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MH FINAL (2025) Actual Exam Questions and Answers A+ Graded
Typology: Exams
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Chapter 1 Know definition of mental health – what constitutes mental wellness Mental Health : a state of well-being in which each individual is able to realize his or her own potential, cope with normal stresses of life, work productively, and make a contribution to the community Mental Illness : all psychiatric disorders that have definable diagnoses. These disorders are manifested in significant dysfunctions that may be related to developmental, biological, or psychological disturbances in mental functioning. Mental Health is on a continuum from well-being to problems/concerns to mental illness What external factors can influence mental health and wellness? Nature vs. nurture Individual attributes and behaviors
- Individual attributes are characteristics that are both inborn and learned
Therapeutic milieu – how is it maintained – behavioral crisis, safety – measures to promote safety on nursing units, unit designs – know safety precautions regarding unit designs Resiliency – the ability and capacity for people to secure the resources they need to support their well-being. Resilient people are effective at regulating their emotions.
- Characterized by optimism, sense of mastery, competence DSM-5 definition/use Diagnostic and Statistical Manual, 5th Edition (DSM-V) – major classification system. Dominant method of categorizing and diagnosing mental illness in the US and is the framework for clinical disorders
Chapter 9 Identify nonverbal behaviors that can affect communication table 9.1 p 140 new, p 150 old Communication is an interactive process between two or more persons who send and receive messages to one another.
o Feedback that validates the accuracy of the sender’s message is extremely important Verbal communication is more than just speaking if can relay beliefs or values of a person. It can allow the nurse to show interest or concern.
▪ Projective questions – “what if” statements that allow the pt to articulate, explore, and identify thoughts and feelings ▪ The “Miracle” question – goal-setting question that helps the pt to see what the future would look like without a certain problem.
- Should be asked deliberately and dramatically
Nontherapeutic communication techniques – table 9.3, p 146 new, p 156 old – know nontherapeutic technique and be able to identify an example of that technique, i.e. – falsely reassuring – “I wouldn’t worry about that”
Know how cultural considerations can play a part in communication We must be aware of cultural considerations when we communicate with our patients. It is important to understand their communication style use of expressions or lack of expressions, use of dramatic body language may be disturbing to some cultures.
Know how you prepare for a client interview – pace, setting, and seating, know appropriate introductions, know how to initiate an interview, Know tactics to avoid p 150 new, p 161 old, know how eye contact, body language and voice quality can affect an interview
o The nature of the problem or condition o Nature and purpose of treatment o Risk and benefits of that treatment o Alternative treatment options o Probability that the proposed treatment will be successful o Risks of not consenting to treatment. Psychiatric advanced directives : Prepared when the individual is well and identifies his/her wishes and treatment choices:
HIPAA – know that this act protects healthcare information from being shared with persons who have NO right to patient’s information Social Media – the internet is not confidential and is open to legal subpoenas Confidentiality after death – states person’s reputation cannot be damaged after death. You may not share any information after death that you could not share while patient was living
Least restrictive alternative doctrine – mandates that care providers must take the least drastic action to achieve a specific purpose
- Maslow is considered the father of humanistic psychology. Felt we are motivated by our unmet needs.