Mental Quiz #1
Mental Health Quiz 1
Chapter 2: Mental Disorders and Recovery
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Mental disorders involve changes in thinking, mood, or behavior that cause distress or impaired functioning1.
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Disorganized thinking impacts behavior1.
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Recovery is the most important goal for individuals with mental disorders1.
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Guiding principles of recovery:
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Recovery is goal-oriented1.
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Motivation is essential for achieving recovery and is fueled by hope1.
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Hope helps individuals and families overcome challenges1.
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Recovery comes from hope, providing a message that a better future is possible2....
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Stigma refers to negative attitudes toward mental illness2.
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Cultural syndrome refers to signs/symptoms specific to a particular culture2.
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Recovery-Oriented Care is facilitated through hope3.
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Trauma-Informed Care acknowledges that individuals may have experienced trauma, which varies for each person3.
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Avoid re-traumatizing the patient by asking if they want to discuss their trauma; if they decline, do not press them3.
Chapter 3: Cultural and Social Factors and Beliefs About Mental Illness
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Cultural considerations:
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Asians may avoid labeling4.
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African Americans may rely on family support4.
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Native Americans may focus on healing4.
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Religion involves belief in a god and worship within a community4.
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Spirituality involves connecting to oneself, the universe, or a higher power, without necessarily involving worship or community4.
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Self-transcendence, a type of spirituality, involves appreciating a dimension beyond oneself5.
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Spirituality includes finding a sense of purpose in life5.
Chapter 10: Principles of Therapeutic Communication
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The patient is the primary focus in a nurse-patient relationship5.
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Phases of Therapeutic Communication:
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Working phase5
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Termination phase: Patients may bring up old issues to prolong the relationship as the final meeting approaches5.
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Orientation Phase: The nurse assesses the patient's perception of the problem6.
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Resolution Phase6
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Verbal Communication:
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The process starts with an idea6.
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Silence allows patients time to recollect and organize their thoughts6.
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Self-Awareness is essential in a nurse-client relationship6.
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Transference: patient doesn't want a particular nurse due to something that happened in the past7.
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Counter-transference: nurse doesn't want a particular patient7.
Chapter 11: Patient Interviews
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Use open-ended questions7.
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Conflict Resolution:
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Helps patients deal with anger by encouraging them to consider the other person's perspective7.
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Asking the patient to "think about the other's perspective" can reduce anger7.
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Cultural Brokering:
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Use an interpreter when a patient speaks a different language8.
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If no interpreter is available: show respect and understanding, ask the patient how you can help them based on their cultural perspectives, learn about their culture, and ask them how they prefer to be cared for8.
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Spiritual Assessment: assess a patient's spirituality8....
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Example: "I am connected with the universe"9
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Abstract reasoning: assess by determining if the patient understands what you are saying9.
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Therapeutic relationship:
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Orientation: establish trust by being nonjudgmental and calm9.
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Memory Evaluation:
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Short term: ask the patient to remember 3 words and repeat them after 5 minutes9.
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Immediate: ask the patient to remember a number9.
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Integrate cultural aspects into care by being self-aware to maintain a therapeutic relationship10.
Chapter 12: Tolerance, ECT, Relapse, MSE
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Tolerance: needing a higher dose of medication over time to achieve the same effect10.
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Desensitization: medication is given today, but it is not working10.
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ECT (Electroconvulsive Therapy):
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Used for acute, severe depression when medications are ineffective; also used in cases of schizophrenia10.
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Involves applying electrodes to induce a seizure10.
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Requires consent and explanation to the patient11.
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Side effect: memory loss11.
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Contraindications: brain injury/aneurysms11.
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The patient may need reorientation due to memory loss11.
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Relapse: often due to noncompliance with treatment11.
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MSE (Mental Status Exam):
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Assesses a patient's functioning in terms of thinking, behavior, and mood11.
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Aims to understand the patient's level of functioning related to mental attributes11.
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In any interview, start with an open-ended question like, "What brings you to the hospital?"11.
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Therapeutic communication:
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Ineffective if the patient has high anxiety12.
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Reduce anxiety by talking to the patient therapeutically to calm them for effective communication12.
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Neuroplasticity: the brain's ability to change