PRN 1562 Exam 1 Mental Health Nursing Guide Latest Update 2024/2025 Questions and Verified, Exams of Nursing

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PRN1562/ PRN 1562 Exam 1

(New 2024/ 2025 Update)

Mental Health Nursing Guide

Questions and Verified

Answers

100%Correct Grade A –

Rasmussen

PRN 1562 Exam 1

QUESTION

maslows hierarchy of needs Answer: cannot be on a level higher than a level that you have not completed

QUESTION

Trust vs mistrust Answer: age birth to 1.5 years task-basic sense of trust and physical feeling of comfort decreases fear

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autonomy vs shame and doubt Answer: 1.5 to 3 years task- gain self control and independence in the environment

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initiative vs guilt Answer: 3-6 years task-acheive a sense of purpose and mastery over tasks

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industry vs inferiority Answer: 6-12 years task-gain a sense of self confidence through learning, competing and performing sucessfully

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identity vs role confusion Answer: 12-20 years task-integrate all tasks into a secure sense of self

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intimacy vs isolation Answer: 20-30 task- forming a boding social relationship

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generativity vs self absorption Answer: 30-65 achieve life goals and obtain concern for wellness of future generations

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integrity vs depair

Answer: 65-death task-derive meaning from ones whole life, obtain self worth

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dopamine Answer: decreases parkinsons, depression, increase schizeophrenia mania. used for cognition, motivation and movement controls emotional responses of brains rewards and pleasure centers

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serotonin Answer: decrease depression increase anxiety regulates mood arousal attention behavior and body temperature

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nor epinephrine Answer: regulates mood, attention and arousal. stimulates CNS increases mania anxiety and schizophrenia decreases depression

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GABA

Answer: anti convulsion muscle relaxant impairs cognition and psycho motor functions reduces anxiety excitation aggression. role in pain perception decreases mania, anxiety and schizophrenia

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orientation phase Answer: atmospere established, nurse role is defined, contract containing date, time, place of meeting, confidentiliaty is discussed. terms of termination discussed, atmosphere of trust

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working phase Answer: maintain relationship, gather more data, promote problem solving skills, facilitate behavior change, evaluate problems and goals

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termination phase Answer: summarizes goals and objectives achieved, how to incorperate into daily life, echanging memories, by sharing this phase with patient is shows you care.

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nurse client relationship Answer: facilitates comunication of distressing thoughts feelings and assisting patients with problem solving. helps patients examine self defeating behaviors. promotes self care and independence

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social relationship Answer: initiates for friendship socialization, enjoyment includes giving advice approval and disapproval and meetings basic dependency needs.

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transference Answer: person consciously and inappropriately displaces anger to a different person

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counter transference Answer: tendency of a nurse to displace onto the patient feelings related to people of in the past

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nursing process Answer: assessment -hx, interview, MSE diagnosis -identify problem nursing DX prioritizing tx. outcome- identify attainable outcomes planning - identify safe interventions implementation-practicing interventions, meds and advanced practice evaluation document results of evaluation if not reached and then revise

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goal development Answer: contains attainable cultural sensitive goals that can be measured with a time limit

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mental health Answer: being comfortable with yourself feeling good about relationships with others being able to meet the demands of life

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mental illness Answer: low self esteen and self concept unable to relate to others incapable to relate to others unable to distinguish between reality, fantasy and imagination

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parts of MSE Answer: personal info- age, gender, marital status, relision, race employment appearance- grooming, hygiene, pupils, facial expression, HT, WT, tattoos, age behavior- body movements, abnormal movements, level of eye contact

speech- rate, slow, rapid, volume, slurring, tone, stuttering affect/mood- flat, bland, animated, angry, sad, labile, euphoric thought- disorganized, coherent, flight of ideas, delusions, obsessions perceptual disturbance- hallucinations delusions cognition- A&O*3 LOC, memory attention, insight, judgement

QUESTION

empathy Answer: Understanding the feelings of someone else "How upsetting this must be for you."

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sympathy Answer: we feel the feelings of others "I know exactly how you feel"

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use of silence Answer: therapeutic communication technique-giving the patient time for thought

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clarifying Answer: therapeutic communication technique- to reflect and ask questions to make sure you understand

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paraphrasing Answer: therapeutic communication technique- restating in different words

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restating Answer: therapeutic communication technique mirroring what the patient just said

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reflecting Answer: therapeutic communication technique "you sound as if you have many disappointments"

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exploring Answer:

therapeutic communication technique tell me more about your relationship with your wife

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projective question Answer: therapeutic communication technique "what if" questions (if you had three wishes?) used to explore

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presupposition question Answer: therapeutic communication technique the "miracle" question identifies goals

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non therapeutic techniques Answer: asking excessive questions-especially close ended giving approval disapproval-implies nurse can judge advising, giving advice asking why questions

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rights for involuntarily committed patients Answer:

freedom from unreasonable restraints right to informed consent right to refuse medication

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duty to warn Answer: telling a patients potential victim of potential harm

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seclusion Answer: used when behaior is harmful to self or others when alternative methods are unsuccessful (verbal, medication) when a decrease in sensory stimuli is needed when a patient requests it.

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SSRI

Answer: fluoxetine (prozac) sertaline (zoloft) paroxetine (paxil) side effects: increased serotonin nausea, vomiting

QUESTION

Tricyclics

Answer: Amitriptylene (elavil) Imipramine (tofranil) increased norephinephrine anticholinergic effects fatal in overdose

QUESTION

MAOI

Answer: Phenelzine (Nardil) Tranykcyromine (parnate) EPS AM hypertensive crisis if ingested with tyramine (beer, wine, aged cheese, organ meat, avacados

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benzodiazepines Answer: anxiety short term PRN may cause addiction

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typical antipsychotic Answer: schizophrenia EPS NMS

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atypical anti psychotic

Answer: metabolic syndrome- heart disease, diabetes

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serotonin syndrome Answer: can happen when central serotonin receptors are activated from interaction with other drugs S/S hyperactivity, tachycardia, fever, increased BP, altered mental status, mood swings, seizures, tonic rigidity, ABD pain, apnea and death TX/ meaures discontinue, meds propranolol, dantrolene, diazepam anticonvulsants, artificial ventilation, paralysis

QUESTION

Id Answer: acts on pleasure, regardless of consequence, infantile it is of the unconscious mind

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ego Answer: regulates the id, more realistic, still seeks pleasure but makes more socially responsible decisions, it is instinctive helps with problem solving

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superego Answer: it is the problem soler reality tester it is of the conscious, and has morals

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ethnicity Answer: a state of belonging to a social group that has a common national or cultural tradition

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culture Answer: a set of shared attitudes, values, goals, and practices that characterizes an institution or organization

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ethics Answer: the principles of conduct governing an individual or group

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negligence

Answer: ethical principle- act or omission of an act that breaches the duty of due care and results in injury

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autonomy Answer: ethical principle- respecting the rights of others to make own decisions, such as the right to refuse medications

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justice Answer: ethical principle- duty to distribute resources and care equally, spending time with each patient equally

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beneficence Answer: ethical principle- the duty to act as to benefit or promote the good of others such as spending extra time with a highly anxious patient

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fidelity Answer:

ethical principle- maintaining loyalty and commitment to the patient and doing no wrong, maintaining expertise in nursing cares through education demonstrates fidelity

QUESTION

veracity Answer: ethical principle- duty to communicate truthfully describing medications in a truthful and non misleading way for example