Mental Health- Test 1

Front 1

Thoughts and feelings are _____.

Back 1

subjective

Front 2

Behaviors are _______.

Back 2

objective

Front 3

____ and _____ are often expressed as problems for people being treated for mental illnesses.

Back 3

Balance and moderation

Front 4

7 criteria for assessing mental health are:

Back 4

reality orientation
self-governance
mastery of the environment
tolerance of uncertainty
self-esteem
growth orientation
stress management

Front 5

______ is the criteria for assessing mental health that looks at whether the person is A and O x4 or psychotic with illusions, delusions, and hallucinations.

Back 5

Reality orientation

Front 6

_____ is the criteria for assessing mental health that looks at whether the person can control their behaviors and delay gratification.

Back 6

Self-governance

Front 7

____ is the criteria for assessing mental health that looks at whether the person in at the mercy of their surroundings or do they exert some control as well as their effectiveness in work/relationships.

Back 7

Mastery of the environment

Front 8

____ is the criteria for assessing mental health that looks at the person's ability to tolerate some anxiety and if they have effective coping.

Back 8

Tolerance of uncertainty

Front 9

_____ is the criteria for assessing mental health that looks at whether or not a person has a healthy self concept.

Back 9

Self-esteem

Front 10

_____ is the criteria for assessing mental health that looks at the person's ability to reduce the level of anxiety and whether they have adaptive or maladaptive coping.

Back 10

Stress management

Front 11

The ___ and ____ of a person must be taken into consideration when evaluating a person with the 7 criteria for assessing mental health.

Back 11

age and culture

Front 12

____ is a patterned way of life with special meaning to members of the group.

Back 12

Culture

Front 13

Secondary gains of mental illness include:

Back 13

handicapped parking, disability payments, not having to do chores

Front 14

The 1990's is called the decade of the ______ because of technological advances in CT, MRI, PET scans and brain mapping.

Back 14

Brain

Front 15

The Mental Health Parity Act was written in _____.

Back 15

1996

Front 16

The _____ required insurers that provide mental health coverage to offer annual and lifetime benefits at the same level provided for medical/surgical coverage.

Back 16

Mental Health Parity Act

Front 17

_____ is a specialized area of nursing practice that employs theories of human behavior as its science and purposeful use of self as its art.

Back 17

Psychiatric/Mental Health Nursing

Front 18

______ use of self is enhancing growth or healing in others by using your unique personal identity.

Back 18

Therapeutic

Front 19

6 roles of the mental health nurse, proposed by H. Peplau, include:

Back 19

mother-surrogate
technician
manager
socializing agent
health teacher
counselor

Front 20

4 goals of the mental health nurse are to:

Back 20

-identify and explore problems relating to others
-discover healthy ways to meet emotional needs
-experience satisfying interpersonal relationships
-feel understood and comfortable

Front 21

The therapeutic relationship involves an educated professional who assists another to seek and use help for _____ and ______.

Back 21

growth and healing

Front 22

Key components of a therapeutic relationship include:
-focus is on the ____, ____ and ____
-______
- ____ are established together

Back 22

patient's ideas, feelings and experiences

non-reciprocal

goals

Front 23

Qualities that are essential to the therapeutic relationship and enhance growth and healing in others include:

Back 23

rapport
respect/unconditional positive regard
genuiness (congruence)
trust

Front 24

When a patient attributes unconscious feelings about another person to his/her nurse it is called ______.

Back 24

transference

Front 25

When a nurse attributes his/her unconscious feelings about someone else to the patient it is called _______.

Back 25

countertransference

Front 26

According to H. Peplau, 4 phases of the therapeutic relationship are:

Back 26

-preorientation
-orientation
-working
-termination

Front 27

The ____ phase of the therapeutic relationship happens before you meet.

Back 27

preorientation

Front 28

Activities that take place during the preorientation phase of the therapeutic relationship include:

Back 28

obtaining patient information, reviewing the chart and assessing your own feelings.

Front 29

During the ____ phase of the therapeutic relationship there is an introduction, trust is established, nurse and patient contract to work together, assessment, formulation of nsg diagnoses, and goals are established.

Back 29

orientation

Front 30

Movement from the orientation to the working phase of the therapeutic relationship is signaled by the

Back 30

willingness of the client to assume a more active role in self-exploration

Front 31

During the ____ phase of the therapeutic relationship there is identification and exploitation as the nurse guides the patient to explore the "heart of the matter" apply interventions, uses problem solving, overcomes resistance and continually evaluates progress.

Back 31

working

Front 32

The phase of the therapeutic relationship most often emphasized by beginners is the _____ phase.

Back 32

working

Front 33

The phase of the therapeutic relationship most often overlooked by beginners is the ______ phase.

Back 33

termination

Front 34

During the ____ phase of the therapeutic relationship, follow up plans are established, and feelings of ending the relationship must be dealt with.

Back 34

termination/resolution

Front 35

The phase of the therapeutic relationship that is vitally important to prevent relapse and maintain change is the ______ phase.

Back 35

termination/resolution

Front 36

_____ is a group of adjustment techniques and equipment (beliefs, values, codes of action) that are characteristic for an individual in meeting various life situations.

Back 36

Personality

Front 37

According to Freud, 3 parts of our personality are the...

Back 37

id, ego, and superego

Front 38

The ____ is the part of our personality that is present at birth. It consists of primitive or instinctual urges. Pleasure principle.

Back 38

Id

Front 39

The _____ is the part of our personality that emerges around 4 months old. It is the problem solver and reality tester.

Back 39

Ego

Front 40

The ____ is the part of our personality that is the last portion to develop.

Back 40

Superego

Front 41

The superego represents our _____ and the ideal rather than the real. It seeks perfection.

Back 41

conscience

Front 42

Freud's psycho-sexual theory stated that _______ is responsible for the development of personality and personality is expressed as behaviors.

Back 42

sexual energy

Front 43

Freud's psycho-sexual stages of development are
infant-
toddler-
preschool-
school-age-
adolescent-

Back 43

infant- Oral
toddler- Anal
preschool- Phallic
school-age- Latency
adolescent- Genital

Front 44

Erikson's ____ theory focused on 8 stages of personality development.

Back 44

psycho-social

Front 45

According to Erikson, the developmental task for
birth to 1 year is

Back 45

trust v. mistrust

Front 46

According to Erikson, the developmental task for
1-3 years is

Back 46

autonomy v. shame and doubt

Front 47

According to Erikson, the developmental task for
3-6 years is

Back 47

initiative v. guilt

Front 48

According to Erikson, the developmental task for
6-12 years is

Back 48

industry v. inferiority

Front 49

According to Erikson, the developmental task for
12-18 years is

Back 49

identity v. role confusion

Front 50

According to Erikson, the developmental task for
18-25 years is

Back 50

intimacy v. isolation

Front 51

According to Erikson, the developmental task for
25-45 (65) is

Back 51

generativity v. stagnation

Front 52

According to Erikson, the developmental task for
45 (65)- death is

Back 52

ego integrity v. despair

Front 53

Harry Stack Sulivan added to Erikson's personality development theory by stating that personality development is influenced by...

Back 53

interactions with significant people in our life.

Front 54

Maslow's hierarchy of needs is

Back 54

self transcendence
self actualization
esteem
love and belonging needs
safety needs
physiological needs

Front 55

Food, water, oxygen, elimination, rest and sex are _____ needs.

Back 55

physiological

Front 56

Security, protection, stability, structure, order and limits are _____ needs.

Back 56

safety

Front 57

Affiliation, affectionate relationships and love are _____ needs.

Back 57

love and belonging

Front 58

Self-esteem related to competency, achievement, and esteem for others are _____ needs.

Back 58

esteem

Front 59

Becoming everything one is capable of is ______.

Back 59

self-actualization

Front 60

_____ needs always take precedence over other needs.

Back 60

Physiological

Front 61

_____ is the ongoing, continual assessment, goal-setting/revising, intervening and evaluating progress towards goals, according to priorities.

Back 61

Nursing process

Front 62

A _____ is a patient identified problem by the nurse for intervention by analysis of assessment findings in comparison with what is considered normal.

Back 62

nursing diagnosis

Front 63

The _____ is the manual of standardized criteria that must be met in order to diagnose a psychiatric illness.

Back 63

DSM IV-TR

Front 64

DSM IV-TR stands for _____.

Back 64

Diagnostic and Statistical Manual of Mental Disorders 4th edition text revision

Front 65

____ forces the clinician to consider a wider range of assessment data and discourages drawing conclusions before assessing the patient thoroughly.

Back 65

Axis criteria

Front 66

Axis ____ describes the current clinical focus. It may be a psychiatric diagnosis or mental health symptom.

Back 66

I

Front 67

Axis ____ describes the personality disorder or developmental delay. Examples could be mild-severe mental retardation, borderline personality, or antisocial personality.

Back 67

II

Front 68

Axis _____ describes the medical illness. Examples could be diabetes or hypothyroidism.

Back 68

III

Front 69

Axis ___ describes the psychosocial stressors of a person. Examples are homelessness, unemployment, or caring for a sick child.

Back 69

IV

Front 70

Axis ____ rates the person according to the global assessment of functioning (GAF).

Back 70

V

Front 71

According to H. Peplau, there are four levels of anxiety:

Back 71

mild
moderate
severe
panic

Front 72

____ anxiety focuses on the situation at hand, enhances problem solving, is conducive to learning and consists of mild restlessness.

Back 72

Mild

Front 73

_____ anxiety focuses on relieving the anxiety-reduced ability to learn, increases sympathetic response, and the BP and P increase.

Back 73

Moderate

Front 74

_____ anxiety causes the person to focus on survival, be dazed or confused, have difficulty making decisions, is unable to learn, and relies on automatic behavior- fright/flight.

Back 74

Severe

Front 75

_____ anxiety causes the person to have no focus. They may lose touch with reality, shout, scream, be mute and make ineffective attempts to relieve the anxiety. They have to have needs met by another person.

Back 75

Panic

Front 76

_____ protect us from too much anxiety due to unacceptable thoughts, most can be used in a healthy manner as well as unhealthy ways.

Back 76

Ego Defense mechanisms