Psych Midterm Pre-Lecture Questions

True or False: Acculturation is the removal of cultural influences from a person's life.

False

True or False: An advance directive or living will must be signed by attorney.

False

True or False: Assessment is completed when the admission database is done.

False

True or False: Avoidance is the initial stage of a deteriorating nurse-patient relationship.

False

True or False: B.F. Skinner designed the development theory most often used in nursing.

False

True or False: Counseling and psychotherapy are the same.

False

True or False: Defense mechanisms and coping styles are alway maladaptive.

False

True or False: Dopamine is an excitatory neurotransmitter that plays an important role in the generation and maintenance of mood states.

False

True or False: Hildegard Peplau's model of anxiety is no longer useful in contemporary psychiatric nursing practice.

False

True or False: If the nurse seeks to support the client through the decision-making process, giving advice is an important therapeutic intervention.

False

True or False: Involuntary commitment is rarely used to force someone into the hospital for treatment.

False

True or False: Laboratory tests measuring levels of neurotransmitters in the bloodstream are routinely used to diagnose psychiatric disorders.

False

True or False: Providing family therapy is an appropriate role for a generalist psychiatric--mental health nurse.

False

True or False: Psychiatric nursing care is considered to be separate from medical nursing.

False

True or False: Seclusion is often a positive patient experience because it provides for the safety of the patient and the community as a whole.

False

True or False: The federal law requiring hospitals to inform patients about their right to be a central part of any health care decision made about them is called the Americans with Disabilities Act.

False

True or False: The psychiatric nurse-patient relationship is primarily focused on maintaining emotional boundaries.

False

True or False: The recovery process focuses on the illness

False

True or False: There is now conclusive evidence for a completely genetic cause of most psychiatric disorders.

False

True or False: When a client's verbal and nonverbal communication are contradictory, priority should be given to what the client communicates verbally.

False

True or False: With the help of the nurse, a patient learns to manage identified problems during the working stage of the nurse-patient relationship.

False

The nurse-patient relationship is built upon the communication of empathy and rapport.

True

True or False: A mental disorder can disrupt mental health and result in one of the most common causes of disability.

True

True or False: A mental health professional has the "duty to warn" when a client in his or her care has threatened to injure someone.

True

True or False: African Americans are disproportionately diagnosed as having schizophrenia when compared to other groups.

True

True or False: Another name for collaboration in mental health care is the interdisciplinary approach.

True

True or False: Compared to men, more Asian women suffer from depression, yet are less likely than white women to seek out mental health care.

True

True or False: Cultural identity is a set of cultural beliefs with which one looks for standards of behavior.

True

True or False: Epidemiology is important in understanding the distribution of mental illness and determinants of health within a given populations.

True

True or False: GABA, the primary inhibitory transmitter for the CNS, has been implicated in the development of anxiety and seizure disorders.

True

True or False: Informed consent is mandated by state law.

True

True or False: Knowledge of the social domain is important because psychiatric disorders are caused by social factors.

True

True or False: Lack of services is a common barrier for many individuals needing care for a mental disorder.

True

True or False: Many individuals with mental disorders deal with the barrier of self-stigma.

True

True or False: Meditation, guided imagery, and prayer are examples of spiritual interventions.

True

True or False: Neurobiologic theories serve as a basis for understanding and administering medication.

True

True or False: Priority risk factors include risk for violence or suicide.

True

True or False: Self-Awareness is crucial to the establishment and maintenance of therapeutic relationships with patients.

True

True or False: Termination begins the first day of the relationship.

True

True or False: Termination of the nurse-patient relationship occurs during the resolution stage.

True

True or False: The HEARTH Act focuses on providing basic needs of individuals with mental disorders.

True

True or False: The biopsychosocial framework is an organizing framework for understanding the interactive domains of an individual's mental health and matching interventions with their needs.

True

True or False: The concept of object relations is important in understanding how an abused child, under certain circumstances, becomes the adult abuser.

True

True or False: The daily community meeting is an example of structured interaction.

True

True or False: The theories of Harry Stack Sullivan focus on the importance of individual relationships in personality development as opposed to instincts and drives.

True

True or False: Unemployment is a major barrier for individuals working to recover from a mental disorder.

True

True or False: Various endocrine disorders can produce psychiatric symptoms.

True

True or False: When a person with a mental illness shares the public's negative view of mental illness, self-stigma occurs.

True

____________ listening is a priority intervention in which the nurse focuses on what the client is saying in order to search for underlying meaning.

Active

________ refers to the person's capacity to vary outward expression.

Affect

Generally, ________ cultures have a tradition of denying or disguising the existence of mental illnesses.

Asian

Poverty and Stigma are two ________ to recovery

Barriers

Mental disorders are health conditions characterized by alterations in thinking, mood, or ______.

Behavior

In clinical situations, there are often conflicts between two fundamental principles, autonomy and ________.

Beneficence

Mental Health America is best known for its workin in helping the homeless find shelter.

False

Family systems models are used to help nurses form ________ relationships with clients and families dealing with health problems.

Collaborative

_________ is the degree to which a client can understand and appreciate the information given during the consent process.

Competence

Because client records are now readily available and easily accessed, maintaining _________ is a challenge faced by psychiatric nurses.

Confidentiality

Discussing a client's problem with one of his or her relatives without the patient's consent is a breach of ____________.

Confidentiality

______________ is the provider's emotional reaction to the patient based on personal unconscious needs and conflicts.

Countertransference

_________ _________ is developed through cultural awareness, acquisition of cultural knowledge, development of cultural skills, and engagement of numerous cultural encounters.

Cultural Competence

Being empowered or having the free will to make moral judgments is self-______________.

Determinism

_________, norepinephrine, and serotonin are the three neurotransmitters most central to the current hypotheses of mental disorders.

Dopamine

Psychoneuroimmunology explores the relationships among the immune, nervous, and _________ systems.

Endocrine

Informed consent is especially important in research projects involving _________ drugs or therapies.

Experimental

Culture-bound syndromes meet the criteria for some of the DSM-5 disorders.

False

The ____________ population is a group most at risk for being unable to escape the spiral of poverty.

Homeless

The ________ choice model of decision-making can result in poor choices.

Informed

Patients lack _________ when, despite the presence of delusions and hallucinations, they do not believe they are mentally ill.

Insight

The right to refuse treatment is related to the longer concept of the right to be treated in the _______ ____________ _____________.

Least Restrictive Environment

Basic emotions, needs, drives, and instincts begin and are modulated in the _________ system.

Limbic

__________ __________ is the capacity to communicate effectively and convey information that is easily understood by a diverse audience.

Linguistic Competence

_____________ interviewing is a clinical method that focuses and reinforces the patient's own arguments for change.

Motivational

In a ____________ relationship, the nurse and the patient both feel very frustrated and keep varying their approach to establish a meaningful relationship.

Non-therapeutic

The _________ model is used extensively in psychiatric-mental health nursing because it emphasizes the promotion of independence and self-care activities.

Orem's

The health care team should work to develop a _________ with each individual.

Partnership

Many psychiatric disorders produce ___________ symptoms, such as a lack of appetite and weight loss associated with depression.

Physical

__________ recording are verbatim transcripts of interactions, which are useful to the nurse as he or she seeks to learn therapeutic communication.

Process

Mental disorders are often manifested in __________ symptoms and physical changes.

Psychological

An essential feature in a trusting, therapeutic relationship is ________, which is an interpersonal harmony characterized by understanding.

Rapport

Each neurotransmitter has a specific __________, or protein, for which it, and only it, will fit.

Receptor

__________ is the single most important goal for individuals with mental disorders.

Recovery

_______-_________ care is an effective, holistic approach.

Recovery-Oriented

Carol Gilligan's model concludes that females development depends on __________ and not separation as the primary goal of human development.

Relationships

The most widely used cognitive and behavioral approach to pain is ______________.

Relaxation

The practice of psychiatric nursing is regulated by law but guided by __________ of practice.

Scope of Practice

The nurse-client relationship is paramount in psychiatric nursing because the most important tool of psychiatric nursing is the _____.

Self

_____-________ is a process of understanding one's owns beliefs, thoughts, motivations, biases and limitations

Self-Awareness

A person's sense of his or her ability to deal effectively with the environment is called _____-_________.

Self-Efficacy

________ occurs when negative stereotypes are internalized by people with mental illness.

Self-Stigma

One of the most difficult but often most effective communication technique is the use of ____________ during verbal interactions.

Silence

Many groups interventions, as well as milieu therapy, are based on __________ theories.

Sociocultural

A mental illness or mental disorder is a ___________, a set of symptoms that cluster together that may have multiple causes and may represent several different disease state that have not yet been defined

Syndrome

_______ is an instrument that can be used to measure the amount of impairment an individual is experiencing.

The WHO Disability Assessment Schedule 2.0

________________ interventions are needed when patient have difficulties protecting themselves from extremes of heat and cold.

Thermoregulation

The non-therapeutic relationship consists of _______ major and overlapping phases.

Three

Many people with mental health problems are ____________, resulting in lack of income and health insurance.

Unemployed

Access to mental health treatment is particularly limited for people living in rural areas because most mental health services are located in __________ areas.

Urban

When using ___________, the nurse uses "I" statements to check his or her own thoughts and feelings with another person.

Validation

Genetic composition created a ________ to a mental disorder.

Vulnerability