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NUSC 3P14 EXAM QUESTIONS AND COMPLETE ANSWERS
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NUSC 3P14 EXAM QUESTIONSAND COMPLETE ANSWERS
Stigmatized health conditions - Answer STDs, Depression, Anxiety, Postpartum
Depression, Menopause, Personality Disorders, etc
Factors changing public attitudes - Answer More research, social media, education &
awareness
Reasons for mental illness stigma - Answer Lack of understanding about illnesses and
how they work
Influences on perceptions about mental illness - Answer Social media, awareness,
peers
Effects of stigma on people with mental illness - Answer Self-conscious, ashamed,
unable to share personal lives or ask for help
Negative attitudes in medical settings - Answer Lack of dignity and caring, devaluing
mental health needs, lack of skills, knowledge, and education among nurses
Definition of Mental Health - Answer State of well-being, ability to cope with stress, work
productively, make a contribution to the community
Definition of Mental Illness - Answer Wide range of behavior, thinking, emotions that
bring distress, suffering, impairment in everyday functioning
Mental health and illness continuum - Answer Optimal mental health with and without
mental illness, poor mental health with and without mental illness
Determinants of Mental Health - Answer Cultural beliefs, negative influences, health
practices, hormonal influences, biological influences, inherited factors, environmental
experiences, available support, spirituality and religious influences, family and friends,
developmental events, personality traits and states, demographic and geographic
locations
Diagnosing mental illness - Answer American Psychiatric Association (APA),
International Classification of Diseases (ICD-11), DSM-5, NANDA
Levels of Psychiatric Nursing Practice - Answer Basic Level, Advanced practice
Psychiatric Mental Health Nurses - Answer Purposeful use of self, work with people
throughout the lifespan, educated and registered, employed in various settings
Future Challenges and Directions - Answer Aging population, increasing cultural
,diversity, community and social inclusion of mental health interventions, strengthening
nursing roles, addressing mental health care access
Mental Status Examination (MSE) - Answer Diagnostic tool to assess behavioral and
cognitive functioning, determine reasons for admission and ongoing crisis, assess risk
of harm, note patient's words and mental state
Components of MSE - Answer Appearance, Behavior, Speech, Affect and Mood,
Thought, Perception, Cognition, Judgement and Insight, Ideas of harming self or others
Therapeutic Relationship - Answer Professional relationship with the purpose of
working and caring for the patient, has boundaries, specific timeline, and set
expectations
Goals for a therapeutic relationship - Answer Identify and explore patient's needs,
promote self-care and independence, facilitate communication of distressing thoughts
and feelings, establish clear boundaries, assist in problem-solving approaches, health
teaching, develop new coping skills, encourage behavioral change
Factors that promote a therapeutic relationship - Answer Empathy, competence,
listening, trust, health promotion
Transference and Countertransference - Answer Transference: patient displaces
feelings related to significant figures onto nurse,
Countertransference: nurse displaces feelings related to people onto patient
Peplau's Model of Nurse-Patient Relationship - Answer Pre-Orientation phase,
Orientation phase, Working phase, Termination phase
Cultural Considerations - Answer Communication style, eye contact, touch, cultural
filters
Process Recording - Answer Written record of nurse-patient session to identify
communication patterns and improve communication and interviewing
Delirium vs Dementia - Answer Delirium: acute onset, altered LOC, disorientation,
delusional thinking, hallucinations, secondary to physiological condition, reversible.
Dementia: progressive deterioration of cognitive functioning, no change in
consciousness, global impairment of intellect, memory problems, irreversible
Nursing Process for Delirium - Answer Diagnosis: Acute confusion, Risk for injury, Risk
for deficient fluid volume. Outcomes identification, Implementation: prevent harm,
comprehensive nursing assessment, assist with health management, provide support,
Evaluation
Neurocognitive Disorders (NCD) - Answer Disorders resulting from changes in the
brain, characterized by disturbances in orientation, memory, intellect, judgement, and
, affect
7+1 A's of Dementia - Answer Amnesia, Aphasia, Apraxia, Agnosia, Apathy,
Anosognosia, Altered perception, Attentional deficits
Etiology and Risk Factors of Dementia - Answer Neurotransmitters, neuronal
degeneration, genetic factors, cardiovascular disease, high cholesterol, diabetes,
sedentary lifestyle, smoking
Pathophysiology of Alzheimer's Disease - Answer Neurofibrillary tangles, extracellular
neuritic plaques, degeneration of neurons and synapses, cortical atrophy, inflammatory
processes, vascular injury, neurotransmitter depletion, mitochondrial dysfunction
Diagnosis of Alzheimer's Disease - Answer Medical and psychiatric history, MRI/CT and
PET scans, cognitive assessment tools, DSM-5 criteria
Types of Neurocognitive Disorders - Answer AD, Dementia with Lewy bodies, Vascular
dementia, Frontotemporal dementia, Parkinson's disease, Huntington's disease,
Creutzfeldt-Jakob disease
Stages of Alzheimer's Disease - Answer Preclinical stage, Mild/Early stage,
Moderate/Middle stage, Severe/Late stage
Treatment of Alzheimer's Disease - Answer Acetylcholinesterase inhibitors, NMDA
receptor antagonists, clinical trials in progress
Sundowning Syndrome - Answer State of confusion, aggression, agitation, restlessness
occurring in the late afternoon and night, caused by tiredness, hunger, pain, lack of
exposure to sunlight, boredom, disturbance to body clock, sensory impairment, mood
disorders
Suicide - Answer Intentional act of killing oneself by any means
Committed suicide, Successful suicide, Failed suicide - Answer Historical term used to
describe someone who died by suicide, or an attempt at suicide that was not successful.
Suicide/Suicided, Death by suicide, Completed suicide, Attempted suicide - Answer
Acceptable terms used to describe someone who died by suicide, or attempted suicide.
Survivors of suicide - Answer Term used for family members of a suicide victim.
Risk Factors for suicide - Answer Psychiatric disorder, addiction, depression, Bipolar,
schizophrenia, Non-cis/heterosexual community, indigenous population, athletes,
males, youth, poverty, previous suicide attempts, single, occupational stress, easy
access to weapon, elderly, genetics,
Biological risk factors for suicide - Answer Neurotransmitter system- Inconclusive
results regarding the relationship between neurotransmitter systems and
suicide.Serotonin levels- Low serotonin levels may lead to depressed mood and suicidal
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