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Nursing 401 Exam #1: Questions With Correct Solutions
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Nursing 401 Exam #1: Questions With Correct Solutions
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Nursing 401 Exam #1: Questions With CorrectSolutions
Health Right Ans - A state of complete physical, mental, and social well-
being and not just the absence of disease or infirmity
Mental health Right Ans - The successful performance of mental function,
resulting in productive activities, fulfilling relationships, and the ability to
adapt to change and cope with adversity
Mental illness Right Ans - A clinically significant behavioral or
psychological syndrome marked by distress, disability, or the loss of freedom
Dual diagnosis Right Ans - Co-occurring mental illness and substance use
disorder
Recovery Right Ans - A process of change through which individuals
improve their health and wellness, live a self-directed life, and strive to reach
their full potential
Substance use disorder Right Ans - The #1 secondary disorder to mental
illnesses
Co-morbidity Right Ans - Two co-occurring chronic illnesses, e.g.
depression and anxiety or depression and diabetes (doesn't have to be 2
mental illnesses)
Adherence Right Ans - Sticking to the developed plan of care developed as
part of the healthcare team
NAMI (Nat. Alliance on Mental Illness) Right Ans - Organization dedicated
to Communicating information, Eliminating stigma, Advocating, Improving
access to treatment, and Integrating mental illness into community
Mental health parity Right Ans - Same coverage for mental health as
physical health (deductible, number of visits, out of pocket expense)
,Increase in psych APRNs, more supportive housing, combined
primary/mental health services, prevent and treat before mentally ill persons
end up in prisons or homeless Right Ans - What are some of the major
future goals of mental health care?
Direct Intervention, Early Response Program (DIVERTS) Right Ans -
Program in KY to decrease hospital stay and have a place to go after
hospitalization
Fayette Mental Health Court (FMHC) Right Ans - Special court where peer
support specialists guide mentally ill individual navigate the court system,
find housing, individualized approach, focus on therapy and recovery rather
than punishment/jail
Tim's Law Right Ans - Bill that lets mentally ill Kentuckians be ordered by
judge into outpatient treatment with public defender representation and
caseworkers monitoring progress; prevents "revolving door" hospitalization
Even if you can find an outpatient provider, the wait can be months, and
meanwhile you run out of meds and the cycle begins again Right Ans - Why
is lack of psychiatric health professionals an issue?
Conduct individual, family, group, and network psychotherapy; prescribe,
monitor, manage, and evaluate psychopharmacological meds Right Ans -
What are 2 things that APRNs can do that RNs cannot?
Revolving door treatment Right Ans - Phenomenon caused by patients
being de-institutionalized without skills to function independently in society,
returning to ED and repeated inpatient admissions
Stigma Right Ans - Widespread fear and misunderstanding of mental
illness, heightened by film, literature, etc.
Talk openly about it, educate yourself and others, don't use labels, encourage
equality of mental and physical illness Right Ans - What are some ways to
fight stigma?
,De-institutionalization Right Ans - Legislation that resulted in mass
movement of severely mentally ill patients from state hospitals to outpatient
care
Victimization Right Ans - Verbal abuse, bullying, threats, theft, physical
assault, and rape of severely mentally ill persons by family, strangers,
healthcare providers
Acute care hospital Right Ans - Highly structured setting that optimizes
safety and addresses crisis intervention, average LOS is 3-7 days, e.g. Good
Samaritan
Long-term hospital Right Ans - Recommended if patient requires longer
than 7 days for illness/symptom stabilization, e.g. Eastern State
Partial hospitalization Right Ans - Alternative for those that need some
supervision but are not appropriate for inpatient hospitalization, e.g. day
programs
Voluntary admission Right Ans - Individual and healthcare professionals
agree on the need for treatment and hospitalization, individual signs consent
Involuntary admission Right Ans - Healthcare professionals feel admission
is necessary but the individual does not want to be admitted
Individual is a danger to themself, others, or are psychotic/out of touch with
reality Right Ans - What are the accepted reasons for inpatient admission?
72 hour hold Right Ans - When patient is admitted against their will, must
stay 3 days, not counting weekends or holidays
Yes Right Ans - Can an involuntary admission become a voluntary
admission?
Least restrictive means of treatment Right Ans - Starting with least
invasive to most extreme action in a crisis
Therapeutic milieu Right Ans - The surroundings and physical
environment of the inpatient hospital unit, a safe space
, Ask patient what's wrong, encourage to go to room, offer prn med orally,
escort to seclusion area, give prn med IM, restrain only if patient is of danger
to self or others Right Ans - What are the steps in the least to most
restrictive means of treatment?
Solution-focused therapy Right Ans - Therapy that looks at present and
future, not past, uses "we" language, focus on identifying and changing the
problem
Looks at times when the problem didn't exist, or ways they've solved the
problem in the past, then practices behaviors to try and solve the problem
Right Ans - How does solution-focused therapy work?
The HCP is not the teacher, gives praise for work done on attempting to solve
the problem, asks goal-oriented questions Right Ans - What is the HCP's
role during solution-focused therapy?
Social connections, learning, good diet, sleep, exercise, physical health, healthy
anxiety, meditation, gratitude, ANT killing Right Ans - Things/behaviors
that help to grow, preserve brain tissue
Lack of interests, bad diet, obesity, insomnia, sedentary lifestyle,
drugs/alcohol/tobacco, brain injury, phobias, excessive anxiety, lack of
appreciation, negative thinking Right Ans - Things/behaviors that hurt the
brain
Logic, math, language, reading, writing, analysis Right Ans - Functions
controlled by the left brain
Personality, creativity, intuition, music, art, spatial abilities Right Ans -
Functions controlled by the right brain
Executive functions, thinking, planning, organizing, problem solving,
emotion/behavior control, personality Right Ans - What does the frontal
lobe control?
Perseveration Right Ans - Persistence of a single thought (as with OCD),
originates in the frontal lobe
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