PRN 1562 Exam Mental Health Nursing Test Bank Latest Update 2024/2025, Exams of Nursing

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Rasmussen College

PRN 1562 Final Exam Mental Health Nursing Test Bank

• Latest Update
• Final Exam, Exam 1 - 2
• Actual Exam Q&A

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

QUESTION

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

QUESTION initiative

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION 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

QUESTION

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

QUESTION

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.

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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."

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION paraphrasing

Answer: therapeutic communication technique- restating in different words

QUESTION

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

QUESTION

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

QUESTION

exploring Answer: therapeutic communication technique tell me more about your relationship with your wife

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

rights for involuntarily committed patients Answer: freedom from unreasonable restraints right to informed consent right to refuse medication

QUESTION

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

QUESTION 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.

QUESTION

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

QUESTION

benzodiazepines Answer: anxiety short term PRN may cause addiction

QUESTION

typical antipsychotic Answer: schizophrenia EPS NMS

QUESTION

atypical anti psychotic Answer: metabolic syndrome- heart disease, diabetes

QUESTION

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

QUESTION

ego

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

QUESTION

superego Answer:

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

QUESTION

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

QUESTION

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

QUESTION

ethics

Answer: the principles of conduct governing an individual or group

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

QUESTION

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

PRN 1562 Exam 2

QUESTION

tricyclic antidepressants Answer: drugs used to treat severe depression. High risk for orthostatic hypotension

QUESTION

Bipolar 2 Answer: major depression and hypomania

QUESTION

Hypomanic

Answer: Episode characterized by higher then usual energy levels

• Inappropriately happy, energetic

QUESTION

Bipolar 1 Nutrition Answer: Provide protein shakes and finger foods

QUESTION

PTSD Symptoms Answer: Nightmares and hallucinations

QUESTION

Compulsive Behaviors Answer: Allow completion before addressing

QUESTION

Chronic Stress

Answer: Increases susceptibility to illness

QUESTION

Alzheimer's Patient Misplacement Answer: Return to their room

QUESTION

Fluxamine (Luvox) Answer: Prescribed for anxiety and depression - SSRI

QUESTION

Donepezil (Aricept) Answer: Alzheimer's medication good for all stages.

QUESTION

Citalopram (Celexa) interactions

Answer:

QUESTION

Haloperidol Answer: First-generation antipsychotic with risk of TD and EPS

QUESTION

Lithium Answer: Mood stabilizer - requires 3 - 6 weeks to show full results

QUESTION

aphasia Answer: impairment of language, usually caused by left hemisphere damage either to Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).

QUESTION

Apraxia

Answer: impaired ability to carry out motor activities despite intact motor function

QUESTION

Agnosia Answer: the inability to recognize familiar objects.

QUESTION

Buspirone (Buspar) Answer: Takes 2 - 4 weeks for full effect

QUESTION

Phenelzine Diet Answer: Low thiamine content

QUESTION

Serotonin Syndrome

Answer: Symptoms include diarrhea, fever, increased sweating, and tachycardia

QUESTION

Stress Reduction Techniques Answer: Incorporate deep breathing exercises

QUESTION

Anxiety Signs and Symptoms Answer: Tremors, diaphoresis, increased blood pressure;

• feeling of impending doom

QUESTION

Anxiety Answer: Poor coping skills, or have been subjected to extensive periods of stress, may become debilitating.

QUESTION

Dementia Answer: Slow onset, permanent condition

QUESTION

Hallucination or Delusion Answer: Do not engage or reinforce, meaning do not play along.

QUESTION

Safety Measures with seclusion Answer: Seclusion for self and others' protection; dementia patients at risk for injury

QUESTION

Lamotrigine - Side Effect Answer: Skin rash