Mental Health Nursing Quiz
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Questions and Answers

What is a key responsibility of a nurse in coordinating care for mental health?

  • Performing surgeries related to mental health conditions
  • Documenting the implementation of the nursing care plan (correct)
  • Providing only emergency care without follow-up
  • Administering all medications without any documentation

Which of the following best defines mental health?

  • A state of constant happiness and absence of stress
  • Only the ability to think rationally
  • The absence of any psychiatric disorder
  • The ability to cope with daily stresses and contribute to the community (correct)

What is NOT a factor that contributes to mental illness?

  • Genetics
  • Social support system
  • Economic status
  • A flawless upbringing (correct)

Milieu therapy primarily involves which of the following?

<p>Creating a therapeutic environment through patient engagement (A)</p> Signup and view all the answers

Which behavior reflects healthy mental health?

<p>Communicating appropriately with others (A)</p> Signup and view all the answers

How does genetics influence mental illness?

<p>Genetics is present in almost every psychiatric disorder (A)</p> Signup and view all the answers

What is an example of altered behavior in mental health?

<p>Obsessive-Compulsive Disorder (D)</p> Signup and view all the answers

What does the term 'milieu therapy' encompass?

<p>Providing a safe therapeutic environment in collaboration with patients (D)</p> Signup and view all the answers

What is a common result of unrecognized transference in nursing relationships?

<p>Blurring of roles (A)</p> Signup and view all the answers

Which term describes a nurse's unconscious display of feelings towards a patient related to the nurse's past?

<p>Countertransference (B)</p> Signup and view all the answers

What might indicate that a nurse's needs are being prioritized over those of a patient?

<p>Significant boundary crossing (A)</p> Signup and view all the answers

Which technique should a nurse use to encourage a patient to express their thoughts?

<p>Use silence effectively (D)</p> Signup and view all the answers

What is the primary purpose of open-ended questions in communication?

<p>To encourage patients to share their experiences and perceptions. (D)</p> Signup and view all the answers

Which of the following describes excessive questioning?

<p>Asking multiple questions in quick succession. (A)</p> Signup and view all the answers

An example of therapeutic communication that involves restating what the patient has said is known as:

<p>Restating (B)</p> Signup and view all the answers

Why is giving advice considered a non-therapeutic communication technique?

<p>It may imply that the nurse does not trust the patient's judgment. (D)</p> Signup and view all the answers

What factor can contribute to boundary violations by a nurse?

<p>Personal needs of the nurse being met (C)</p> Signup and view all the answers

What is the impact of transference on patient-nurse relationships?

<p>Influences the patient's view of the nurse (C)</p> Signup and view all the answers

What is the 'miracle question' designed to achieve?

<p>To assist patients in setting future goals. (D)</p> Signup and view all the answers

Which of the following is a more therapeutic approach to understanding a patient’s situation?

<p>Tell me what you're feeling. (A)</p> Signup and view all the answers

Which of the following is NOT a technique of therapeutic communication?

<p>Silencing the patient (B)</p> Signup and view all the answers

What is the problem with asking 'why' questions during a patient interaction?

<p>They can make patients feel defensive and pressured. (C)</p> Signup and view all the answers

How can giving approval or disapproval impact patient behavior?

<p>It can lead patients to seek validation rather than conviction in their choices. (B)</p> Signup and view all the answers

What is a characteristic of projective questions?

<p>They start with a 'what if' scenario. (D)</p> Signup and view all the answers

Which of the following is a psychological therapy used in the treatment of anorexia nervosa?

<p>Insight-oriented individual therapy (D)</p> Signup and view all the answers

What is an important pharmacological treatment for binge eating disorder (BED)?

<p>Lisdexamfetamine (Vyvanse) (B)</p> Signup and view all the answers

In the management of bulimia nervosa, which strategy is primarily utilized to address underlying causes?

<p>Psychotherapy for underlying causes (C)</p> Signup and view all the answers

Which intervention is often included in treatment plans for patients with anorexia nervosa alongside psychosocial approaches?

<p>Nutrition education (D)</p> Signup and view all the answers

What is a common misconception regarding binge eating disorder?

<p>It is solely about food intake. (B)</p> Signup and view all the answers

Which patient-centered approach is emphasized for individuals dealing with binge eating episodes?

<p>Tracking trigger events (A)</p> Signup and view all the answers

What is a significant risk factor for suicide in older adults?

<p>Being a white male over the age of 75 (D)</p> Signup and view all the answers

What is one method used in integrative medicine for treating mental health issues?

<p>Yoga (A)</p> Signup and view all the answers

What describes mild anxiety and its impact on perception?

<p>It allows for clear perception and effective problem solving. (B)</p> Signup and view all the answers

Which symptoms are commonly associated with moderate anxiety?

<p>Pounding heart and increased pulse rate. (B)</p> Signup and view all the answers

What is a key characteristic of severe anxiety?

<p>Focus on one detail with confusion about the environment. (C)</p> Signup and view all the answers

Which symptom is least likely to be associated with panic-level anxiety?

<p>Clear and rational problem-solving. (C)</p> Signup and view all the answers

What does the term 'selective inattention' refer to in the context of anxiety?

<p>Focusing on only specific details while ignoring others. (A)</p> Signup and view all the answers

What symptom is more likely to occur at the panic level of anxiety?

<p>Automatic behaviors aimed at relieving anxiety. (C)</p> Signup and view all the answers

Which of the following is a common misconception about anxiety?

<p>Anxiety disorders can overlap with physical health problems. (D)</p> Signup and view all the answers

Why is early diagnosis of mental health conditions in older adults crucial?

<p>It allows for appropriate treatment, improving quality of life. (C)</p> Signup and view all the answers

What characterizes Pica in individuals diagnosed with eating disorders?

<p>Ingestion of substances with no nutritional value past toddlerhood (B)</p> Signup and view all the answers

Which of the following statements about Rumination is accurate?

<p>It involves the regurgitation and rereating of food without any medical reason. (A)</p> Signup and view all the answers

What is a key feature of Avoidant/Restrictive Food Intake Disorder?

<p>Related to mealtime difficulties starting in childhood (A)</p> Signup and view all the answers

Which intervention is recommended for a patient with Anorexia Nervosa?

<p>Gradual refeeding with small, frequent meals to avoid refeeding syndrome (D)</p> Signup and view all the answers

In treating Bulimia Nervosa, what should be monitored for physical complications?

<p>Low blood pressure from dehydration and electrolyte imbalance (D)</p> Signup and view all the answers

What is an effective approach for addressing Binge Eating Disorder?

<p>Promoting regular meals with mindful eating practices (D)</p> Signup and view all the answers

What is a primary emotional support strategy for patients with eating disorders?

<p>Providing a safe, non-judgmental environment to express feelings (B)</p> Signup and view all the answers

Which therapeutic intervention is beneficial for patients with Bulimia Nervosa?

<p>Normalizing eating patterns with structured meals and no purging (C)</p> Signup and view all the answers

Flashcards

Nurse Role: Coordination of Care

The nurse ensures the nursing care plan is implemented and documents communication with other healthcare providers.

Nurse Role: Health Teaching

The nurse provides individualized guidance to prevent or reduce mental illness and promote mental health. Examples include community screenings and stress management classes.

Nurse Role: Milieu Therapy

The nurse creates and maintains a safe and therapeutic environment in collaboration with patients, families, and other healthcare professionals.

Nurse Role: Pharmacological Therapies

The nurse assesses a patient's response to medications, provides medication education, and communicates relevant information to other healthcare professionals.

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Mental Health Definition

A state of well-being where individuals can realize their potential, cope with daily stresses, work productively, and contribute to their community.

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Risk Factors for Mental Health

Factors that increase an individual's likelihood of developing a mental illness. These factors can be individual, biological, social, economic, or cultural.

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Mental Illness Definition

A group of psychiatric disorders with identifiable diagnoses. They can affect thinking, emotions, and behavior, and have a variety of causes and risk factors.

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Risk Factors for Mental Illness: Genetics

Genetics play a major role in nearly every psychiatric disorder. Certain genes make individuals more susceptible to developing mental illness.

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Open ended questions

Encourage patients to share their experiences, perceptions, or responses to a situation.

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Closed ended questions

Questions with 'yes' or 'no' answers. Used sparingly for quick information gathering.

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Projective questions

Start with 'what if' to help patients explore and identify thoughts and feelings.

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The Miracle Question

A goal setting question that helps patients envision a future without their problem.

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Excessive Questioning

Asking multiple questions (especially closed-ended) rapidly, making the nurse seem like an interrogator.

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Giving Approval or Disapproval

Can lead to a patient seeking approval from the nurse rather than being motivated by their own conviction.

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Giving Advice

Can interfere with the patient's ability to make their own decisions.

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Asking 'Why' Questions

Implies wrongdoing and can make the patient feel defensive.

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Anorexia Nervosa Treatment

Treatment for anorexia nervosa involves a multidisciplinary approach focusing on medical stabilization, nutritional support, and psychological interventions.

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Bulimia Nervosa Treatment

Treatment for bulimia nervosa involves addressing binge-purge cycles, normalizing eating habits, and addressing underlying psychological factors.

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Binge Eating Disorder Trigger

A binge eating episode is often triggered by emotional distress, such as stress, anxiety, or depression.

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Binge Eating Disorder Treatment

Treatment for binge eating disorder focuses on emotional regulation, healthy coping mechanisms, and addressing underlying psychological factors.

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Depression and Aging

Depression in older adults is not a normal part of aging. It's important to recognize and treat depression.

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Delirium in Older Adults

Delirium is a sudden, reversible cognitive disturbance characterized by confusion, disorientation, and fluctuating attention. It's common in hospitalized older adults.

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Neurocognitive Disorders in Older Adults

Neurocognitive disorders, like Alzheimer's disease, involve progressive decline in cognitive abilities, affecting memory, thinking, and language.

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Alcohol Use Disorder in Older Adults

Older adults can develop alcohol use disorder, which can lead to health problems and social isolation.

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Mild Anxiety

A normal level of anxiety experienced in daily life, characterized by slight discomfort, restlessness, and mild tension-relieving behaviors.

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Moderate Anxiety

Increased anxiety that affects concentration and information processing, with symptoms like increased heart rate, perspiration, and tension.

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Severe Anxiety

A high level of anxiety where concentration and problem-solving are severely impaired, causing confusion and a focus on one or many scattered details.

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Panic

The most extreme level of anxiety, characterized by marked behavioral dysregulation and a loss of contact with reality.

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Selective Inattention

When someone experiencing anxiety only notices certain things in the environment, even when pointed out.

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Somatic Symptoms

Physical symptoms associated with anxiety, such as headache, nausea, dizziness, and insomnia.

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What happens to problem-solving ability with increasing anxiety?

Problem-solving ability decreases as anxiety levels increase, becoming impossible at the panic level.

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What is the difference between mild and moderate anxiety?

Mild anxiety is normal and manageable, while moderate anxiety affects concentration and information processing, making it harder to focus and complete tasks.

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Blurred Boundaries

When professional and personal lines become unclear, often due to transference, countertransference, or unmet nurse needs.

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Transference

A patient unconsciously projects feelings and behaviors onto the nurse, as if the nurse were a significant figure from their past.

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Countertransference

The nurse unconsciously projects their own feelings about someone from their past onto the patient. This often happens in response to a patient's transference.

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Silence in Therapeutic Communication

A powerful tool where the nurse allows space for the patient to gather their thoughts or process information.

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Active Listening

Paying full attention to the patient's verbal and nonverbal communication, demonstrating understanding and respect.

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Paraphrasing

Restating the patient's message in different, often simpler words to ensure the nurse understood correctly.

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Restating

Repeating the patient's key words to show you are listening and paying attention.

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Reflecting

Using questions or statements to show the nurse observes the patient's emotional state or inner feelings.

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Anorexia Nervosa: Signs

Anorexia Nervosa is characterized by an intense fear of gaining weight, a distorted body image, and severe restriction of food intake. Signs include significant weight loss, amenorrhea (loss of menstruation), dry skin, brittle hair, and lanugo (fine, downy hair) growth.

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Bulimia Nervosa: Signs

Bulimia Nervosa involves recurrent episodes of binge eating followed by purging behaviors such as self-induced vomiting, laxative abuse, or excessive exercise. Signs include swollen salivary glands, dental enamel erosion, and electrolyte imbalances.

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Binge Eating Disorder: Signs

Binge Eating Disorder involves recurrent episodes of binge eating without compensatory behaviors. Individuals typically feel a sense of lack of control during binge episodes and experience distress related to their eating.

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Pica: Definition

Pica is a disorder characterized by the persistent ingestion of non-nutritive substances, such as dirt, paint, or paper, for at least one month. This behavior is not part of a cultural practice and is not related to other medical or mental health conditions.

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Rumination Disorder: Definition

Rumination Disorder is characterized by the repeated regurgitation of food that has been partially digested, followed by rechewing, re-swallowing, or spitting out the food. This behavior occurs without any apparent medical or mental health explanation.

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Avoidant/Restrictive Food Intake Disorder: Signs

Avoidant/Restrictive Food Intake Disorder is characterized by a persistent lack of interest in food and difficulties eating. Signs include significant weight loss, a low body mass index (BMI), and concerns about food texture, taste, or smell.

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Anorexia Nervosa: Treatment Goals

The primary goal of treatment for Anorexia Nervosa is to restore a healthy weight. Treatment includes medical stabilization, nutritional support, and psychological interventions to address the underlying distorted body image and eating disorder behaviors.

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Bulimia Nervosa: Treatment Goals

The key goals in treating Bulimia Nervosa are to address the binge-purge cycles, normalize eating habits, and manage the underlying psychological factors contributing to the disorder. Treatment includes therapy, nutritional counseling, and medication when necessary.

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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.

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