NSG 382 Exam 1 Study Guide
Concept of Stress Adaptation
 Differentiates between adaptation & maladaptation
 Identify physiological responses to stress
 Explain relationship between stress & “diseases of adaptation”
 Describe concept of stress as an environmental event
 Explain concept of stress as a transaction
 Discuss adaptive coping strategies in management of stress
Mental Health & Mental Illness: Historical & Theoretical Concepts
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Discuss history of psychiatric care
Define mental health (MH) & mental illness
Discuss cultural elements that influence attitudes toward MH & mental illness
Describe psychological adaptation responses to stress including anxiety & grief
Correlate adaptive & maladaptive responses to MH/mental illness continuum
The Nursing Process in Psychiatric-Mental Health Nursing
 Describe benefits of using nursing diagnoses
 Discuss list of nursing diagnoses approved by NANDA International for clinical use &
testing
 Define & discuss use of case management & critical pathways of care in clinical setting
 Apply six steps of the Nursing Process in caring for a client in psychiatric setting
 Describe six areas of focus identified by NAM & QSEN as critical to improvement of
health care
 Document patient care that validates use of the Nursing Process
Relationship Development
 Discuss relevance & dynamics of therapeutic nurse-pt. relationship
 Discus importance of self-awareness in nurse-pt. relationship
 Identify goals of nurse-pt. relationship
 Identify & discuss essential conditions for therapeutic relationship to occur
 Describe phases of relationship development & tasks associated with each phase
Therapeutic Communication
 Identify types of preexisting conditions that influence outcome of communication process
 Identify components of nonverbal expression
 Describe therapeutic & nontherapeutic verbal communication techniques
 Describe motivational interviewing as communication strategy
 Discuss active listening & therapeutic feedback
Therapeutic Groups:
 Discuss eight functions of a group
 Identify various types of groups
 Describe physical conditions that influence groups
 Discuss therapeutic factors that occur in groups
 Identify various leadership styles in groups
 Identify various roles that members assume within a group
 Describe role of nursing in group therapy
Interventions with Families:
 Discuss characteristics of adaptive family functioning
 Describe behaviors that interfere with adaptive family functioning
Milieu Therapy—The Therapeutic Community
 Explain goal of therapeutic community/milieu therapy
 Identify seven basic assumptions of therapeutic community
 Discuss conditions that characterize therapeutic community
 Identify various therapies that may be included in the program of therapeutic community
& health care workers that make up the interdisciplinary treatment team
 Describe role of nursing in establishing & maintaining a therapeutic milieu
Ethical & Legal Issues
 Discuss & identify ethical dilemma
 Use an ethical decision-making model to make an ethical decision
 Describe ethical & legal issue relevant to psychiatric-MH nursing