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NSG-322 Exam 1 Questions And Complete
Answers
when was psychiatric nursing recognized? - answer in the late 1800s when was psychiatric nursing taught in nursing schools? - answer 1950s when were psychotropic drugs first developed - answer in the early 1950s what was the 1963 Community Mental Health Center Act - answer it was an act to push towards community care for mental illness rather than institutionalizing whenever possible the 1963 Community Mental Health Center Act gained momentum when? - answer after World War II and increased rates of PTSD what is stigma? - answer a negative perception of something that is not always justified. it is fueled by what society says about it what is holistic practice - answer the integration of both scientific knowledge and caring arts (essence of nursing) what is nursing process - answer assessment/data gathering, nursing diagnosis, interventions, outcome evaluation what is the DSM-5 - answer the official manual for psychiatric medical diagnosis why is the DSM-5 useful for a non-advanced practice RN? - answer because it is a good reference for people to know a quick overview of what is going on with a patient which is a nursing responsibility that only an APRN-PMH can perform?
- conducting psychotherapy
- administering prescription medications
- integrating biological and complementary therapies
- adapting health instruction to a patient's specific needs - answer conducting psychotherapy
what does the therapeutic milieu refer to - answer the environment in which holistic treatment occurs and includes all members of the treatment teach, a positive physical setting, interactions between those who are hospitalized and activities that promote recovery do nurses or patients have countertransference? - answer nurses every instance of seclusion of restraint use must what - answer be made under anew order written for that client in that specific circumstance in order to be legally justified and uphold the client's right to safe and non-harmful care voluntary commitment = - answer inpatient/oupatient emergency involuntary commitment = - answer limited, observational/inpatient involuntary commitment = - answer long-term/inpatient or outpatient when it comes to civil rights, just because a patient is committed to a mental institution doesn't mean - answer that their civil rights are revoked what was the 1974 Tarasoff case about? - answer a ruling that therapists and advanced practice RN/doctors have the duty to warn and protect people who has the need to notify someone to warn and protect a person? - answer staff nurses and members of the mental health team NOTIFY/REPORT to APRNs and psychiatric mental health NP's to warn but CANNOT warn themselves Duty - answer your responsibilities/obligations, what you have to do breach of duty - answer failing to meet your duty cause in fect - answer is directly caused by something a person did/did not do proximate cause - answer a legal cause the exists when there some something else that was done to cause an issue
personal factors that can impede communication - answer emotional & social factors cultural & language differences lifestyle differences cognitive factors environmental factors that can impede communication - answer physical factors societal factors unequal complementary relationship - answer differences in status and power, such as between a nurse and patient. relationship is characterized by inequality (one person is superior to the other) equal/lateral symmetrical relationship - answer friends or colleagues communication is roughyl - answer 10% verbal and 90% nonverbal spoken word - answer Represents the public self. Can be straightforward comments or can be used to distort, conceal, deny, or disguise true feelings. nonverbal behaviors - answer Covers a wide range of human activities from body movements to responses to the messages of others. double messages - answer are conflicting messages or mixed messages
double-bind messages - answer sent to create meaning; can be defensively used to hide what is actually going on; the intent is to create confusion active listening can help to - answer strengthen the patients ability to use critical thinking to solve problems active listening includes - answer • Observing the patient's nonverbal behaviors
- Understanding and reflecting on the patient's verbal message
- Understanding the patient in the context of the social setting of the patient's life
- Detecting "false notes" (e.g., inconsistencies or things the patient says that need more clarification)
- Providing feedback about himself or herself of which the patient might not be aware "what if" questions help people to - answer articulate, explore and identify thoughts and feelings the most important therapeutic communication technique is - answer using silence asking "why" questions is - answer nontherapeutic. therefore it would not be a good answer on an exam Psychoanalysis was who's theory - answer Sigmund Frued what did Freud believe - answer that the adults personality develops based on a person's processing of early childhood experiences within developmental stages
testing, control, planning, defense, synthesis of information, intellectual functioning and memory what is id - answer the geocentric center of the human universe that is constantly fighting to have our way in everything we undertake what was Sullivans theory - answer the interpersonal theory what is the interpersonal theory about - answer the purpose of all behavior is to get needs meet through interpersonal interactions and to decrease of avoid anxiety what is anxiety - answer a feeling of emotional discomfort what is satisfaction of needs according to sullivan - answer the fulfillment of all requirements associated with an individual's physiochemical environment what is interpersonal security - answer the feeling associated with relief from anxiety what are Peplau's Phases of the Nurse-Client Relationship - answer orientation phase working phase termination phase what is the orientation phase - answer during this time the patient has health-seeking behaviors and the nurse is identified as someone who is qualified to help the patient. sets the stage for a more nursing relationship
what does the nurse do during the orientation phase - answer collect data make initial assessments fo the patient's needs, potential, interests and the patients inclination to experience fear or anxiety what is the working phase - answer this is where most of the work of the relationship occurs and is where the patient makes progress towards positive health outcomes what is the termination phase - answer allows the nurse and patient to disengage from the relationship together. during this time the nurse summarizes the discharge plan and helps the patient to organize actions to process which theorist came up with classical conditioning - answer pavlov which theorist came up with operant conditioning - answer skinner what is Pavlov's classical conditioning - answer involves pairing a behavior with a condition that reinforces or diminishes the behaviors occurance was is skinners operant conditioning - answer voluntary bahvoirs occur more frequently with positive reinforment what is the rational-emotive-behavoir therapy created by Ellis - answer aims to eradicate irrational believes and recognizes thoughts that are not accurate what is the cognitive-behavioral therapy created by Beck - answer identifies and tests distorted beliefs (cognitive distortions), client learns to change way of thinking leading to
sublimation - answer directing energy from unacceptable drives into socially acceptable behavoir undoing - answer a response that negates or reverse a previous unacceptable action defense mechanisms can be - answer adaptive (healthy) or maladaptive (unhealthy) and are employed by the ego and assist in homeostasis Altruism - answer emotional conflicts and stressor are addressed by meeting the needs of others. person receives gratification either vicariously or from the response of others Sublimation - answer an unconscious process of substituting constructive and socially acceptable activity for strong impulses that are not acceptable in their original form ex. someone with strong hostile feelings choosing to become a butcher Humor - answer a defense mechanism that may be how and individual deals with emotional conflicts for stressor reaction formation/overcompensation - answer unacceptable feelings or behaviors are kept out of awareness by developing the opposite behavior or emotion somatization - answer occurs when anxiety is repressed to an unconscious level but is
revealed on a physical level in the form of physical symptoms that has no organic cause passive aggression - answer deals with emotional conflict or stressors by indirectly and unassertively expressing aggression towards others. on the outside there is an appearance of compliance that masks covert resistance, resentment and hostility dissociation - answer a disruption in the usual integrated functions of consciousness, memory, identity or perception of the environment devaluation - answer occurs when emotional conflicts or stressors are handled by attributing negative qualities to self or others idealization - answer emotional conflicts or stressors are addressed by attributing exaggerated positive qualities to others splitting - answer the inability to integrate the positive/negative qualities of oneself or others into a cohesive image
