NURS 6670 Final Exam Study Guide Chapter 1 to 39, Correct Verified Answers
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NURS 6670
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NURS 6670
NURS 6670 Final Exam Study Guide Chapter 1 to 39
NURS 6670 Final Exam Study Guide Chapter 1 to 39;Graded A
NURS 6670 Final Exam Study Guide Chapter 1 to 39 NURS 6670 Final Exam - PMH Nurse Practitioner Role 11 Case Study, Mohr: CHAPTER 1, Introduction to Psychiatric–Mental Health Nursing 1. K...
NURS 6670 Final Exam Study Guide
Chapter 1 to 39
Mental Health Case Study
Case Study, Mohr: CHAPTER 1, Introduction to Psychiatric–Mental Health
Nursing
In completing the case study, students will be addressing the following
learning objectives: Explain elements that contribute to mental health.
Review trends, problems, and goals related to the delivery of mental health
care and treatment of mental illness.
1. Karen is a 25-year-old white woman who lives alone in an apartment with
her dog. Karen has been divorced for 2 years and is taking Prozac prescribed
by her psychiatrist for depression. Karen and her boyfriend had been
discussing marriage until he told her that he wanted to end their relationship.
Karen became even more depressed and could not work for a week. Karen
returned to work, refusing to discuss her issues with family, friends, or
coworkers. She did, however, make an appointment to see a psychiatric nurse
practitioner. Karen told the nurse that she was making some changes in her
life. Karen said that she and a girlfriend were joining a gym program for
workouts and a social group for young men and women. Karen stated that
she realizes that her former boyfriend had not been committed to her, and she
anticipates meeting and dating other young men from the adult social group.
Karen also said that she thinks that the gym exercise will be beneficial to her
mentally and physically.
Learning Objectives: 1, 4)
a. How will the psychiatric nurse assess if Karen has made progress toward
self-realization?
, Karen had suffered from depression which is a form of mental disorder as a
result of divorce and a broken relationship with her boyfriend. This situation
according to Hypocriticus in 15th century BC, upholds the brain as the organ
of consciousness; this occurs when both normal and abnormal behavior arise
from the brain. The psychiatric nurse can assess if Karen has made progress
towards self-realization by committing to diagnosing and treating her
responses to the problems that caused her psychiatric disorder. In-addition,
the nurse can make assessment based on Karen’s psychoanalytical
disposition such as: trasferrence,defense
mechanism,countertransference,acting out, denial of the reality befallen her
and projection.
b. Identify strengths that Karen has for progress in personal growth.
The strengths Karen has for progress in personal growth include the
followings:
Ability to make use of social support, that is, she visited a psychiatric nurse,
social group and registered in a gym.
She was realistic about her situation, therefore made herself ready to face the
reality before her.
Karen sought immediate medical attention where she was administered with
Prozac to help mitigate her depression state.
Her cognitive behavioral responses showed optimism towards a better life as
well as fighting against her depressed state. Hence, her willingness to date
younger men.
c. Karen has been seeking treatment for her depression. Analyze the factors
that might contribute to Karen’s reluctance to discuss her depression with
others.
Karen’s reluctance to discuss her depression with others hinges on the fact that her
depression was a kind called social depression. Social depression is a
psychological disorder caused by several factors such as: interpersonal
relationship which involves the relationship between a person and the interactions
of emotions of each individual expressed directly and discreetly to each other.
Another is a Common interpersonal relationship, this includes : Family, social
environment (work place), and interaction among age groups and genders. Because
Karen had divorce and broken relationship, she didn’t feel safe in herself
discussing her depression with family and friends but to seek a professional whose
job is to attend to her depressed case. Hence, her neuroticism was calm and strong
willed.
,Case Study, Mohr: CHAPTER 2, Neuroscience: Biology and Behavior
In completing the case study, students will be addressing the following
learning objectives:
Discuss neuroplasticity and how this concept relates to mental health and
mental illness.
Briefly explain the importance of interaction between genes and environment,
the role of endophenotypes, and the stress-diathesis model of psychiatric
illness.
1. Michael is a 22-year-old college senior whose GPA has declined with this
semester’s grades. Michael plans to apply to medical school and thinks that
the lower GPA may prevent his acceptance to medical school. For the last 2
weeks, Michael has skipped most classes because he has insomnia and fatigue.
Michael is now very depressed and has been thinking of suicide. He took a
loaded gun from his father’s gun cabinet and then wrote a suicide note to his
family. At the last moment, he telephoned 911 and told them of his suicide
plan. The police came, took the gun away, and then took Michael to the city
hospital to be admitted for psychiatric treatment. In the admission interview
with the psychiatric nurse, Michael said that his pastor thought that only
weak-willed people experienced depression and that it was a punishment for
personal sins and the sins of one’s ancestors. Michael told the nurse that he
must be weak-willed and will never be able to accomplish anything. The
psychiatric nurse explained that multiple factors are the cause of depression.
The nurse told Michael that one theory holds that an imbalance of
neurotransmitters, or chemical messengers of the brain, occurs in depression.
Neurotransmitters influence the individual’s emotions, thoughts, and
subsequent behavior. Recent research implies that neurobiology, heredity, as
well as Psychological and environmental factors may be involved in the
development and progression of depression.
(Learning Objectives: 5, 6)
a. Will Michael think that the psychiatric nurse’s explanation for the cause of
depression is more correct than that of his pastor?
No. It is indeed difficult for Michael to accept the doctor’s opinion since before
he fell sick, he had information from the pastor on depression on which he
solely believed and now he is a living prove.
, b. Michael asks the nurse why he has to have psychotherapy. He states that he
only needs to take a couple of pills to get better. How should the nurse
respond to Michael’s question and comment?
The nurse has to explain to Michael why he should consider psychotherapy.
Because of the many misconceptions about psychotherapy, you may be
reluctant to try it out. Even if you know the realities instead of the myths,
you may feel nervous about trying it yourself. Overcoming that nervousness
is worth it. That’s because any time your quality of life isn’t what you want
it to be, psychotherapy can help. Taking only pills will not help but increase
the effects because most of these medication have side effects which would
have been avoided by psychotherapy.
c. Develop an assessment question for each of the following possible causes of
Michael’s development of depression: Genetic, Environment and Stress.
From the Geriatric Depression Scale: “Do you prefer to stay at home rather than
going out and doing new things?” This question asks for a yes or no answer and
recognizes that isolation and withdrawal are common signs of depression —
especially in the elderly.
From the MADRS: “How is your sleep?” Answers include: Sleeping as usual,
slight difficulty, sleep reduced by at least two hours, or getting less than three
hours of sleep at night. Greater sleep disturbance signals a greater risk for
depression.
From the Beck Depression Inventory: “How is your energy?” Declines in energy
level are a common sign of depression — the more significant your lack of energy,
the higher your depression risk rating. Possible answers to this question include:
As much energy as ever, less energy than before, not enough to do much, or not
enough to do anything
Case Study, Mohr
CHAPTER 3, Conceptual Frameworks and Theories:
In completing the case study, students will be addressing the following
learning objective:
Give examples of behavioral and cognitive-behavioral interventions.
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