Unit 1 test

Question 1

mental health

Answer 1

a state of well being in which each individual is able to realize their own potential, cope w stress, work productively, and make a contribution to society

Question 2

mental illness

Answer 2

all mental disorders with definable diagnoses that manifest in significan dysfunction related to developmental, biological, or psychological distubances

Question 3

infancy 0-1.5 dev task

Answer 3

forming attachment to mother wh lays foundations for trust

Question 4

early childhood 1.5-3 autonomy vs shame and doubt

Answer 4

gaining some basic control of self and environment

Question 5

preschool 3-6 initiative vs guilt

Answer 5

becoming purposeful and directive

Question 6

school age 6-12 industry vs inferiority

Answer 6

developing social, physical, and school skills

Question 7

adolescence 12-20 identity vs role confusion

Answer 7

making transition from child to adult, developing a sense of identity

Question 8

early adulthood 20-35 intimacy vs isolation

Answer 8

establishing intimate bonds of love and friendship

Question 9

middle adulthood 35-65 generativity vs self-absorption

Answer 9

fulfilling life goals that involve fy, career, and society, dev concerns that embrace future generations

Question 10

later years 65+ integrity vs despair

Answer 10

looking back over one’s life and accepting its meaning

Question 11

Paplau’s interpersonal theory interventions

Answer 11

observation, interpretation, and intervention, self-awareness
-do with a pt and not to them

Question 12

principle of autonomy

Answer 12

respecting the rights of others to make their own decisions

Question 13

intentional tort

Answer 13

willfull or intentional acts that violate another person’s rights or property
-assault, battery, false imprisonment, invasion of privacy, defamation of character

Question 14

unintentional tort

Answer 14

unintended acts against another person that produce injury or harm
-negligence, malpractice

Question 15

false imprisonment

Answer 15

intent to confine to a specific area, indefensibleuse of seclusion or restraints, detention of voluntarily admitted pt w no agency or legal policies to support detaining

Question 16

duty to warn

Answer 16

when a therapist determines that a pt presents a serious danger of violence to another

Question 17

involuntary admissions

Answer 17

• a person in need of psychiatric treatment, presents danger to self or others, or unable to meet basic needs
• up to 60 days

Question 18

countertransference

Answer 18

unconscious and inappropriately displaces onto the pt feelings and behaviors related to significant figures in the rns past

Question 19

social relationship

Answer 19

primarily initiated for the purpose of frienship, socialization, enjoyment, or accomplishment of a task,mutual needs are met

Question 20

therapeutic relationship

Answer 20

rn maxs communication skills, understanding of human behaviors, and personal strength to enhance the pts growth

Question 21

therapeutic use of self

Answer 21

the ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure rn interventions

Question 22

dissociative identity disorder

Answer 22

safety

Question 23

PTSD

Answer 23

1. re-exxperiencing the trauma, flashbacks
2. avoidance of stimuli associated w event
3. persistant symptoms of arousal, hypervigilance
4. alterations in mood

Question 24

somatic symptom disorders

Answer 24

typically do not accept psychiactric help

Question 25

conversion disorder planning care

Answer 25

channeling emotional conflicts into physical symptoms
-continuity of care, avoid unneccassary tests, provide regular office visits, physical exam, set reasonable therapeutic goals

Question 26

illness anxiety disorder

Answer 26

preoccupation w illness or disease

-somatic symptoms, if present, are mild

Question 27

secondary gains

Answer 27

benefits derived from the symptoms alone

Question 28

factiitous disorder

Answer 28

whereas somatic disorders are not under conscious control, factitous disorder consciously pretend to be sick

Question 29

black box warning for antidepressants

Answer 29

MAOI and hypertensive crisis

seratonin syndrome

Question 30

watch out for antidepressants

Answer 30

dry mouth, sedation, nausea, discontinuation syndrome w abrupt withdrawl-hypomania, akathisia, cardiac arrhythmias, and panic attacks

Question 31

maturational crisis

Answer 31

occurs with development

Question 32

situational crisis

Answer 32

arises from events that are extraordinary, external, and unanticipated

Question 33

ativan teaching

Answer 33

1. don’t drive
2. don’t stop abruptly
   3, don’t drink or use additional CNS depressant
3. assess mood daily-suicide risk
4. don’t stand up fast

Question 34

nursing plan for suicide

Answer 34

1. primary intervention-provide support, information, and education for prevention
2. secondary intervention- actual suicide crisis
3. tertiary intervention- interventions w survivors