse unconsciously and inappropriately displaces
onto the patient feelings and behaviors related to significant
figures in the nurses' past
,Cultural awareness: Correct Answers - the nurse recognizes the
enormous impact culture makes on what patients' health values
and practices are, how and when patients decide they are ill and
need care, and what treatments they will seek when illness
occurs
Cultural desire: Correct Answers - indicates that the nurse is not
acting out of a sense of duty but from a sincere and genuine
concern for patients' welfare
- willingness to listen until patient's viewpoint is understood
- patience, considerations and empathy
Cultural encounters: Correct Answers - deter nurses from
stereotyping
- help nurses gain confidence in cross-cultural interactions
- help nurses aloud or reduce cultural pain
Cultural knowledge: Correct Answers - prevents nurses from
assuming that they share a patient's underlying worldview and
values
- it highlights areas in which there may be cultural differences
- assist in understanding behaviors that might otherwise be
misinterpreted
Cultural skill: Correct Answers - the ability to perform a
cultural assessment in a sensitive way
- goal is to mutually agree to a therapeutic plan
Diathesis-Stress Model: Correct Answers - most accepted
explanation for mental illness (combination of the two)
- Diathesis = biological predisposition
,- Stress = environmental stress or trauma
Distress: Correct Answers - a negative, draining energy that
results in anxiety, depression, confusion, helplessness,
hopelessness, and fatigue
Erikson's Ego Theory:
- what are the 8 stages and age timeframes? Correct Answers 1.
Trust vs. mistrust (age 0-1.5)
2. Autonomy vs. shame and doubt (age 1.5-3)
3. Initiative vs. guilt (age 3-6)
4. Industry vs. inferiority (age 6-12)
5. Identity vs. role confusion (age 12-20)
6. Intimacy vs. isolation (age 20-35)
7. Generativity vs. self-absorption (age 35-65)
8. Integrity vs. despair (age 65+)
Erikson's Ego Theory:
- what does it include?
- why is this important to mental health? Correct Answers -
eight stages of development
- people with mental health issues do not progress through
certain stages; also aids nursing assessment to determine type of
interventions that would be most effective
Eustress: Correct Answers - a positive, beneficial energy that
motivates and results in feelings of happiness, hopefulness, and
purposeful movement
- result of a positive perception toward a stressor
Freud's Psychoanalytic Theory:
, - what are the levels of awareness? Correct Answers 1.
Conscious = contains all the material a person is aware of at any
one time, including perceptions, memories, thoughts, fantasies,
and feelings
2. Preconscious = contains material that can be retrieved rather
easily through conscious effort
3. Unconscious = includes all repressed memories, passions, and
unacceptable urges lying deep below the surface
Freud's Psychoanalytic Theory:
- What are the personality structures? Correct Answers 1. Id
(devil)
- pleasure principle
- reflex action
- primary process
(ex: a hungry, screaming infant)
2. Ego (mediator between the devil and angel - moral conscious)
- problem solver
- reality tester
3. Superego (angel)
- moral component
(ex: an idealist and a perfectionist)
Freud's Psychoanalytic Theory:
- what does it say about defense mechanisms and anxiety?
Correct Answers - operate on unconscious level
- deny, falsify, or distort reality to make it less threatening
General Adaptation Syndrome (GAS) Correct Answers 1.
Alarm or acute stress stage
2. Resistance or adaptation stage
