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Mental Health Nursing (NUR 2488) Final EXAM Study Guide-1

John Marsh
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A Mental Health Final EXAM Study Guide-1

Rasmussen College

Mental Health Nursing (NUR 2488)

EBP (evidence based practice) Using the best available research evidence, clinical expertise, & patient
preferences to make clinical decisions
The 5 A’s of integrating best evidence into clinical practices includes:
The mental health recovery model is one of helping people with psychiatric disabilities effectively manage their
symptoms, reduce psychosocial disability, and find a meaningful life in a community of their choosing.
3 specific areas are inherent within the art of nursing: caring, attending & patient advocacy.
􀁸 Basic Brain Anatomy- what do the different part of brain control?
o Frontal Lobe: Thought Processes & Voluntary Movement (decision making)
o Temporal Lobe: Auditory Processes (language, speech, connects to Limbic system)
o Occipital Lobe: Vision (interprets visual images)
o Parietal Lobe: Sensory & Motor (L/R orientation, reading, math, proprioception)
o Hypothalamus: maintains homeostasis, regulates BP, Temp, libido, hunger, thirst, and sleep/wake
o Cerebellum: Balance, Skeletal Muscle Coordination
o Neurons: Nerves that translate electrical impulses into chemical signals released at the synapse
􀂃 Synapse- The space between neurons in which neurotransmitters are released and either
inhibit/excite the adjacent neuron. The 4 NT’s are dopamine, norepinephrine, serotonin and
􀁸 Milieu Therapy: Creating a SAFE, structured inpatient/outpatient setting where the mentally ill can test new
behaviors and coping mechanisms with others.
o Climate is essential to healing: paint color, relaxed environments are conducive to the healing process.
o Florence Nightingale believed that the environment helps heal
􀁸 Maslow’s Hierarchy of needs
o Basic Needs: food, oxygen, water, sleep, sex, and a constant body temperature. If all the needs were
deprived, this level would take priority.
o Safety Needs: Security, protection, freedom from fear/anxiety/chaos, and the need for law, order, and
o Belonging and Love Needs: intimate relationship, love, affection, and belonging, having a family and a
home and being part of identifiable groups.
o Esteem Needs: If self-esteem needs are met, we feel confident, valued, and valuable. When self-esteem
is compromised, we feel inferior, worthless, and helpless.
o Self-actualization: Reaching our full potential to feel inner peace and fulfillment.
􀁸 Peplau’s Theory of Interpersonal Relations
o Created the Nurse-Patient Partnership increasing individual and family roles in recovery. (Based off of
Sullivan’s Interpersonal Theory). Relationships greatly influence recovery
􀁸 Freud- contributed to psychiatric setting -Unconscious thoughts
o Id – unconscious mind, instincts (this is dominant)
o Ego – sense of self, use of defense mechanisms
o Superego – our conscious and is greatly influenced by our parents morals and ethical stances



Mental Health Nursing (NUR 2488) Final EXAM Study Guide-1

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