Mental Final - Exam 1

Question 1

Suicidal patient interventions

Answer 1

Assess ideation, plan, and lethality. Contract and monitor closely or put on 1-to-1 if no contract.

Question 2

Three things apparent in patients in a crisis state

Answer 2

Inadequate coping mechanisms, anxiety, and struggle for equilibrium

Question 3

3 reasons for admission to psych unit

Answer 3

Harm to self, harm to others, self neglect

Question 4

Patient rights

Answer 4

Communicate (phone)
Keep personal items
Habeus corpus
Privacy
Informed consent
Refuse treatment

Question 5

Preorientation phase

Answer 5

examine feelings, gather data

Question 6

Orientation phase

Answer 6

Introduce, establish report, BEGIN termination, focus on pt needs

Question 7

Working phase

Answer 7

Implement/evaluate care plan, assess safety, contract

Question 8

Termination phase

Answer 8

Summarize, don’t make promises, be honest.

Question 9

Patients feelings toward a nurse

Answer 9

Transference

Question 10

Nurses feelings toward the patient

Answer 10

Countertransference

Question 11

What does Dopamine effect? What does an increase/decrease cause?

Answer 11

Fine motor movement, emotions, reasoning
Increase: Mania, schizophrenia
Decrease: Parksinson’s, depression

Question 12

What does Serotonin effect? What does an increase/decrease cause?

Answer 12

Sleep, hunger, mood, pain
Increase: Anxiety
Decrease: Depression

Question 13

What does GABA effect? What does an increase/decrease cause?

Answer 13

Inhibitory; reduces aggression.
Increase: Reduced Anxiety
Decrease: Anxiety, Schizophrenia

Question 14

What does Norepinephrine cause? What does an increase/decrease cause?

Answer 14

Mood, fight or flight
Increase: Mania, anxiety, schizophrenia
Decrease: Depression

Question 15

Restraints steps

Answer 15

Verbally descalate
Offer meds
Offer to go to room - decrease stimuli
Show of force
Have patient stay in room
Seclude - Lock door
Restraints

Question 16

Inappropriate affect

Answer 16

Laughs at death

Question 17

Labile affect

Answer 17

Rapid mood changes

Question 18

No connection between thoughts

Answer 18

Looseness of association.

Question 19

Hallucinations

Answer 19

Positive. Auditory, Tactile, Gustatory, Olfactory, Visual

Question 20

Anergia

Answer 20

Negative. Lack of energy

Question 21

Erotomanic

Answer 21

Positive. Believing somebody desires you romantically

Question 22

Avolition

Answer 22

Negative. Reduced motivation, lack of goals

Question 23

Granduer

Answer 23

Positive. Believing you are very important or powerful.

Question 24

Thought insertion

Answer 24

Positive. Believing that another person influences your thoughts or actions

Question 25

Flat affect

Answer 25

Negative. Reduced expression

Question 26

Jealousy

Answer 26

Positive. Believing that one’s mate is unfaithful

Question 27

Anhedonia

Answer 27

Negative. Lack of pleasure and emotion

Question 28

Ideas of reference

Answer 28

Positive. Perceiving events as relating to you when they are not.

Question 29

Alogia

Answer 29

Negative. Poverty of speech; reduction.

Question 30

Somatic

Answer 30

Positive. Believing that the body is changing in an unusual way.

Question 31

Thought blocking

Answer 31

Negative. Sudden interruption in the thought process.

Question 32

Persecution

Answer 32

Positive. Others are out to harm them.

Question 33

Interventions for Poor boundary patients/Manipulative patients

Answer 33

Maintain firm boundaries, BE CONSISTENT. Give two firm choices (Must pick one) and change the subject if they persist.

Question 34

Compensation

Answer 34

Covering up shortcomings

Question 35

Conversion

Answer 35

Unconscious transformation of anxiety into a physical symptom

Question 36

Denial

Answer 36

Escaping unpleasant thoughts by ignoring their existence

Question 37

Displacement

Answer 37

Transference of emotions to another. Kicking the dog.

Question 38

Disassociation

Answer 38

Separation of feeling and thought

Question 39

Identification

Answer 39

Taking on the characteristics of another person or group

Question 40

Intellectualization

Answer 40

Analysis of aspects based on cold facts and no passion

Question 41

Introjection

Answer 41

Incorporating the outside world into the view of the self.

Question 42

Projection

Answer 42

Rejecting unacceptable features and attributing it to other people. I hate you, you must hate me.

Question 43

Rationalization

Answer 43

Justifying illogical or unreasonable ideas

Question 44

Reaction formation

Answer 44

Reacting an exaggerated opposite to how you feel. A man who is gay has a number of conspicuous heterosexual affairs and openly criticizes gays.

Question 45

Regression

Answer 45

Reverting to an earlier childlike pattern or behavior

Question 46

Splitting

Answer 46

See people as all good or all bad.

Question 47

Sublimation

Answer 47

Unconscious replacement of bad qualities for good qualities. Replacing immature with mature.

Question 48

Suppression

Answer 48

Conscious denial of an event.

Question 49

Repression

Answer 49

Unconscious denial of an event.

Question 50

Undoing

Answer 50

When a person makes up for wrongdoing. I kicked your dog so I’ll buy you flowers.

Question 51

Two healthy coping mechanisms

Answer 51

Altruism and sublimation

Question 52

Axis definition

Answer 52

I: Clinical disorder (MDD, Substance abuse. Acute thing that needs treatment)
II: Personality disorder (OCD)
III: Medical Diagnosis (Diabetes)
IV: Environmental factors (Girlfriend broke up)
V: GAF score (50 = discharge).