NURS 4010 Exam #1 Part 1 Questions With Verified Answers
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NURS 4010 Exam #1 Part 1 Questions With Verified Answers
What is mental health?
State of being that is relative, not absolute
-Dynamic state in which thoughts, feelings, and behavior are age appropriate and congruent with local and cultural social norms.
Characteristics of mental health
-P...
NURS 4010 Exam #1 Part 1 Questions With
Verified Answers
What is mental health?
State of being that is relative, not absolute
-Dynamic state in which thoughts, feelings, and behavior are age appropriate and congruent with
local and cultural social norms.
Characteristics of mental health
-Positive attitude toward self
-Growth, development & potential to achieve self-actualization (have all physical and social needs
met)
-Integration: can adapt to stressful situations
-Autonomy: independent and can make own decisions
-Perception of reality is accurate; socially sensitive
-Satisfied with themselves and their role in society
Ego defense mechanisms
largely unconscious distortions of thoughts or perceptions that act to reduce anxiety
i.e. denial, rationalization, etc.
Compensation
a real or perceived weakness by emphasizing a trait one considers more desirable.
-i.e. a physically handicapped boy is unable to participate in football, so he compensates by becoming
a great scholar
Denial
refusing to acknowledge the existence of a real situation
-i.e. a woman who drinks alcohol every day and cannot stop fails to acknowledge that she has a
problem.
Displacement
the transfer of feelings from one target to another that is considered less threatening or neutral.
-i.e. a client is angry at his physician, does not express, but goes home and kicks the dog.
rationalization
Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors
-i.e. "I drink bc it's the only way I can deal with my bad marriage and my worse job"
reaction formation
preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating
opposite thoughts or types of behaviors
-i.e. not liking another teacher but being nice to her.
regression
responding to stress by retreating to an earlier level of development and the comfort measures
associated with that.
-I.e. 2 yo drinking from a bottle when he is hospitalized after he has been drinking from a cup for
many months now.
,identification
an attempt to increase self-worth by acquiring certain attributes and characteristics of an individual
one admires.
-i.e. a teenager who required lengthy rehab after an accident decides to become a PT as a result of his
experiences.
repression
involuntarily blocking unpleasant feelings/experiences
-i.e. an accident victim can remember nothing about the accident.
intellectualization
an attempt to avoid expressing actual emotions associated with a stressful situation by using the
intellectual processes of logic, reasoning and analysis.
-i.e. mary's husband is being transferred with his job to a city far away from her parents. she hides her
anxiety by explaining to her parents the advantages associated with the move.
sublimation
rechanneling of drives or impulses that are personally or socially acceptable into activities that are
constructive.
-i.e. a mother whose son was killed by a drunk driver channels her anger and energy into being the
president of the local chapter of Mothers Against Drunk Driving.
introjection
integrating the beliefs and values of another individual into one's own ego structure.
-i.e. children integrate parents' value system into the process of conscience formation. A child says,
"Don't cheat. It's wrong."
suppression
the voluntary blocking of unpleasant feelings and experiences from one's awareness.
-i.e. "I don't want to think about that now. Let's talk about that tomorrow."
isolation
separating a thought or memory from the feeling tone or emotion associated with it.
-i.e. a young woman describes being attacked and raped, without showing any emotion.
undoing
symbolically negating or cancelling out an experience that one finds intolerable.
-I.e. job is nervous about his new job and yells at his wife. On his way home, he stops and buys her
some flowers.
projection
attributing feelings or impulses unacceptable to one's self to another person.
-i.e. sue feels a strong sexual attraction to her track coach and tells her friend, "he's coming on to
me!"
Primary symptoms
, directly caused by illness
Secondary symptoms
caused by person's response to illness (e.g. alienation, loneliness, social isolation, low self esteem,
etc.)
Mental illness/disorder
clinically significant behavior or psychological syndrome or pattern that is associated with present
distress (painful sx) or disability (impairment in one or more important areas of functioning) or with
significant increased risk suffering, death, pain, disability, or important loss of freedom
Psychotic disorder
distortion of reality; loss of reality testing with delusions, hallucinations & illusions
-Severe mental illness: i.e. schizophrenia
Neurotic disorder
no loss of reality testing; anxiety disorders, OCD, phobias, etc.
-based on mainly intrapsychic conflicts or life events that cause anxiety
-appears as a symptom such as a phobia, obsession, or compulsions
Incidence
the number of new cases
prevalence
the number of ALL cases (old and new) at a given time
Stigma
sense of being discredited or shamed bc of illness
-causes a lot of people to not get help
Consumer advocacy & support groups
NAMI/Mental Health Association
Institutionalization
inpatient
1946: Hill Burton Act
Deinstitutionalization
outpatient facility created
1963: The Community Health Centers & Reconstruction Act
1980: The Community Mental Health Systems Act
1982: Omnibus Budget Reconciliation Act
Results of: homeless mentally ill, revolving door syndrome (frequent flyer), and learned helplessness
(don't know how to take care of self)
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