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What is a key responsibility of a nurse in coordinating care for mental health?
What is a key responsibility of a nurse in coordinating care for mental health?
Which of the following best defines mental health?
Which of the following best defines mental health?
What is NOT a factor that contributes to mental illness?
What is NOT a factor that contributes to mental illness?
Milieu therapy primarily involves which of the following?
Milieu therapy primarily involves which of the following?
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Which behavior reflects healthy mental health?
Which behavior reflects healthy mental health?
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How does genetics influence mental illness?
How does genetics influence mental illness?
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What is an example of altered behavior in mental health?
What is an example of altered behavior in mental health?
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What does the term 'milieu therapy' encompass?
What does the term 'milieu therapy' encompass?
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What is a common result of unrecognized transference in nursing relationships?
What is a common result of unrecognized transference in nursing relationships?
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Which term describes a nurse's unconscious display of feelings towards a patient related to the nurse's past?
Which term describes a nurse's unconscious display of feelings towards a patient related to the nurse's past?
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What might indicate that a nurse's needs are being prioritized over those of a patient?
What might indicate that a nurse's needs are being prioritized over those of a patient?
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Which technique should a nurse use to encourage a patient to express their thoughts?
Which technique should a nurse use to encourage a patient to express their thoughts?
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What is the primary purpose of open-ended questions in communication?
What is the primary purpose of open-ended questions in communication?
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Which of the following describes excessive questioning?
Which of the following describes excessive questioning?
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An example of therapeutic communication that involves restating what the patient has said is known as:
An example of therapeutic communication that involves restating what the patient has said is known as:
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Why is giving advice considered a non-therapeutic communication technique?
Why is giving advice considered a non-therapeutic communication technique?
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What factor can contribute to boundary violations by a nurse?
What factor can contribute to boundary violations by a nurse?
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What is the impact of transference on patient-nurse relationships?
What is the impact of transference on patient-nurse relationships?
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What is the 'miracle question' designed to achieve?
What is the 'miracle question' designed to achieve?
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Which of the following is a more therapeutic approach to understanding a patient’s situation?
Which of the following is a more therapeutic approach to understanding a patient’s situation?
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Which of the following is NOT a technique of therapeutic communication?
Which of the following is NOT a technique of therapeutic communication?
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What is the problem with asking 'why' questions during a patient interaction?
What is the problem with asking 'why' questions during a patient interaction?
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How can giving approval or disapproval impact patient behavior?
How can giving approval or disapproval impact patient behavior?
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What is a characteristic of projective questions?
What is a characteristic of projective questions?
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Which of the following is a psychological therapy used in the treatment of anorexia nervosa?
Which of the following is a psychological therapy used in the treatment of anorexia nervosa?
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What is an important pharmacological treatment for binge eating disorder (BED)?
What is an important pharmacological treatment for binge eating disorder (BED)?
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In the management of bulimia nervosa, which strategy is primarily utilized to address underlying causes?
In the management of bulimia nervosa, which strategy is primarily utilized to address underlying causes?
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Which intervention is often included in treatment plans for patients with anorexia nervosa alongside psychosocial approaches?
Which intervention is often included in treatment plans for patients with anorexia nervosa alongside psychosocial approaches?
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What is a common misconception regarding binge eating disorder?
What is a common misconception regarding binge eating disorder?
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Which patient-centered approach is emphasized for individuals dealing with binge eating episodes?
Which patient-centered approach is emphasized for individuals dealing with binge eating episodes?
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What is a significant risk factor for suicide in older adults?
What is a significant risk factor for suicide in older adults?
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What is one method used in integrative medicine for treating mental health issues?
What is one method used in integrative medicine for treating mental health issues?
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What describes mild anxiety and its impact on perception?
What describes mild anxiety and its impact on perception?
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Which symptoms are commonly associated with moderate anxiety?
Which symptoms are commonly associated with moderate anxiety?
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What is a key characteristic of severe anxiety?
What is a key characteristic of severe anxiety?
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Which symptom is least likely to be associated with panic-level anxiety?
Which symptom is least likely to be associated with panic-level anxiety?
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What does the term 'selective inattention' refer to in the context of anxiety?
What does the term 'selective inattention' refer to in the context of anxiety?
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What symptom is more likely to occur at the panic level of anxiety?
What symptom is more likely to occur at the panic level of anxiety?
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Which of the following is a common misconception about anxiety?
Which of the following is a common misconception about anxiety?
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Why is early diagnosis of mental health conditions in older adults crucial?
Why is early diagnosis of mental health conditions in older adults crucial?
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What characterizes Pica in individuals diagnosed with eating disorders?
What characterizes Pica in individuals diagnosed with eating disorders?
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Which of the following statements about Rumination is accurate?
Which of the following statements about Rumination is accurate?
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What is a key feature of Avoidant/Restrictive Food Intake Disorder?
What is a key feature of Avoidant/Restrictive Food Intake Disorder?
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Which intervention is recommended for a patient with Anorexia Nervosa?
Which intervention is recommended for a patient with Anorexia Nervosa?
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In treating Bulimia Nervosa, what should be monitored for physical complications?
In treating Bulimia Nervosa, what should be monitored for physical complications?
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What is an effective approach for addressing Binge Eating Disorder?
What is an effective approach for addressing Binge Eating Disorder?
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What is a primary emotional support strategy for patients with eating disorders?
What is a primary emotional support strategy for patients with eating disorders?
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Which therapeutic intervention is beneficial for patients with Bulimia Nervosa?
Which therapeutic intervention is beneficial for patients with Bulimia Nervosa?
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Study Notes
Mental Health and Mental Wellness
- Nurses in mental health coordinate care plans, document coordination, teach health, and maintain mental health.
- Milieu therapy creates a safe and therapeutic environment.
- Nurses use pharmacological, biological, and integrative therapies by applying knowledge and teaching about medications, noting patient responses, and communicating with other healthcare staff.
- Mental health is a state of well-being where individuals realize potential, cope with stress, work productively, and contribute to the community.
- Mental illness encompasses all psychiatric disorders with diagnosable characteristics.
Risk Factors for Mental Health
- Individual attributes and behaviors include inherent and learned traits affecting social interactions and self-perception; biological/genetic factors influence resilience and response to stress.
- Social and economic circumstances, family dynamics, school, and peer groups influence coping skills. Socioeconomic status affects access to essential resources for well-being.
- Environmental factors, including political climate, cultural norms, and access to resources, influence community mental health.
Therapeutic Relationships
- Establishing boundaries in nurse-patient relationships is crucial, adhering to legal and ethical standards to avoid violations.
- Transference occurs when patients unconsciously transfer feelings from past relationships onto the nurse.
- Countertransference is the reverse, where nurses project their own past experiences onto patients.
Therapeutic Communication Techniques
- Active Listening: paying attention to verbal and nonverbal cues, responding, and showing understanding.
- Clarifying Techniques (Paraphrasing, Restating): restating the patient's message in different words.
- Silence: allowing time to process thoughts
- Excessive Questioning: asking multiple questions in a quick succession creates a sense of interrogation.
- Giving Approval/Disapproval: can make the patient focus on winning the nurse's approval, rather than self-improvement.
- Giving Advice: disrupts a patient's capacity to make their own decisions.
Eating and Feeding Disorders
- Pica: ingestion of non-nutritious substances (dirt, paint); not limited to childhood.
- Rumination: regurgitating, rechewing, re-swallowing, spitting food.
- Avoidant/Restrictive Food Intake Disorder (ARFID): avoidance/restriction of food intake—can start in childhood.
- Anorexia Nervosa: monitoring vital signs and labs (electrolytes, CBC), gradual refeeding, emotional support, focusing on health, not appearance, and collaborating with dietitians,
- Bulimia Nervosa physical complications of purging (electrolytes, dehydration, dental issues), encouraging non-purging coping methods, cognitive behavioral therapy.
- Binge Eating Disorder: monitoring weight, promoting healthy eating patterns, and providing emotional support.
Pharmacological Interventions for Eating Disorders
- Anorexia Nervosa: psychosocial intervention, pharmacotherapy, nutrition, health teaching, promotion, safety, and teamwork. Integrative therapies (yoga, massage, acupuncture, bright light therapy). Insight-oriented individual therapy, adolescent-focused therapy, family therapy, and cognitive-behavioral therapy.
- Bulimia Nervosa: inpatient care, interrupting cycles, normalizing eating habits, addressing underlying issues, counseling, promoting health, teamwork, advanced practices and psychotherapy.
Neurocognitive and Older Adults
- Depression, anxiety disorders, and suicide risk are crucial concerns in aging, particularly in white males over 75.
- Delirium: acute cognitive disturbance—often reversible.
- Neurocognitive disorders (e.g., Alzheimer's, dementia).
- Alcohol use disorder and pain are common concerns.
Anxiety Disorders
- Mild anxiety is a normal aspect of daily life.
- Moderate anxiety: reduces ability to process information, selective inattention.
- Severe anxiety: difficulty focusing on surroundings
- Panic: extreme anxiety, loss of touch with reality, difficulty processing. Anxiety can cause physical stress in the form of an elevated heart rate, muscle tension, digestive problems, breathing difficulties, fatigue, headaches, and sleep disturbances.
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Description
Test your knowledge on the key responsibilities and concepts in mental health nursing. This quiz covers essential topics like milieu therapy, therapeutic communication, and the impact of genetics on mental illness. Perfect for nursing students and professionals looking to refresh their understanding of mental health care.
