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Mental Health > Mental Health Final > Flashcards

Mental Health Final Flashcards

1
Q

A person charged with murder was found guilty but mentally ill This individual…..
A. Will spend the rest of his life in a psychiatric facility
B. Will spend the rest of his life in prison.
C. May be eligible for parole

A

C

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2
Q

Able to distinguish right from wrong

A

legal sanity

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3
Q

Knew act was wrong but could not control behavior

A

Irresistible impulse

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4
Q

Insanity defense where perpetrator are put in the correctional system, but receive treatment for their mental illness, and may be eligible for parole

A

Guilt but mentally ill

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5
Q

Defendant’s present thinking at time of trial

A

Competence to proceed

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6
Q

Public official charged with duty of determining how and why people die

A

Nurse Coroner/Death Investigator

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7
Q

Characteristics of family functions

A

Patterns of behavior and interaction

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8
Q

One or more children who live with married parents who are the biological or adoptive parents to all the children

A

Nuclear family

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9
Q

One or more children living with at least one biological or adoptive parent and a related adult who is not a parent

A

Extended family

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10
Q

Focuses on developing increased self, other, and family awareness among family members.

A

Insight-oriented family therapy

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11
Q

Focuses on changing behaviors of family members to influence overall patterns of family interactions.

A

Behavioral family therapy

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12
Q

A member of the family typically regarded by family members a the problem, and needs to be fixed

A

Identified patient

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13
Q

When the tension builds between two adults, a third person may be brought in by one of the members, the focus is off the issue between the two adults, relieving the tension

A

Family triangle

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14
Q

A form of displacement in which a family member (usually the least powerful) is blamed for another family member’s distress.

A

scapegoating

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15
Q

A situation in which a positive command (often verbal) is followed by a negative command (often nonverbal), which leaves the recipient confused, trapped, and immobilized because there is no appropriate way to act.

A

Double-bind communication

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16
Q

Characterized by the consistent adherence to rules and roles, some apparent and some less so.

A

Rigid or disengaged boundaries

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17
Q

One or more children living with a biological or adopitve parent and an unrelated stepparent who are married to eachother

A

Blended Family

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18
Q

Less supportive family health and often are enacted in families in which members are over-involved with one another.

A

Diffuse or enmeshed boundaries

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19
Q

Acknowledging and non-judgmentally addressing the sociocultural background of others

A

cultural sensitivity

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20
Q

The family of a child with attention deficit hyperactivity disorder (ADHD) and behavioral problems is referred for family therapy. Select the appropriate goal for family therapy.

A

The parents will provide structure and limit setting.

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21
Q

A genogram should include minimum of how many generations.

A

3

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22
Q

One advantage of alternative medicine is that it:

a. ) allows companies other than pharmaceutical manufacturers to profit
b. ) offers a more cost-effective alternative for persons without health insurance
c. ) gives the patient more control over his or her treatment
d. ) enables people to use the Internet to research treatments before using them

A

C

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23
Q

Allopathic, mainstream, or orthodox medicine;regular medicine; and biomedicine are terms that refer to…..

A

integrative health care

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24
Q

In traditional Chinese healing, which event occurs first?

A

Awakening

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25
Q

Used for centuries to improve mood and to alleviate pain.

A

St. John’s wort

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26
Q

An extract from a root that was used for centuries by Native Americans to ease pain associated with rheumatism, sore throat, and menstrual discomfort.

A

Black cohosh

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27
Q

Uses small doses (dilutions) of specially prepared plant extracts, herbs, minerals, and other materials to stimulate the body’s defense mechanisms and healing process

A

Homeopathy

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28
Q

Emphasizes health restoration rather than disease treatment and combines nutrition, homeopathy, herbal medicine, hydrotherapy, and other therapies.

A

Naturopathy

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29
Q

A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?

a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.

A

B

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30
Q

When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice

A

C

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31
Q

Ability and capacity to secure resources needed to support well-being. Is essential to recover and can be learned.

A

Resilience

32
Q

Which individual is demonstrating the highest level of resilience? One who:

a. is able to repress stressors.
b. becomes depressed after the death of a spouse.
c. lives in a shelter for two years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.

A

D

33
Q

Complete this analogy. NANDA: clinical judgment: NIC: _________________

a. patient outcomes
b. nursing actions
c. diagnosis
d. symptoms

A

B

34
Q

A person (usually a male) runs around engaging in almost indiscriminate violent behavior

A

Running amok

35
Q

An uncontrollable desire to tear off one’s clothing and expose one self to severe winter weather

A

Pibloktoq

36
Q

A citizen at a community health fair asks the nurse, What is the most prevalent mental disorder in the United States? Select the nurses best response.

A

Alzheimer’s disease

37
Q

In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who:

a. describes hearing Gods voice speaking.
b. is usually pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs met.

A

A

38
Q

broad field that addresses studies of the natural history (or what happens if there is no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening tests, and observational and experimental studies of interventions used to treat people with the illness or symptoms.

A

Clinical epidemiology

39
Q

The spouse of a patient diagnosed with schizophrenia says, I dont understand how events from childhood have anything to do with this disabling illness. Which response by the nurse will best help the spouse understand the cause of this disorder?

a. Psychological stress is the basis of most mental disorders.
b. This illness results from developmental factors rather than stress.
c. Research shows that this condition more likely has a biological basis.
d. It must be frustrating for you that your spouse is sick so much of the time

A

C

40
Q

A patient in the emergency department says, Voices say someone is stalking me. They want to kill me because I developed a cure for cancer. I have a knife and will stab anyone who is a threat. Which aspects of the patients mental health have the greatest and most immediate concern to the nurse? Select all that apply.

a. Happiness
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work
e. Healthy self-concept

A

BCE

41
Q

A person has a highlevel of resilience. Which other characteristic would the nurse expect this person to have?

A

Optimism

42
Q

A parent says, My 2-year-old child refuses toilet training and shouts No! when given directions. What do you think is wrong? Select the nurses best reply.

a. Your child needs firmer control. It is important to set limits now.
b. This is normal for your childs age. The child is striving for independence.
c. There may be developmental problems. Most children are toilet trained by age 2.
d. Some undesirable attitudes are developing. A child psychologist can help you develop a plan.

A

B

43
Q

A 26-month-old displays negative behavior, refuses toilet training, and often says, No! Which stage of psychosexual development is evident?

A

Anal

44
Q

A 26-month-old displays negative behavior, refuses toilet training, and often says, No! Which psychosocial crisis is evident?

A

Autonomy vs. Shame

45
Q

A 4-year-old grabs toys from siblings and says, I want that now! The siblings cry, and the childs parent becomes upset with the behavior. According to Freudian theory, this behavior is a product of impulses originating in which system of the personality?

A

Id

46
Q

The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. The nurse supports this use of praise related to these behaviors. These qualities are likely to be internalized and become part of which system of the personality?

A

Superego

47
Q

An adult says, I never know the answers, and My opinion doesnt count. Which psychosocial crisis was unsuccessfully resolved for this adult?

A

Autonomy versus shame and doubt

48
Q

Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?

a. I have very warm and close friendships.
b. Im afraid to allow anyone to really get to know me.
c. Im always absolutely right, so dont bother saying more.
d. Im ashamed that I didnt do things correctly in the first place.

A

B

49
Q

A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?

A

Oral

50
Q

A patient expresses a desire to be cared for by others and often behaves in a helpless fashion. Which stage of psychosexual development is most relevant to the patients needs?

A

Oral

51
Q

Although ego defense mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is that:

a. defense mechanisms are intrapsychic and not observable.
b. defense mechanisms cause arrested personal development.
c. security operations are masterminded by the id and superego.
d. security operations address interpersonal relationship activities.

A

D

52
Q

A nurse consistently encourages patient to do his or her own activities of daily living (ADLs). If the patient is unable to complete an activity, the nurse helps until the patient is once again independent. This nurses practice is most influenced by which theorist?

a. Betty Neuman
b. Patricia Benner
c. Dorothea Orem
d. Joyce Travelbee

A

C

53
Q

Operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique applies?

a. Encourage the child to observe others talking.
b. Include the child in small group activities.
c. Give the child a small treat for speaking.
d. Teach the child relaxation techniques.

A

C

54
Q

A nurse influenced by Peplaus interpersonal theory works with an anxious, withdrawn patient. Interventions should focus on:

a. rewarding desired behaviors.
b. use of assertive communication.
c. changing the patients self-concept.
d. administering medications to relieve anxiety.

A

B

55
Q

Consider this comment from a therapist: The patient is homosexual but has kept this preference secret. Severe anxiety and depression occur when the patient anticipates family reactions to this sexual orientation. Which perspective is evident in the speaker

A

Theory of interpersonal relationships

56
Q

A psychotherapist works with an anxious, dependent patient. Which strategy is most consistent with psychoanalytic psychotherapy?

a. Identifying the patients strengths and assets
b. Praising the patient for describing feelings of isolation
c. Focusing on feelings developed by the patient toward the therapist
d. Providing psychoeducation and emphasizing medication adherence

A

C

57
Q

A person says, I was the only survivor in a small plane crash. Three business associates died. I got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and Im better now. Which type of therapy was used?

a. Milieu therapy
b. Psychoanalysis
c. Behavior modification
d. Interpersonal psychotherapy

A

D

58
Q

Which technique is most applicable to aversion therapy?

A

Punishment

59
Q

A patient repeatedly stated, Im stupid. Which statement by that patient would show progress resulting from cognitive behavioral therapy?

a. Sometimes I do stupid things.
b. Things always go wrong for me.
c. I always fail when I try new things.
d. Im disappointed in my lack of ability.

A

A

60
Q

A patient says, I always feel good when I wear a size 2 petite. Which type of cognitive distortion is evident?

A

Overgeneralization

61
Q

A nurse and patient discuss a problem the patient has kept secret for many years. Afterward the patient says, I feel so relieved that I finally told somebody. Which term best describes the patients feeling

A

Catharsis

62
Q

Which comments by an adult best indicate self-actualization? Select all that apply.

a. I am content with a good book.
b. I often wonder if I chose the right career.
c. Sometimes I think about how my parents would have handled problems.
d. Its important for our country to provide basic health care services for everyone.
e. When I was lost at sea for 2 days, I gained an understanding of what is important.

A

ADE

63
Q 
Which theorist most influenced the professional practice of psychiatric nursing?
A. Harry Stack Sullivan
B. Hildegard Peplau
C. Erik Erikson
D. Ivan Pavlov
A

B

64
Q

The schemas (assumption about self), automatic thoughts, and cognitive distortions are terms that relate to:

A

cognitive-behavioral theory

65
Q

If a person has decreased circulating levels of GABA, which health problem would be expected

A

Anxiety disorder

66
Q

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

A

Reduced anxiety

67
Q

An occupational health nurse screens factory workers for depression. Which level of prevention is applicable to this activity?

A

Secondary

68
Q

A hospitalized client diagnosed with major depression tells the nurse, “I need my belt to keep my pants up. They keep falling down.” Which response should the nurse provide?
A. “Your belt is locked in the business office for safekeeping, along with all of your other valuables.
B. For safety reason, hospitalized clients are not allowed to keep certain personal possessions
C. “I cannot provide your belt, but I will help you get some pants with an elastic waistband.”
D. I will ask the psychiatric technician to get your belt for you.”

A

C

69
Q

Which worldview would the nurse anticipate from a client who says, “It is important to save enough money to take care of yourself in your old age. We should not rely on anyone else to take care of us.”

A

Western (science)

70
Q

Which term refers to individuals’ belief that their cultural values and practices are correct and superior to those of others?

A

Ethnocentrism

71
Q

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

A

Ethics

72
Q

Respecting the rights of others to make their own decisions

A

Autonomy

73
Q

Procedure followed to challenge unlawful detention by the government in order to free a person

A

Writ of habeas corpus

74
Q

A patient with major depression walks and moves slowly. which term should the nurse use to document this finding?

A

psychomotor retardation

75
Q

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?

A

dopamine-blocking effects

Mental Health (2 decks)

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