MSU NUR 371 Exam 1 Questions and
Complete Solutions
Myths about mental illness ✅-Caused by personal weakness
-Not real disease
-No treatment
-Won't affect me
Experience of mental disorder ✅-Those with mental illness are often stigmatized
Stigma surrounding mental illness ✅-Society views mental illness as disgraceful
Prevalence and social impact of mental disorder ✅-Particularly affects younger
population
Role of support and structure ✅-Support provides comfort and sense of security which
lessens anxiety (ex. Unconditional acceptance)
-Structure helps avoid confusion and enhances self esteem (ex. Planning activities)
Three points of continuum ✅-Structure/restrictiveness
-Skills orientation
-Community integration
Continuum of Care ✅Inpatient --> Day Hospital --> Intensive outpatient --> Outpatient -
-> Residential tx --> ACT Team
**Inpatient = MOST structured, most restrictive (institutional)
**ACT = least structured, least restrictive (community)
Community integration relevance ✅ACT Team --> Outpatient --> Residential -->
Inpatient
**ACT Team = MOST
Skills orientation programs ✅-Club House
-Vocational programs
-Day treatment
-Residential treatment
Problems in the mental health service delivery system ✅-Disparities = minorities have
less access, poorer quality services
-Deinstitutionalization = Decrease in inpatients, however no replacement for community
care
Role of nursing in psychiatric care ✅-Assess bio-psycho-social
, -Care planning for both patient and family
-Care organization including access and integration of services
-Promote health by managing effects of disorder
-Milieu management
Therapeutic Milieu ✅The controlled environment of treatment facilities in which
patients are provided with a safe, stable, coherent, therapeutic environment.
Coercion in Mental health care ✅-Must be justified by dangerousness
-Must be least restrictive alternative
-Must be treatment
Types of Psych admission ✅-Voluntary medical
-Voluntary psych
-Involuntary psych
Voluntary medical admission conditions ✅-patient may leave any time they wish
Voluntary psych admission conditions ✅-Patient must provide 3 day notice prior to
leaving
Involuntary psychiatric admission conditions ✅-Civil commitment (may refuse other
treatments)
-Consent of guardian for patients deemed incompetent
-Court order
Civil commitment criteria ✅-Has mental illness AND is danger to self, others, or unable
to provide basic needs to self
Civil commitment procedure ✅1) Petition - states person is mentally ill and a danger
2) 1st medical certificate - 24 hrs for physician or PhD psychologist
3) 2nd medical certificate - 72 hrs for psychiatrist to evaluate
4) Court hearing - 7 days judge can order further treatment
Purpose of psychiatric advance directives (PAD) ✅-Allows surrogate decision maker
when patient lacks decision making capacity due to mental disorder
Ethical and Clinical relevance of culture and spirituality ✅-Influences types of
expressed emotions
-Non-verbal communication
-Expectations and values
Psychoanalytic theory ✅Freud's theory that the structure of personality is composed of
the id, ego, and superego and that mental health depends on keeping the balance
among them
Complete Solutions
Myths about mental illness ✅-Caused by personal weakness
-Not real disease
-No treatment
-Won't affect me
Experience of mental disorder ✅-Those with mental illness are often stigmatized
Stigma surrounding mental illness ✅-Society views mental illness as disgraceful
Prevalence and social impact of mental disorder ✅-Particularly affects younger
population
Role of support and structure ✅-Support provides comfort and sense of security which
lessens anxiety (ex. Unconditional acceptance)
-Structure helps avoid confusion and enhances self esteem (ex. Planning activities)
Three points of continuum ✅-Structure/restrictiveness
-Skills orientation
-Community integration
Continuum of Care ✅Inpatient --> Day Hospital --> Intensive outpatient --> Outpatient -
-> Residential tx --> ACT Team
**Inpatient = MOST structured, most restrictive (institutional)
**ACT = least structured, least restrictive (community)
Community integration relevance ✅ACT Team --> Outpatient --> Residential -->
Inpatient
**ACT Team = MOST
Skills orientation programs ✅-Club House
-Vocational programs
-Day treatment
-Residential treatment
Problems in the mental health service delivery system ✅-Disparities = minorities have
less access, poorer quality services
-Deinstitutionalization = Decrease in inpatients, however no replacement for community
care
Role of nursing in psychiatric care ✅-Assess bio-psycho-social
, -Care planning for both patient and family
-Care organization including access and integration of services
-Promote health by managing effects of disorder
-Milieu management
Therapeutic Milieu ✅The controlled environment of treatment facilities in which
patients are provided with a safe, stable, coherent, therapeutic environment.
Coercion in Mental health care ✅-Must be justified by dangerousness
-Must be least restrictive alternative
-Must be treatment
Types of Psych admission ✅-Voluntary medical
-Voluntary psych
-Involuntary psych
Voluntary medical admission conditions ✅-patient may leave any time they wish
Voluntary psych admission conditions ✅-Patient must provide 3 day notice prior to
leaving
Involuntary psychiatric admission conditions ✅-Civil commitment (may refuse other
treatments)
-Consent of guardian for patients deemed incompetent
-Court order
Civil commitment criteria ✅-Has mental illness AND is danger to self, others, or unable
to provide basic needs to self
Civil commitment procedure ✅1) Petition - states person is mentally ill and a danger
2) 1st medical certificate - 24 hrs for physician or PhD psychologist
3) 2nd medical certificate - 72 hrs for psychiatrist to evaluate
4) Court hearing - 7 days judge can order further treatment
Purpose of psychiatric advance directives (PAD) ✅-Allows surrogate decision maker
when patient lacks decision making capacity due to mental disorder
Ethical and Clinical relevance of culture and spirituality ✅-Influences types of
expressed emotions
-Non-verbal communication
-Expectations and values
Psychoanalytic theory ✅Freud's theory that the structure of personality is composed of
the id, ego, and superego and that mental health depends on keeping the balance
among them
