PSYCHIATRIC MENTAL HEALTH NURSING

PSYCHIATRIC MENTAL HEALTH NURSING

EXAM 1 ALREADY PASSED

What is psychiatric mental health nursing and its main focus? Correct -A core mental health profession that employs a purposeful use of self as its art and a wide range of nursing, psychosocial, and neurobiological theories and research evidence as its science. (ANA, 2007, p.1). Its focus is the treatment of human responses to mental health problems and psychiatric disorders.

Recovering from a mental illness is viewed as a personal journey of healing. What is the goal of recovery? Correct -Is to empower those with mental illness to find meaning and satisfaction in their lives, realize personal potential, and function at their optimal level of independence.

Describe the difference between the nurse-patient relationship and the nurse-patient partnership: Correct -nurse-patient relationship suggests an unequal status with the nurse/health care worker as the person in authority. The nurse-patient partnership is more in line with the emphasis on "relationships" in the recovery model.

In a survey on caring in 1998, emerged 3 themes. Explain all 3: Correct -Caring is evidenced by empathic understanding, actions, and patience on another's behalf.Caring for one another by actions, words, and being there leads to happiness and touches the heart. Caring is giving of self while preserving the importance of self.

What is a patient advocate? And what is not? Correct -Someone who speaks up for another's cause, who helps others by defending and comforting them, especially when the other person lacks knowledge, skills, ability, or status to speak for himself/herself. It is NOT a legal role but rather an ethical one.

What is the DSM-5? Correct -Diagnostic and Statistical Manual of Mental Disorders.5th addition was released in May 2013.

What is mental illness? Correct -It is medical conditions that affect a person's thinking, feeling, mood, ability to relate to others, and daily functioning. It includes flawed biological, psychological, social, and cultural processes.

Euthymia Correct -A normal mood state.

Looseness of association Correct -A pattern of thinking that is haphazard, illogical, and confused, and in which connections in thought are interrupted; it is seen primarily in schizophrenic disorders.

Anorexia Correct -A medical term that signifies a loss of appetite.

Pressure of speech Correct -A speech pattern characterized by forceful energy manifested in frantic, jumbled speech as when a manic individual struggles to keep pace with racing thoughts.

Echolalia Correct -Mimicry or imitation of the speech of another person.

Insight Correct -Understanding and awareness of the reasons for and meaning behind one's motives and behavior.

Perseveration Correct -The involuntary repetition of the same thought, phrase, or motor response (e.g. brushing teeth, walking); it is associated with brain damage.

Delusion Correct -A false belief held to be true even with evidence to the contrary (e.g. the false belief that one is being singled out for harm by others).

Apathy Correct -A state of indifference

Circumstantial Correct -A pattern of speech characterized by indirectness and delay before the person gets to the point or answers a question; the person gets caught up in countless details and explanations.

Grandiosity Correct -Exaggerated belief in or claims about one's importance or identity.

Anxiety Correct -A state of feeling apprehension, uneasiness, uncertainty, or dread resulting from a real or perceived threat whose actual source is unknown or unrecognized.

Hallucinations Correct -A sensory perception (seeing, hearing, tasting, smelling, or touching) for which no external stimulus exists.

Clang association Correct -The meaningless rhyming of words, often in a forceful manner.

Compulsion Correct -Repetitive, seemingly purposeless behaviors performed according to certain rules known to the client to temporarily reduce escalating anxiety.

Affect Correct -The external manifestation of feeling or emotion, which can be assessed by observing facial expression, tone of voice, and body language.

Flight of ideas Correct -A continuous flow of speech in which the person jumps rapidly from one topic to another.

Labile Correct -Characterized by rapid shifts; unstable

Obsession Correct -An idea, impulse, or emotion that a person cannot put out of his or her consciousness; the condition can be mild or severe.

Blocking Correct -A sudden obstruction or interruption in the spontaneous flow of thinking or speaking that is perceived as an absence or deprivation of thought.

Mood Correct -Defined by the American Psychiatric Association as a pervasive and sustained emotion that, when extreme, can markedly color the way the individual perceives the world.

Flat Correct -Absence or near absence of any signs of affective expression.

Tangentiality Correct -A disturbance in associative thinking in which the individual goes off the topic. When it happens frequently and the individual does not return to the topic, interpersonal communication shuts down.

Catatonia Correct -A state of psychologically induced immobilization at times interrupted by episodes of extreme agitation.

Incongruent Correct -The client's affect does not correspond to the content of his/her speech.

Idea of reference Correct -The false impression that outside events have special meaning for oneself.

Judgment Correct -The ability to make logical, rational decisions.

Mania Correct -An unstable elevated mood in which delusions, poor judgment, and other signs of impaired reality testing are evident.

Congruent Correct -The client's affect "matches" the content of his/her/speech.

Blunted Correct -Mild restriction in the range and intensity of emotional expression.

Intellectualization Correct -The use of thinking and talking to avoid emotions and closeness.

What is the foundation of the Standards of Practice for Psychiatric -Mental Health Nursing? Correct -nursing process

What are the 6 QSEN competencies? Correct -What are the 6 QSEN competencies?

What is the purpose of the Mental Status Exam (MSE)? Correct -To evaluate an individual's current cognitive processes.

What are the 4 aspects or considerations that every nurse needs to know when administering psychotropic medications? Correct -Intended action, therapeutic dosage, adverse reactions, and safe blood levels.

What are the 4 basic principles in planning nursing interventions? Correct -Safe, appropriate, individualized, evidenced-based. See pg. 106 planning.

Describe what the new technology "telehealth" refers to: Correct -The use of electronic information and telecommunication technologies to support long-distance clinical healthcare, patient and professional health-related education, public health and health administration.

Define therapeutic communication: Correct -professional, goal-directed,

and scientifically based communication.

Give 9 common "cues" or examples of nonverbal communication: Correct -Physical appearance, facial expressions, body posture, amount of eye contact, eye cast, hand gestures, sighs, fidgeting, and yawning.

When communicating with a patient in a mental health setting what are the 4 goals to help the patient? Correct -Feel understood and comfortable, identify and explore problems relating to others, discover healthy ways of meeting emotional needs, and experience satisfying interpersonal relationships.

There are many communication techniques that nurses can use to enhance their nursing practice. Name at least 10: Correct -using silence, offering self, giving board openings, restating, reflecting, focusing, exploring, making observations, seeking clarification, voicing doubt, summarizing. Table 8.2 pg. 124-125

Define countertransference: Correct -the nurse unconsciously transfers feelings onto the patient that are related to people in their past.

Define transference: Correct -a patient unconsciously transfers feelings onto the nurse that are related to someone from their childhood/past.

Describe the phases of the nurse-patient relationship: Correct -pre-orientation, orientation, working, termination