NU 103 Lecture 1

Question 1

Dopamine is responsible for?

Answer 1

-Pleasure
-Mood
-Motivation
-Focus
-Learning

Question 2

Serotonin is responsible for?

Answer 2

-mood
-Happiness
-Sleep

Question 3

GABA is Responsible for?

Answer 3

-Relaxation

Question 4

Standardized Screening Tools

Answer 4

-Patient Health Questionnaire (PHQ)
-Mini-Mental State Examination (MMSE)
-Pain Assessment

Question 5

Children And Adolescent Screening Tool

Answer 5

-HEADSS Assessment Tool

Question 6

Older Adults Screening Tools

Answer 6

-GERIATRIC DEPRESSION SCALE
-MICHIGAN ALCOHOLISM SCREENING TEST
-MMSE

Question 7

When treating children and adolescents, always sit or stay?

Answer 7

-At their level.

Question 8

When treating older adults always keep?

Answer 8

-Intermittent eye contact

Question 9

Therapeutic Strategies In Mental Health Settings are?

Answer 9

-Counseling
-Screening
-Self-care promotion
-Milieu Therapy
-Psychobiological Interventions
-Health Teaching
-Health Promotion
-Case management
-Inpatient
-Outpatient
-Cognitive and Behavioral Therapy (CBT)

Question 10

What is the most popular Therapeutic Strategy in Mental Heatht?

Answer 10

-Counseling

Question 11

Benefits of Milieu Therapy?

Answer 11

-Safe
-Structure
-Group Therapy

Question 12

Goal of Milieu Therapy?

Answer 12

-Change in behavior

Question 13

The Priority in mental health is…

Answer 13

-Safety

Question 14

Differences responsibilities between a case management inpatient and outpatient?

Answer 14

-Inpatient is for acute problems and outpatient is for community help and appointments.

Question 15

Cognitive and Behavioral Therapy Goal

Answer 15

-If you change the thought, you will change the behavior.

Question 16

Types of Cognitive and Behavioral Therapy

Answer 16

-Modeling
-Operant Conditioning
-Systematic Desensitization

Question 17

Steps of Systematic Desensitization

Answer 17

-Relaxation
-Hierarchy of Fear
-Talk, Describe, Explain
-Encourage exposure

Question 18

A NURSE IS PREPARING TO PERFORM AN INITIAL CLIENT INTERVIEW. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE IDENTIFY AS THE PRIORITY?

A. COORDINATE HOLISTIC CARE WITH SOCIAL SERVICES
B. IDENTIFY THE CLIENT’S PERCEPTION OF THEIR HEALTH STATUS
C. INCLUDE THE CLIENT’S FAMILY IN THE INTERVIEW
D. TEACH THE CLIENT ABOUT THEIR CURRENT MENTAL HEALTH DISORDER A

Answer 18

B. IDENTIFY THE CLIENT’S PERCEPTION OF THEIR HEALTH STATUS

Question 19

When can the patient make his advance directives?

Answer 19

-Patient need to be at baseline

Question 20

Who needs a copy of the patient’s advance directive?

Answer 20

-PCP
-Family
-Lawyer
-Therapist

Question 21

Nurse Responsibilities

Answer 21

-CONFIDENTIALITY
-HIPAA
-Client Consent
-Breaking Confidentiality
-RESOURCES
-Code Of Ethics For Nurses
-Facility Policy
-Ethics Committees
-Clergy And Spiritual Counselors

Question 22

Types of Admission to a Mental Health Facilities

Answer 22

-Voluntary
-Informal
-Temporary Emergency
-Involuntary
-Long-Term Involuntary

Question 23

Voluntary admission

Answer 23

-Competent and can refuse treatment
-Needs to get evaluated before discharge

Question 24

Informal Admission

Answer 24

-Requests Treatment
-Free to leave

Question 25

Temporary Emergency Admission

Answer 25

-Client is unable to make decisions -No more than 15 days

Question 26

Involuntary Admission

Answer 26

-Against the Client's will -2 physicians need to sign off -No more than 60 days

Question 27

Long-Term Involuntary Admission

Answer 27

-Greater than 60 Days

Question 28

Types of Restrains

Answer 28

-Physical -Chemical

Question 29

Provider needs to reassess client and rewrite the prescription for seclusion or restraints every?

Answer 29

24 hrs

Question 30

Time Limit for seclusions and restraints?

Answer 30

-Age 18 years and older: 4 hr -Age 9 to 17 years: 2 hr -Age 8 years and younger: 1 hr

Question 31

When the patient is in restraints or seclusion nurse should reassess every______? what is the nurse reassessing?

Answer 31

-Every 30 minutes -Color, Movement, Sensation, and Temperature.

Question 32

Seclusion Rooms are for?

Answer 32

-When patients need a timeout.

Question 33

Types of Torts

Answer 33

-Intentional -Unintentional

Question 34

Types of Intentional Torts

Answer 34

-Battery -Assault -False Imprisonment

Question 35

Types of Unintentional Torts

Answer 35

-Negligence -Malpractice

Question 36

In order for nurses to have effective communication , the nurses should not ask about ?

Answer 36

The "why?"

Question 37

A NURSE IS CARING FOR A CLIENT WHO IS IN MECHANICAL RESTRAINTS. WHICH OF THE FOLLOWING STATEMENTS SHOULD THE NURSE INCLUDE IN THE DOCUMENTATION? SELECT ALL THAT APPLY. A. CLIENT ATE MOST OF THEIR BREAKFAST. B. CLIENT WAS OFFERED 8 OZ OF WATER EVERY HOUR AND DRANK 100%. C. CLIENT SHOUTED AT ASSISTIVE PERSONNEL, “I’LL KILL YOU”. D. CLIENT RECEIVED CHLORPROMAZINE 15 MG BY MOUTH AT 1000. E. CLIENT ACTED OUT AFTER LUNCH.

Answer 37

-B. CLIENT WAS OFFERED 8 OZ OF WATER EVERY HOUR AND DRANK 100%. -C. CLIENT SHOUTED AT ASSISTIVE PERSONNEL, “I’LL KILL YOU”. -D. THE CLIENT RECEIVED CHLORPROMAZINE 15 MG BY MOUTH AT 1000.

Question 38

A CLIENT STATES “NO ONE WILL LET ME OUT, I’M BEING HELD AGAINST MY WILL, GET ME OUT OF HERE!” WHICH OF THE FOLLOWING STATEMENTS SHOULD THE NURSE MAKE? A. “AFTER YOU EAT YOU SHOULD FEEL BETTER” B. “WE NEED TO GIVE YOU THE CARE YOU NEED” C. “WHY DO YOU THINK YOU SHOULD LEAVE” D. “YOU FEEL THAT YOU DON’T BELONG HERE”

Answer 38

D. “YOU FEEL THAT YOU DON’T BELONG HERE”

Question 39

Levels of Communication

Answer 39

-Intrapersonal -Interpersonal -Small Group -Public -Electronic

Question 40

Most Important level of communication

Answer 40

-Intrapersonal -Inner thoughts