Nur 374 Test 1

Front 1

successful performance of mental functions, resulting in the ability to engage in productive activities, enjoy fulfilling relationships, and change or cope with adversity

Back 1

mental health

Front 2

a clinically significant behavioral or psychological syndrome experienced by a person and marked by distress, disability, or the risk of suffering disability or loss of freedom

Back 2

mental illness

Front 3

A clinical disorder, such as major depressive disorder, would fall under which axis of the DSM?

Back 3

axis I

Front 4

A personality disorder or mental retardation would fall under which axis of the DSM?

Back 4

axis II

Front 5

General medical conditions such as diabetes would fall under which axis of the DSM?

Back 5

axis III

Front 6

Psychosocial and environmental problems, such as a divorce, would fall under which axis of the DSM?

Back 6

axis IV

Front 7

The Global Assessment of Functioning (GAF) Scale falls under which axis of the DSM?

Back 7

axis V

Front 8

the diagnosis and treatment of human responses to actual or potential mental health problems

Back 8

psychiatric nursing

Front 9

use of the physical and social enviroment to influence behavior, such as orienting to the facility and setting verbal and physical limits to maintain safety

Back 9

Milieu therapy

Front 10

provides services within a definied provider network for a fixed yearly rate, using a primary MD as a gatekeeper for specialty care

Back 10

HMO

Front 11

provides services giving members a choice of providers in a network for a fixed co-payment or outside the network for a higher co-payment

Back 11

PPO

Front 12

True or false: The patient in a mental health facility does not have the right to refuse treatment.

Back 12

False.

Front 13

True or false: The patient in a mental health facility has the right to informed consent.

Back 13

True.

Front 14

True or false: The patient in a mental health facility has the right to be involved in treatment planning and decisions.

Back 14

True

Front 15

Which one, psychiatrist or psychologist, is an actual physician?

Back 15

psychiatrist

Front 16

Members of the various disciplines meet within _____ hrs of admission and formulate a treatment plan.

Back 16

72

Front 17

the study of philosophical beliefs about what is considered right or wrong in a society

Back 17

ethics

Front 18

ethical dillemas surrounding client care

Back 18

bioethics

Front 19

the duty to act so as to benefit or promote the good of others

ex. making a decision to remain by the bedside of an extremely anxious client to be supportive, even if the shift has ended, until a replacement can be found

Back 19

beneficence

Front 20

the right to make one's own decisions and respect for the rights of others to make their own decisions

ex. acknowledging the client's right to make decisions that do not conform with the recommendation of the staff

Back 20

autonomy

Front 21

treating others fairly and equally

Back 21

justice

Front 22

maintaining loyalty and commitment to the client and doing no wrong to the client

ex. showing a comittment to clinical expertise by participating in continuing education

Back 22

fidelity (nonmaleficence)

Front 23

one's duty to always tell the truth

(clients have the right to know about their diagnosis, treatment, and prognosis)

Back 23

veracity

Front 24

True or false: Mentally ill clients are guaranteed the same rights as any other citizen.

Back 24

True.

Front 25

What is a writ of habeas corpus?

Back 25

the procedural mechanism used to challenge unlawful detention by the government

(In most states, a client can institute a court proceeding to seek a judicial discharge.)

Front 26

What are the 2 exceptions to HIPPA?

Back 26

1. The duty to warn a client's potential victim of potential harm

2. The duty to report child or elder abuse

Front 27

a voluntary act performed with the intent to bring about a physical consequence

Back 27

intentional tort

Front 28

an act resulting in a person's apprehension of an immediate harmful or offensive touching

Back 28

assault

*in an assault, there is no physical contact

Front 29

harmful or offensive touching of another person

Back 29

battery

Front 30

an act or an omission to act that breaches the duty of due care and results in or is responsible for a person's injuries

Back 30

negligence

Front 31

What are the 3 personal characteristics that are vital to establishing a therapeutic relationship with a client?

Back 31

genuineness
empathy
positive regard

Front 32

the process whereby a client displaces onto the nurse patterns of behavior and emotional reactions that originated with others

Back 32

transference

Front 33

process whereby the nurse displaces positive or negative feelings from the past onto the client

Back 33

countertransference

Front 34

Which statement about mental illness is true?

A. Mental illness is a matter of individual nonconformity with societal norms.

B. Mental illness is present when individual irrational and illogical behavior occurs.

C. Mental illness changes with culture, time in history, and political system, and group defining it.

D. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.

Back 34

C. Mental illness changes with culture, time in history, political system, and group defining it.

Front 35

The presence of which symptom will exert the greatest pressure to admit an individual to an inpatient psychiatric unit?

A. Suicidal ideation
B. Moderate anxiety
C. Feelings of sadness
D. Auditory hallucinations

Back 35

A. Suicidal ideation

Front 36

To provide appropriate care for a client who has been admitted involuntarily to a psychiatric unit, the nurse must be aware of the fact that the client has the right to:

A. refuse psychotropic medications

B. be treated by unit staff of his or her choice

C. Be released within 24 hours of making a written request

D. Have a consultation with other mental health professionals at the hospital's expense

Back 36

A. Refuse psychotropic medications

Front 37

In which situation might the psychiatric nurse incur liability?

A. Placing a client with annoying behavior in seclusion

B. Reporting the substandard practice of a nurse peer

C. Reporting threats against a third party to the treatment team

D. Discussing an unclear medical order with the physician

Back 37

A. Placing a client with annoying behavior in seclusion

Front 38

an acute, time-limited occurrence experienced as an overwhelming emotional reaction to a stressful situational event or a perceived threat

Back 38

crisis

Front 39

type of crisis that occurs when a person arrives at a new, predictable stage of development where formerly used coping styles are no longer appropriate

Back 39

maturational crisis

Front 40

type of crisis that involves a critical life problem and arises from an external source (job loss, death of loved one, job change, etc.)

Back 40

situational crisis

Front 41

type of crisis that is an unplanned, accidental event that is not part of everyday life (natural disaster, national disaster, rape)

Back 41

adventitious crisis

Front 42

Name this type of defense mechanism:

Man forgets his wife's birthday after a marital fight.

Back 42

repression

Front 43

Name this type of defense mechanism:

Woman who is angry with her boss writes a short story about a heroic woman.

Back 43

sublimation

*by definition, use of sublimiation is always constructive

Front 44

Name this type of defense mechanism:

4 year old boy with a new baby brother starts sucking his thumb and wanting a bottle.

Back 44

regression

Front 45

Name this type of defense mechanism:

Client criticizes a nurse after his family fails to visit.

Back 45

displacement

Front 46

Name this type of defense mechanism:

Man who is unconsciously attracted to other women teases his wife about flirting.

Back 46

projection

Front 47

Name this type of defense mechanism:

Short man becomes assertively verbal and excels in business.

Back 47

compensation

Front 48

Name this type of defense mechanism:

Recovering alcoholic constantly preaches about the evils of drinking.

Back 48

reaction formation

Front 49

Name this type of defense mechanism:

Man reacts to the new of a death of a loved one by saying "No, I don't believe you. The doctor said he was fine."

Back 49

denial

Front 50

Name this type of defense mechanism:

Student is unable to take a final exam because of a terrible headache.

Back 50

conversion

Front 51

Name this type of defense mechanism:

After flirting with her male secretary, a woman brings her husband tickets to a show.

Back 51

undoing

Front 52

Name this type of defense mechanism:

Employee says, "I didn't get the raise because the boss doesn't like me."

Back 52

rationalization

Front 53

Name this type of defense mechanism:

5 year old girl dresses in her mother's shoes and dress and meets her father at the door.

Back 53

identification

Front 54

Name this type of defense mechanism:

After his wife's death, husband has transient complaints of chest pain and difficulty breathing--the symptoms his wife had before she died.

Back 54

introjection

Front 55

Name this type of defense mechanism:

Businessman who is preparing to make an important speech later in the day is told by his wife that morning that she wants a divorce. Although visibly upset, he puts the incident aside until after his speech, when he can give the matter his total concentration.

Back 55

suppression

Front 56

What is the goal of crisis intervention?

Back 56

to return the individual to the pre-crisis level of functioning

Front 57

What is a HIGH priority during assessment of a client in crisis?

Back 57

determining the need for external controls due to suicidal or homicidal ideations

Front 58

What are the two basis goals of crisis intervention?

Back 58

Client safety
Anxiety reduction

Front 59

an emotional response to the perception or frustration of desires, threat to one's needs, or challenge

Back 59

anger

Front 60

harsh physical or verbal action that reflects rage, hostility, and potential for physical or verbal destructiveness

Back 60

aggression

Front 61

What is the best predictor of future violence?

Back 61

a history of violence

Front 62

A nurse can initiate a seclusion or restraint but the physician must do what within what time frame?

Back 62

The physician must write an order and do a face to face assessment of the client within one hour.

Front 63

What types of clients usually have marginal coping skills?

Back 63

clients with chemical dependence or personality disorders

Front 64

What are some s/s of rape trauma syndrome (acute phase)?

Back 64

shock
numbness
disbelief
disorganization
confusion
hysteria
restlessness
crying
smiling
poor decision making

*this phase may last for 2 weeks

Front 65

what are some s/s of rape trauma syndrome (long term: reorganization phase)?

Back 65

depression
suicide
anxiety
fear
difficulties with daily functioning
low self-esteem
sexual dysfunction
somatic complaints

Front 66

What two groups of people are eating disorders more common in?

Back 66

female athletes
male body builders

Front 67

Are eating disorders more common in industrialized or unindustrialized nations?

Back 67

industrialized (such as U.S.)

Front 68

What is the most common comorbidity of eating disorders?

Back 68

depression

Front 69

Name the criteria for hospital admission of a client with an eating disorder.

Back 69

weight loss over 30% in 6 months
hypothermia below 96.8 degrees
HR less than 40 bpm
systolic BP < 70 mm Hg
hypokalemia
EKG changes
suicidal or self-mutilating
out of control drug use (OTC or illegal)
severe depression
psychosis

Front 70

When treating a client with anorexia, what do you focus on first? second? third?

Back 70

first - immediate physical complications, VS, circulation status

second - nutritional status and weight gain

third - body image and psychiatric issues

Front 71

cardiac collapse after introducing lots of food/fluids to an anorexic patient who isn't used to eating/drinking

Back 71

refeeding syndrome

Front 72

What class of drugs is used to treat anorexia?

Back 72

antidepressants (SSRIs)

Front 73

Name the 4 types of PDD (pervasive developmental disorder).

Back 73

autism
Asperger's disorder
Rett's disorder
childhood disintegrative disorder