NSG 335 Exam 1 Practice Questions and Correct Answers
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Course
NUR 335
Institution
NUR 335
Describe the continuum of mental health (well-being vs. mental illness) Well-being: Adequate to high level of functioning. May experience stress and discomfort, but do not experience serious impairment in functioning.
Mental Illness: Individuals experience alterations in thinking, mood, and behavi...
NSG 335 Exam 1 Practice Questions and
Correct Answers
Describe the continuum of mental health (well-being vs. mental illness) ✅Well-being:
Adequate to high level of functioning. May experience stress and discomfort, but do not
experience serious impairment in functioning.
Mental Illness: Individuals experience alterations in thinking, mood, and behavior. May
result in chronic impairment or disability
Risk and protective factors for the development of mental health conditions: Individual
attributes & behaviors ✅Genetic risk
Biological factors (oxygen deprivation can increase risk of development of a mental
health condition)
Resilience (ability and capacity for people to secure the resources they need to support
their well-being)
Risk and protective factors for the development of mental health conditions: Social and
Economic Circumstances ✅Family
Peer Groups
Socioeconomic status
Risk and protective factors for the development of mental health conditions:
Environmental factors ✅Access to healthcare, water, safety, services, and
infrastructure
Social and economic policies
Cultural and religious beliefs
Define the Diathesis-Stress Model ✅Suggests that nature plus nurture causes mental
health conditions
Individuals have biological predisposition and experience environmental stress
Stigma surrounding mental health ongoing because there are no biological tests to
diagnose conditions
Identify the difference between a DSM-V diagnosis and a nursing diagnosis ✅-DSM-V
identifies disorder based on specific criteria and is organized into 20 disorder categories
(Schizophrenia, Bipolar, Anxiety).
Physicians, NP, PA, Psychologists, some therapists can diagnose pts
-RNs do not diagnose w/ DSM-V
, Use nursing diagnoses to guide treatment of human responses to actual or potential
mental health problems
Describe the role of the registered nurse in the care of patients with mental health
conditions ✅Promote mental health through the assessment, diagnosis, and treatment
of human responses to mental health problems and psych disorders
A well-defined nursing diagnosis provides the framework for identifying appropriate
nursing interventions for dealing with the patient's reaction to the disorder
Psychiatric Mental Health RN interventions: Coordination of care ✅Coordinates
implementation of the nursing care plan
Psychiatric Mental Health RN interventions: Health teaching and health maintenance
✅Individualized anticipatory guidance to prevent or reduce mental illness or enhance
mental health (community screenings, parenting classes, stress management)
Psychiatric Mental Health RN interventions: Milieu therapy ✅Provides structure and
maintains a safe and therapeutic environment in collaboration w/ patients, families, and
other healthcare clinicians
Psychiatric Mental Health RN interventions: Pharmacological, biological, and integrative
therapies ✅Applies current knowledge to assessing patient's response to medication,
provides medication teaching, and communicates observations to other members of the
healthcare team
Purpose of Mental Status Examination ✅Assessment of patient's behavioral and
cognitive functioning
"Snap shot" of patient's thoughts, feelings, and behavior
Identifies cognitive and behavioral abnormalities that impact current functioning and
diagnosis
Components of the MSE ✅1. Appearance
2. Behavior/psychomotor activity
3. Attitude towards interviewer
4. Mood and affect
5. Speech and thought
6. Perceptual disturbances
7. Orientation and consciousness
8. Memory and intelligent
9. Reliability, judgement, and insight
10. Motivation for treatment
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