MSU NUR 371 Exam 1 Questions and Complete Solutions
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Course
NUR 371
Institution
NUR 371
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 m...
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
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
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