NUR 168 FINAL COMPLETE EXAM 1 WITH
ALL QUESTIONS AND VERIFIED ANSWERS
is a systematic strategy that all nurses utilize to collect data, critically study and
analyze it, design outcomes, take appropriate action, and then assess the efficacy of
that action. - Answer nursing process
What are the five steps in the nursing process - ANSWER Assessment?
Diagnosis
Planning
Implementation
Evaluation
everyday language, relaxed and unstructured - ANSWER social language.
Professional language elicits a reaction and exchanges information - ANSWER
healing language.
Answer verbal language using both spoken and written words.
Nonverbal language includes tone of voice, body language, facial expressions, eye
expressions, proximity, and physical appearance.
Seven Steps of Therapeutic Communication: ANSWER Listening.
Offering oneself
Open communication.
,Use of silence.
Clarification
Presenting reality.
Feedback (consensual validation).
Five steps of nontherapeutic communication: ANSWER Use of why inquiries.
Giving guidance.
Minimizing feelings
Making stereotyped comments.
Approving.
The Community Mental Health Centers Act of 1963 encouraged the
deinstitutionalization of mental health patients and shifted their care to the
community.
What is beneficence? ANSWER: Actively doing something that benefits the
patient.
What is autonomy? ANSWER The patient's right to make decisions (enabling
patients to choose food or clothing within reasonable limits).
What is justice? ANSWER: Treating patients fairly, regardless of your personal
feelings toward them. Every patient should be treated fairly.
What is fidelity? ANSWER: Being true and loyal to the patient. Be their advocate,
and avoid making promises you can't meet.
,What is veracity? ANSWER: Never lie to a patient.
When the patient's sickness is severe enough to render them unsafe, such as during
a crisis, they should be admitted to an inpatient institution. Otherwise, a less
restrictive treatment environment is appropriate. These could potentially be
court-ordered. - Answer INVOLUNTARY ADMISSION.
This happens when patients seek admission to the facility and may sign themselves
in. They do not pose a risk to themselves or others, but they require support. Based
on their patient rights, these patients may request release at any time. - ANSWER:
VOLUNTARY ADMISSION.
Allows a patient to file a petition for release if they believe they are being detained
unfairly. It challenges wrongful detention and must be reviewed by the court
system. The least-restrictive doctrine allows a patient to question whether inpatient
therapy is necessary. - ANSWER Writ of Habeas Corpus
Occurs when a condition is placed on discharge, such as coming for outpatient
therapy, or the patient is readmitted. - ANSWER: Conditional Release
is what most of us are accustomed to, in that we are released with no strings
attached and no additional obligations. Those who are involuntarily admitted
cannot be discharged against medical recommendation. As no orders or
medications are issued, the patient is responsible for their health. - ANSWER,
unconditional release
Allow the patient to pick the type of treatment they prefer for their ailment. -
Answer advance directives.
A patient must get this before receiving therapy or participating in a study/trial. -
Provide informed consent.
When one person injures another the victim seeks payback. - ANSWER tort.
, The duty to report suspected negligent or irresponsible behavior. - ANSWER
acting on questionable practices.
It is the quantitative study of how mental health diseases are spread across a
population. - Answer epidemiology.
will demonstrate structural alterations or abnormalities in the brain. - ANSWER CT
and MRI
demonstrate functional alterations in the brain linked with some mental diseases,
such as schizophrenia. - Answer PET and SPECT.
milieu therapy - ANSWER the entire environment, very structured, patient
participation
Mental health care should always be provided in the least restrictive setting
available.
Safe patient-centered care is - ANSWER the use of a conceptual framework to
design nursing care approaches.
How to demonstrate loving behaviors - ANSWER giving presence, consoling,
touching, listening, spiritual care, and family care
Nurses' role in advocacy - ANSWER advocating for our patients
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