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Exam 1 RNSG 1125 (Unit 1-2 Chapters
1,2,3,4,5,6,7,8, and 9) Questions and
Correct Answers the Latest Update and
Recommended Version
evidence-based practice
✓ clinical decision making that integrates the best available research with clinical expertise
and patient characteristics and preferences
patient advocate
✓ one who speaks for and protects the rights of the patient
psychiatric mental health nursing
✓ promoting mental health through the assessment, diagnosis, and treatment of human
responses to mental health problems and psychiatric disorders
Quality and Safety Education for Nurses (QSEN)
✓ addresses the challenge to prepare nurses with the competencies needed to continuously
improve the quality of care in their work environments
Diagnostic and Statistical Manual of Mental Disorders (DSM)
✓ Official guidebook for categorizing ans diagnosing psychiatric mental health disorders in
the US.
Epidemiology
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✓ Branch of medical science concerned with the incidence, distribution, and control of
diseases that affect large numbers of people.
mental disorder
✓ an illness of the mind that can affect the thoughts, feelings, and behaviors of a person,
preventing him or her from leading a happy, healthful, and productive life
mental health
✓ the state of being comfortable with yourself, with others, and with your surroundings
mental illness
✓ a disorder that affects a person's thoughts, emotions, and behaviors
psychobiological disorder
✓ A mental disorder caused by neurotransmitter dysfunction, abnormal brain srtructure,
inherited genetic factors, or other biological causes. Also called biologically based mental
illness
stigma/stigmatizing
✓ an attribute that is deeply discrediting where a person is reduced from a whole unusual
person to a tainted, discounted one. Stigmatizing comes from stereotyping, labeling,
separating, status, loss, and discrimination in a context of power imbalance all leading to
stigmatization
boundaries
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✓ Boundaries are physical, emotional and mental limits we set to protect ourselves from
being manipulated, used, or harmed by others.
ego
✓ the largely conscious, "executive" part of personality. Operates on the reality principle,
satisfying the id's desires in ways that will realistically bring pleasure rather than pain.
id
✓ a reservoir of unconscious psychic energy that, according to Freud, strives to satisfy basic
sexual and aggressive drives. Operates on the pleasure principle, demanding immediate
gratification.
self-actualization
✓ according to Maslow, one of the ultimate psychological needs that arises after basic
physical and psychological needs are met and self-esteem is achieved; the motivation to
fulfill one's potential
HEADSSS psychosocial interview technique
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✓ H Home environment (e.g., relations with parents and siblings)
✓ E Education and employment (e.g., school performance)
✓ A Activities (e.g., sports participation, after-school activities, peer relations)
✓ D Drug, alcohol, or tobacco use
✓ S Sexuality (e.g., whether the patient is sexually active, practices safe sex, or uses
contraception)
✓ S Suicide risk or symptoms of depression or other mental disorder
✓ S "Savagery" (e.g., violence or abuse in home environment or in neighborhood)
Psychiatric Nursing Assessment
✓ The psychiatric mental health nurse collects and synthesizes comprehensive health data that
are pertinent to the health care consumer's health and/or situation.
✓
✓ Nurses who work in the mental health field need to assess, or have access to, past and
present medical history, a recent physical examination, and any physical complaints the
patient is experiencing, as well as document any observable physical conditions or
behaviors (unsteady gait, abnormal breathing pattern, facial grimacing, or changing
position to relieve discomfort).
mental status exam
✓ a set of interview questions and observations designed to reveal the degree and nature of
a client's abnormal functioning
A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask
an advanced practice nurse to perform which action for patients?
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