NURS 6670 Final Exam Study Guide Chapter 1 to 39;
Graded A
NURS 6670 Final Exam Study Guide Chapter 1 to 39
NURS 6670 Final Exam - PMH Nurse Practitioner Role 11 Case Study,
Mohr: CHAPTER 1, Introduction to Psychiatric–Mental Health Nursing
1. Karen is a 25- year-old white woman who lives alone in an apartment
with her dog. Karen has been divorced for 2 years and is taking Prozac
prescribed by her psychiatrist for depression. Karen and her boyfriend
had been discussing marriage until he told her that he wanted to end
their relationship. Karen became even more depressed and could not
work for a week. Karen returned to work, refusing to discuss her issues
with family, friends, or coworkers. She did, however, make an
appointment to see a psychiatric nurse practitioner. Karen told the nurse
that she was making some changes in her life. Karen said that she and a
girlfriend were joining a gym program for workouts and a social group
for young men and women. Karen stated that she realizes that her former
boyfriend had not been committed to her, and she anticipates meeting
and dating other young men from the adult social group. Karen also said
that she thinks that the gym exercise will be beneficial to her mentally
andphysically. (Learning Objectives: 1, 4) Case Study, Mohr:
CHAPTER 2, Neuroscience: Biology and Behavior 1. Michael is a 22-
year-old college senior whose GPA has declined with this semester’s
grades. Michael plans to apply to medical school and thinks that the
lower GPA may prevent his acceptance to medical school. For the last 2
weeks, Michael has skipped most classes because he has insomnia and
fatigue. Michael is now very depressed and has been thinking of suicide.
He took a loaded gun from his father’s gun cabinet and then wrote a
suicide note to his family. At the last moment, he telephoned 911 and
,told them of his suicide plan. The police came, took the gun away, and
then took Michael to the city hospital to be admitted for psychiatric
treatment. In the admission interview with the psychiatric nurse, Michael
said that his pastor thought that only weak-willed people experienced
depression and that it was a punishment for personal sins and the sins of
one’s ancestors. Michael told the nurse that he must be weak-willed and
will never be able to accomplish anything. The psychiatric nurse
explained that multiple factors are the cause of depression. The nurse
told Michael that one theory holds that an imbalance of
neurotransmitters, or chemical messengers of the brain, occurs in
depression. Neurotransmitters influence the individual’s emotions,
thoughts, and subsequent behavior. Recent research implies that
neurobiology, heredity, as well as Psychological and environmental
factors may be involved in the development and progression of
depression. (Learning Objectives: 5, 6) Case Study, Mohr:
CHAPTER 3, Conceptual Frameworks and Theories:
The student nurse has been assigned a 37-year-old woman admitted to the
psychiatric hospital with an anxiety disorder. This morning, the student
notices that the client has a tense facial expression and is walking
constantly around the group room. The student walked over to the client
and used reflective communication by stating, “I see that you have a
tense expression and are walking around almost all of the time. Is there
something that we could discuss?” The client replied that she has talked
on the telephone to her mother who was keeping her children while she
was in the hospital. The client said that her mother had told her that she
was not a good mother, and then said, “I guess I am a bad mother, but I
could never measure up to my mother’s expectations.” The student has
learned that negative self-talk can greatly aggravate anxiety and lead to
depression. The student decided to use a behavioral intervention with the
, client and asked the client who is a good artist and why the client liked
the artist’s works. The student and the client then made a list of activities
that the client liked. The student taught the client to engage in one of
these activities when an unpleasant experience evoked negative thoughts.
The following day, the student decided that the client needed some
cognitive restructuring for her relationship with her mother. The student
taught the client that during discussions with her mother, feelings of
incompetence might be experienced when the mother made negative
comments. The client was instructed that if her mother made negative
comments about parenting, she was to immediately tell her mother that
she was a good parent to her children and terminate the conversation at
the first opportunity.(Learning Objective: 3) Case Study,Mohr:
CHAPTER 4, Evidence-Based Practice Case Study, Mohr:
CHAPTER 5, Legal and Ethical Aspects 1. Gerald, a 22-year-old
black man, has a diagnosis of schizoaffective disorder. Gerald has
been living at home, but this afternoon he had a physical fight with
the neighbors and set a fire in their garage to burn their house. His
father took him to the local psychiatric hospital and said that he wants
an involuntary commitment for Gerald since he will not agree to
the hospitalization. The father expressed concern over Gerald’s legal
rights. The psychiatric nurse practitioner recommends to the father
that he commit Gerald on involuntarily for emergency care for a
period of 72 hours since he is clearly a danger to others. The nurse
explains that Gerald will be evaluated to determine if he needs
involuntary detention for observation and treatment for a longer
period of time. The nurse explains that Gerald will be periodically
evaluated, and that when it is determined that he is no longer a danger
to others or himself, Gerald will be released from the
hospital.(Learning Objectives: 4, 5) Case Study, Mohr:
Graded A
NURS 6670 Final Exam Study Guide Chapter 1 to 39
NURS 6670 Final Exam - PMH Nurse Practitioner Role 11 Case Study,
Mohr: CHAPTER 1, Introduction to Psychiatric–Mental Health Nursing
1. Karen is a 25- year-old white woman who lives alone in an apartment
with her dog. Karen has been divorced for 2 years and is taking Prozac
prescribed by her psychiatrist for depression. Karen and her boyfriend
had been discussing marriage until he told her that he wanted to end
their relationship. Karen became even more depressed and could not
work for a week. Karen returned to work, refusing to discuss her issues
with family, friends, or coworkers. She did, however, make an
appointment to see a psychiatric nurse practitioner. Karen told the nurse
that she was making some changes in her life. Karen said that she and a
girlfriend were joining a gym program for workouts and a social group
for young men and women. Karen stated that she realizes that her former
boyfriend had not been committed to her, and she anticipates meeting
and dating other young men from the adult social group. Karen also said
that she thinks that the gym exercise will be beneficial to her mentally
andphysically. (Learning Objectives: 1, 4) Case Study, Mohr:
CHAPTER 2, Neuroscience: Biology and Behavior 1. Michael is a 22-
year-old college senior whose GPA has declined with this semester’s
grades. Michael plans to apply to medical school and thinks that the
lower GPA may prevent his acceptance to medical school. For the last 2
weeks, Michael has skipped most classes because he has insomnia and
fatigue. Michael is now very depressed and has been thinking of suicide.
He took a loaded gun from his father’s gun cabinet and then wrote a
suicide note to his family. At the last moment, he telephoned 911 and
,told them of his suicide plan. The police came, took the gun away, and
then took Michael to the city hospital to be admitted for psychiatric
treatment. In the admission interview with the psychiatric nurse, Michael
said that his pastor thought that only weak-willed people experienced
depression and that it was a punishment for personal sins and the sins of
one’s ancestors. Michael told the nurse that he must be weak-willed and
will never be able to accomplish anything. The psychiatric nurse
explained that multiple factors are the cause of depression. The nurse
told Michael that one theory holds that an imbalance of
neurotransmitters, or chemical messengers of the brain, occurs in
depression. Neurotransmitters influence the individual’s emotions,
thoughts, and subsequent behavior. Recent research implies that
neurobiology, heredity, as well as Psychological and environmental
factors may be involved in the development and progression of
depression. (Learning Objectives: 5, 6) Case Study, Mohr:
CHAPTER 3, Conceptual Frameworks and Theories:
The student nurse has been assigned a 37-year-old woman admitted to the
psychiatric hospital with an anxiety disorder. This morning, the student
notices that the client has a tense facial expression and is walking
constantly around the group room. The student walked over to the client
and used reflective communication by stating, “I see that you have a
tense expression and are walking around almost all of the time. Is there
something that we could discuss?” The client replied that she has talked
on the telephone to her mother who was keeping her children while she
was in the hospital. The client said that her mother had told her that she
was not a good mother, and then said, “I guess I am a bad mother, but I
could never measure up to my mother’s expectations.” The student has
learned that negative self-talk can greatly aggravate anxiety and lead to
depression. The student decided to use a behavioral intervention with the
, client and asked the client who is a good artist and why the client liked
the artist’s works. The student and the client then made a list of activities
that the client liked. The student taught the client to engage in one of
these activities when an unpleasant experience evoked negative thoughts.
The following day, the student decided that the client needed some
cognitive restructuring for her relationship with her mother. The student
taught the client that during discussions with her mother, feelings of
incompetence might be experienced when the mother made negative
comments. The client was instructed that if her mother made negative
comments about parenting, she was to immediately tell her mother that
she was a good parent to her children and terminate the conversation at
the first opportunity.(Learning Objective: 3) Case Study,Mohr:
CHAPTER 4, Evidence-Based Practice Case Study, Mohr:
CHAPTER 5, Legal and Ethical Aspects 1. Gerald, a 22-year-old
black man, has a diagnosis of schizoaffective disorder. Gerald has
been living at home, but this afternoon he had a physical fight with
the neighbors and set a fire in their garage to burn their house. His
father took him to the local psychiatric hospital and said that he wants
an involuntary commitment for Gerald since he will not agree to
the hospitalization. The father expressed concern over Gerald’s legal
rights. The psychiatric nurse practitioner recommends to the father
that he commit Gerald on involuntarily for emergency care for a
period of 72 hours since he is clearly a danger to others. The nurse
explains that Gerald will be evaluated to determine if he needs
involuntary detention for observation and treatment for a longer
period of time. The nurse explains that Gerald will be periodically
evaluated, and that when it is determined that he is no longer a danger
to others or himself, Gerald will be released from the
hospital.(Learning Objectives: 4, 5) Case Study, Mohr:
