Galen College of Nursing
NSG 3450 - Mental Health
- 4 Exam Sets
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- Complete Solution Package
,NSG 3450 Exam 1
Mental Health - ANSWER defined by the World Health Organization is a state in which a person realizes
their potential, can cope with stress, work and contribute to society.
Mental Illness - ANSWER interferes developmentally, biologically, or psychologically. Impairs ability to
think, regulate emotions and manage behaviors. Definable diagnoses.
DSM-V - ANSWER Diagnostic and Statistical Manual of Mental Disorder, 5th edition
What are personal factors that contribute to mental health and well being? - ANSWER genetics,
biological, ability to perspective take, response to social cues, involvement in activities, capacity to be
resilient.
What are social & economic factors that contribute to mental health and well being? - ANSWER
availability of resources/ basic needs, access to health care, family relationships and family response to
stress.
What are environmental factors that contribute to mental health and well being? - ANSWER cultural
beliefs, accessibility of places to access resources.
Protective factors - ANSWER enhance the likelihood of positive outcomes and lessen the likelihood of
negative consequences from exposure to risk.
Risk Factors - ANSWER lower likelihood of positive outcomes and increase the likelihood of negative
outcomes.
Resilience - ANSWER the ability and capacity for people to secure the resources they need to support
their well being.
What is the most common factor for children who develop resilience? - ANSWER they have at least one
stable and committed relationship with a supportive parent, caregiver, or other adult.
Resiliency skills - ANSWER can be strengthened at any age but they are easier developed in childhood.
Surgeon General's Report - ANSWER Importance of mental health in relationship to over all health.
Supported that there are effective treatments for mental illness.
Human Genome Project - ANSWER identify genes in human DNA and the combinations created by DNA
pairs.
improve databases where the info is stored and address legal issues that may arise from the work.
The work is associated with this project supports theories that mental illness is biologically and
genetically linked.
,National Alliance on Mental Illness (NAMI) - ANSWER patient involvement in treatment decisions, focus
on recovery.
Substance Abuse and Mental Health Services Administration (SAMSHSA) -
ANSWER recovery is process towards reaching full potential
What are goals for transforming the mental health system in the U.S. - ANSWER 1. Americans
understand that mental health is essential to overall health.
2. mental healthcare is consumer- and family-driven.
3. disparities in mental health services are eliminated.
4. early mental health screening, assessment, and referral to services are common practice.
5. excellent mental healthcare is delivered, and research is accelerated.
6. technology is used to access mental healthcare and information. Institute of Medicine Report -
ANSWER focus on safe and effective care nursing education
Legislation changes & goals - ANSWER Affordable Care Act 2020 improved healthcare coverage for
uninsured and underinsured improved mental health coverage
What is used when classifying mental disorders? - ANSWER 1. DSM-V guidelines- of the American
Psychiatric Association for diagnosing psychiatric disorder.
2. ICD-10-CM- international guidelines
Basic Level nursing intervention- Coordination of Care - ANSWER coordinates implementation of the
nursing care plan and documents coordination of care.
Basic level nursing intervention- Health and teaching and health maintenance - ANSWER individualized
anticipatory guidance to prevent or reduce mental illness or enhance mental health.
Basic level nursing intervention- Milieu Therapy - ANSWER provides, structures, and maintains a safe
and therapeutic environment in collaboration with patients, families, and other healthcare clinicians.
Basic level nursing interventions- pharmacological, biological, and integrative therapies - ANSWER
applies current knowledge to assessing patient's response to medication, provides medication teaching,
and communicates observations to other members of the healthcare team.
Advance practice interventions- medication prescription and treatment - ANSWER prescription of
psychotropic medications with appropriate use of diagnostic tests; hospitals admitting privileges
advances practice intervention- psychotherapy - ANSWER individual, couple, group, or family therapy
using evidence-based therapeutic framework and nurse-patient relationship
advanced practice interventions- consultation - ANSWER sharing of clinical expertise with nurses or
those in other disciplines to enhance their treatment of the patients or address systems issues.
, What is the scope of practice for mental health nursing? - ANSWER to promote mental health and well
being through assessment, diagnosis, and interventions related to mental health and psychiatric illness.
What are some future issues in mental health nursing? - ANSWER 1.
education- availability of clinical sites
2. aging population- increasing, increased Alzheimer's, increased need for services.
3. cultural diversity- nursing will need to adjust to provide care
4. Science, technology, and electronic healthcare
What advocacy and legislative involvement does mental health nursing have?
- ANSWER 1. advocates for patient
2. reports abuse
3. protects confidentiality
4. supports patient's rights to make decisions regarding care.
Freud & Psychoanalytic Theory- three levels of consciousness - ANSWER 1.
Conscious
2. Preconscious
3. Unconscious
Conscious level of freud & psychoanalytic theory - ANSWER current thoughts, perception,
feelings, sensations. aware of this information at any time.
Preconscious level of freud & psychoanalytic theory - ANSWER yesterday's experiences, unprotected
information, this morning's experiences, last week's feelings, idea.
easily accessible information in the back of the mind but not currently aware of it.
Unconscious level of freud and psychoanalytic theory - ANSWER embarrassing fears, unacceptable
feelings, protected information, traumatic events, emotionally harmful thoughts, unfulfilled wishes,
desires, impulses. hidden and not immediately available.
Personality Structure- ID - ANSWER primitive part of personality present at birth, impulsive.
Personality Structure- EGO - ANSWER part has been modified by external influences, mediates, decision
maker.
Personality Structure- SUPER EGO - ANSWER develops around ages 3-5, moral aspect of the personality,
controls id's impulses.
Classical Psychoanalysis - ANSWER seldom used today, expensive and time consuming.
