NURS 406 - Exam 1 Questions And Answers Rated A+.
Ch: 1 - Can you define mental health? What 3 factors influence mental health? - correct answer. No single definition
Factors:
1-individual
2-interpersonal
3-social/cultural
Ch: 1 - What is psychiatric mental health nu...
Ch: 1 - What is psychiatric mental health nursing? - correct answer. A specialized
area of nursing that promotes mental health through APPLYING the NURSING
PROCESS
Nurses care for people with a wide range of emotional problems and mental disorders
Ch: 1 - What do mental disorders cause? - correct answer. Significant distress
and/or impaired functioning
Ch: 1 - How does the INDIVIDUAL factor affect mental illness? - correct answer.
Biological makeup - a genetic factor
Unrealistic worries or fears
Ch: 1 - How does the INTERPERSONAL factor affect mental illness? - correct answer.
Pt does not communicate with others
They don't have a social support system
Ch: 1 - How does the SOCIAL/CULTURAL factor affect mental illness? - correct
answer. The Pt has an unwarranted negative view of the world
A culture can have discrimination/stigma towards mental health
,Ch: 1 - What is the DSM-5? - correct answer. A manual published by the American
Psychiatric Association
Defines different diagnoses and target symptoms that help to identify these disorders
Ch: 1 - How was mental health viewed during the GREEK PERIOD OF INQUIRY?
Hint: Aristotle - correct answer. Aristotle believed there was an imbalance in 4
elements that make up the body = blood, water, yellow and black bile
Balance could be restored by bloodletting, starving people, or purging
Ch: 1 - How was mental health viewed during the CHRISTIAN PERIOD? - correct
answer. Demonic possession thought to cause mental disorders
Clergymen performed "exorcisms," if it didn't work then people were shunned or put to
death
Ch: 1 - How was mental health viewed during the PERIOD OF ENLIGHTENMENT
(1790s)? - correct answer. People with mental disorders were placed in asylums
Moral treatment = use of kindness, compassion and a pleasant environment was
adopted
Unfortunately, people were often treated inhumanely
Ch: 1 - How did Dorothea Dix contribute to mental illness in the 19th century?
Hint: $$$ - correct answer. Asked Massachusetts to expand their STATE
HOSPITAL.
Through public awareness campaigns/lobbying, she convinced many states to build or
expand their hospitals
Ch: 1 - How did Sigmund Freud contribute to mental illness in the 1900s?
Hint: psychosis vs neurosis - correct answer. He believed that mental illness was a
PSYCHOLOGIC DISORDER, and a result of shitty parenting/disturbed personality
Mental illness was categorized as psychosis (severe) or neurosis (less severe)
Ch: 1 - How did Freud believe mental illness should be treated? - correct answer.
Psychoanalysis therapy = focuses on repairing the trauma of the original psychological
injury
, However it was costly and time-consuming, so everyone was generally ignored
Ch: 1 - How did psychopharmacology and DEinstitutionalization contribute to mental
illness in the 1950s? - correct answer. Psychotropic medications were created = key
to turn around some mental disorders
Deinstitutionalization = transitioning people who were confined for years in mental
institutions into the community for rehab/treatment
Ch: 1 - Was deinstitutionalization successful?
What specific effect did it have in the 21st century? - correct answer.
Deinstitutionalization considered a failure since community mental health centers
focused on other issues
"Revolving door" effect = patients are better for a while and then relapse
They stop their meds as soon as they start feeling good but the meds is what makes
them feel good in the first place.
Ch: 1 - Despite the increasing numbers, how many adults and children are being treated
for mental illness in the 21st century? - correct answer. 1 in 4 adults
1 in 5 children/adolescents
Ch: 1 - What is Healthy People 2020? What are their 4 overarching goals? - correct
answer. Governmental program that aims for society to have long and happy lives
1-find more people to be treated
2-decrease suicide and homelessness
3-increase employment for people with mental illness
4-get help for people in jail with mental illness
Ch: 1 - What did the final report of the Joint Commission on Mental Illness and Health
reccommend? - correct answer. They recommended an increase in clinics
supplemented by general hospital units
Ch: 1 - Which theorist's work does the ANA's Statement On Psychiatric Nursing
Practice relate to most? - correct answer. Florence Nightingale's Notes on Nursing
Ch: 1 - The importance of using therapeutic communication was stressed by which
person? - correct answer. Florence Nightingale
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