Test Review

Question 0

Etiology of mental disorders

Answer 0

Abnormal response to stress- stuck in a fight or flight stage

Question 1

Define mental disorder

Answer 1

Maladaptive response to stressors from internal or external environment evidenced by thoughts, feelings, or behaviors incongruent with local or cultural norms

Question 2

General adaptation syndrome- stages

Answer 2

Alarm stage
Resistance stage
Stage of exhaustion or death

Question 3

Types of admissions

Answer 3

Voluntary

Involuntary

Question 4

Voluntary admission

Answer 4

201
Initiated by patient
Formal agreement to be hospitalized

Question 5

Involuntary admission

Answer 5

Not requested by patient
Need for emergency evaluation
Must be formally discharged

Question 6

When you can force Meds

Answer 6

Mentally incompetent
In emergency
Endangers another person

Question 7

DSM IV

Answer 7

1- clinical disorders 
2- personality disorders
3- general medical conditions
4- psychosocial problems
5- global assessment of functioning (#s)

Question 8

Phases of nurse patient relationship

Answer 8

Preinteraction
Orientation phase
Working phase
Termination phase

Question 9

Confidentiality

Answer 9

Need trust and rapport, be honest

Question 10

Trust

Answer 10

Necessary to develop any relationship, must be earned, keep promises, be honest, be confidential

Question 11

Therapeutic use of self

Answer 11

Ability to use ones personality consistently and to full awareness in attempt to establish relatedness and structure interventions

Question 12

Being supportive in nurse to relationship

Answer 12

Empathy and genuineness

Question 13

Ethical treatment

Answer 13

Christian values- do to others as you would have done to you

Question 14

Types of therapeutic communication

Answer 14

Silence, accepting, recognition, offering yourself, offer general lead, restate, reflect, focus, explore present reality

Question 15

Non therapeutic communication

Answer 15

Reassurance, rejection, giving your opinion or advice, defending, belittling, denial, interpreting

Question 16

Erik Ericsson

Answer 16

Basic assumption that social factor is more important in personality development, critical tasks must be achieved at each stage

Question 17

Harry stack Sullivan

Answer 17

Personality and experiences relate to anxiety- good me, bad me, not me

Question 18

Need for family therapy

Answer 18

Preferred unit of treatment, framework views pt as expressing pathology within his or her family

Question 19

Benefits of group therapy

Answer 19

Explores patients goals, insights, problem solving strategies, concerns, and feelings, modeling

Question 20

Benefits of group therapy

Answer 20

Efficient use of resources, cost effective, therapeutic benefits, logical

Question 21

Stages of group development

Answer 21

Initial- anxiety, cliques, attention competition
Middle- group is more cohesive, members talk, help others
Termination- evaluate and discuss resources

Question 22

Roles of groups in therapy

Answer 22

Monopolizer
Complainer
Demoralizer
Silent member

Question 23

Monopolizer

Answer 23

Talks excessively

Question 24

Complainer

Answer 24

Won't accept help

Question 25

Demoralizer

Answer 25

No empathy for others

Question 26

Silent member

Answer 26

May not feel safe or sense of belonging

Question 27

Optimum group size

Answer 27

8-10

Question 28

Curative factors

Answer 28

Instillation of hope, universality, imparting info, altruism, corrective recapulation, development of social techniques, imitate behavior, interpersonal learning, catharsis, extensitial factors, group cohesiveness

Question 29

Instillation of hope

Answer 29

Seeing others progress may motivate them to get better

Question 30

Universality

Answer 30

Validating they're not alone

Question 31

Imparting information

Answer 31

Formal- info from leader | Informal- info from members

Question 32

Altruism

Answer 32

Offering support and feeling better or useful

Question 33

Corrective recapitulation

Answer 33

Behavior has been influenced by family

Question 34

Socialization techniques

Answer 34

Direct- here to learn social skills | Indirect- through unplanned feedback

Question 35

Imitative behavior

Answer 35

Tries to be like another person

Question 36

Interpersonal learning

Answer 36

Through interaction with others they acquire insight

Question 37

Catharsis

Answer 37

Expressing intense emotion

Question 38

Existential factors

Answer 38

Life isn't fair

Question 39

Group cohesive

Answer 39

Sense of belonging

Question 40

Cognitive therapy

Answer 40

Client focuses on connections between thoughts, mood, and behavior. Explores between distorted or automatic thoughts and aids in reality based thinking

Question 41

Projective therapy techniques

Answer 41

Music therapy, dance therapy, art therapy, bibliotherapy (reading books)

Question 42

Schizophrenia definition

Answer 42

Combination of disordered thinking, perceptual disturbance, behavioral abnormalities, affective disruptions, and impaired social function

Question 43

Psychotic symptoms

Answer 43

Inappropriate affect, blunted affect, flat affect, anhedonia (can't experience pleasure), hallucinations, delusions, disorganized thinking, loose associations, echolalia (repeated words), neologism (made up words) word salad, clang association, concrete thinking, poor concentration, memory deficient, impaired problem solving, lack of motivation, social isolation

Question 44

Nursing management of symptoms

Answer 44

Help attain highest level of functioning, social skills, self esteem, reduce anxiety, teach, limit hyperactivity, self care

Question 45

Positive schizophrenia symptoms

Answer 45

Not normally seen in healthy people- hallucinations, delusions

Question 46

Negative symptoms in schizo

Answer 46

Decreased activity, limited speech, minimal self care

Question 47

Anti psychotic drug adverse reactions

Answer 47

Dystonic- muscle spasm Parkinsonism Akathesia- Inability to sit or stand still Tardive dyskensia- permanent twitches

Question 48

Primary nursing diagnoses

Answer 48

Altered thought process, altered sensory perception, high risk for violence, self care deficit

Question 49

Pharmacological treatment

Answer 49

Conventional/neuroleptics- phenothiazines, relieve positive symptoms New Meds- eliminate both negative and positive symptoms- risperdal