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test 1 study stacks
mental health 1 3 4 8 9 chapters
| Question | Answer |
|---|---|
| What are Freud's three personality components? | Id Ego Superego |
| How many psychosexual stages did freud identify? | Five ( oral, anal, phallic, latency, genital) |
| Who developed the eight psychosocial stages of development ? | Erik Erikson |
| Which theorist focused on cognitive development with four stages? | Jean Piaget |
| What is Maslows hierarchy of needs | Physiological>Safety>Love /Belonging>Esteem>Self-actualization |
| What are Peplau's four phases of the nurse-patient relationship? | Orientation Identification Exploitation Resolution |
| Who emphasized client- centered therapy with unconditional positive regard? | Carl Rogers |
| What theorist is associated with classical conditioning? | Ivan Pavlov |
| What reinforcement schedule produces long-lasting behavior change? | Random intermittent reinforcement |
| What is the overall belief of existential theories? | Deviations occur when a person is out of touch with self or environment |
| Which therapy focuses on automatic thoughts and irrational beliefs? | Rational Emotive Therapy (Albert Ellis) |
| Gestalt therapy emphasizes what? | Self-awareness and identifying thoughts/feelings in the here and now |
| What are the four stages of a crisis? | Exposure to stressor increased anxiety increased coping efforts disequilibrium/distress |
| how long does a crisis usually last? | 4 to 6 weeks |
| what are the 3 categories of crisis | Maturational situational adventitious/social |
| What is the primary mode of treatment for mental health? | Community mental health treatment |
| when is hospital (inpatient) treatment indicated? | Severe depression/suicidal severe psychosis withdrawal unsafe behaviors |
| What is the key to success in individual psychotherapy? | The therapist - client relationship |
| What is the difference between complementary and alternative medicine? | Complementary is used with conventional care ; alternative replaces conventional care |
| What is the main goal of inpatient hospital treatment? | Rapid assessment stabilization of symptoms discharge planning |
| Broad and care homes are an example of which treatment setting? | Residential treatment setting |
| In the clubhouse model which relationship is most important? | Physician -client relationship |
| What is Assertive Community Treatment (ACT) known for? | Direct, intensive services with a problem solving orientation and no time constraints |
| Rate of mental illness among incarcerated people compared to the general population is | 5 times higher |
| What are the three levels of prevention in psychosocial nursing in public health? | Primary (stress management education) Secondary ( early identification) Tertiary (rehabilitation monitoring) |
| What shift has occurred in self-awareness issues for psychiatric nursing? | from hospital-based goals to client -centered goals including care in nontraditional settings like jails or shelters |
| What are the key components of a therapeutic nurse-client relationship? | trust genuine interest empathy acceptance and positive regard |
| Empathy vs Sympathy -what is the difference? | Empathy-perceiving and communicating clients feelings Sympathy- concern/compassion protecting nurses feelings |
| What tool helps nurses increase self-awareness | Johari Window (open, blind, hidden, unknown quadrants) |
| Types of relationships in nursing? | Social, intimate, therapeutic, (focus only on clients needs) |
| Peplau's three phases of therapeutic relationship? | Orientation, working, (identification and exploitation) Termination |
| what happens in the working phase? | Client identifies issues, examines feelings, develops coping skills, positive self-image |
| Behaviors that diminish therapeutic relationships? | Inappropriate boundaries, excessive sympathy, encourage dependency, nonacceptance avoidance |
| Therapeutic roles of the nurse? | Teacher, caregiver, advocate, parent surrogate, (while keeping relationship therapeutic) |
| Why is self-awareness important for nurses? | It prevents compassion fatigue and ensures therapeutic effectiveness |
| What is the purpose of a psychiatric assessment? | To capture the client’s current emotional state, mental capacity, and behavioral function. It provides a baseline for care planning and evaluating treatment progress. |
| Name 3 factors that influence assessment. | Client participation/feedback, client’s health status, nurse’s attitude and approach. |
| What type of questions should be used in interviews? | Open-ended questions to initiate assessment; focused questions if client struggles to organize thoughts. |
| True or False — The nurse should interview a client in an isolated location | False. It should be private and safe, but not isolated. |
| What is included in assessment of general appearance/motor behavior? | Hygiene, grooming, dress, posture, eye contact, unusual movements, speech patterns |
| What are common affect terms used in assessment? | Blunted, broad , flat , inappropriate , restricted, labile. |
| What is assessed in thought process/content? | How client thinks and what they say (delusions, flight of ideas, loose associations, word salad) |
| How should suicide or harm risk be assessed? | Ask directly; look for anger, hostility, threats, or specific plans. Nurse has a duty to warn. |
| What do intelligence tests measure? | Cognitive abilities and intellectual functioning. |
| What is included in self-concept assessment? | Personal worth, dignity, body image, emotions frequently experienced. |
| What is the DSM-5-TR used for? | Classifies mental disorders, describes each disorder, and provides diagnostic criteria. |
| What is the purpose of a Mental Status Examination | To assess cognitive abilities (orientation, memory, calculations, recall, following commands, etc.) |
| True or False — Personality tests measure cognitive abilities. | False. They measure personality traits; intelligence tests measure cognition. |
| Do clients retain all civil rights when hospitalized? | Yes — except the right to leave if involuntarily committed. |
| True or False — Voluntary clients give up their right to leave the hospital. | False. Voluntary clients can request discharge at any time unless they are a danger to self/other |
| How long can a person be detained on an emergency basis in a psychiatric facility? | 48–72 hours, followed by a hearing to determine further treatment |
| What is mandatory outpatient treatment also called? | Conditional release or outpatient commitment. |
| What is conservatorship/guardianship? | Legal guardianship for clients with grave disability or incompetency; guardian consents on client’s behalf |
| What is the principle of “least restrictive environment”? | Clients have the right to treatment in the least restrictive setting, free of restraint/seclusion unless necessary. |
| What law protects client privacy with civil and criminal penalties? | HIPAA (1996). |
| What is the nurse’s duty regarding confidentiality? | Maintain confidentiality unless the client threatens an identifiable third party (duty to warn |
| ame one version of the insanity defense. | M’Naghten Rule — person did not know the act was wrong. (Other versions: irresistible impulse, substantial capacity test, Durham rule). |
| Name 3 deontologic principles. | Autonomy (self-determination), Beneficence (promote good), Nonmaleficence (do no harm). (Also: Justice, Veracity, Fidelity). |
| Which act is considered an unintentional tort? | Malpractice. (Intentional torts include assault, battery, false imprisonment). |
| What guides nurses in ethical decision-making? | ANA’s Code of Ethics for Nurses. |
Created by:
jonescrystal