NUR 2459 Mental Health Exam Questions and Answers
"Termination Phase" of the Nurse-Client Relationship - ANS Summarizing the goals and
objectives achieved, discussing ways to incorporate new coping strategies, reviewing
situations that occurred and exchanging memories
"Working Phase" of the Nurse-Patient Relationship - ANS Maintaining the relationship,
gathering data, promoting problem solving skills and self-esteem, facilitate discharge,
overcome resistance, evaluate problems and goals
Cognitive Behavioral Therapy (CBT) - ANS Theory behind this therapy: Everyone has
schemata-unique assumptions about self, others, and the world around them
What is a therapeutic milieu or milieu therapy? - ANS A health environment, combined
with a healthy social structure within a inpatient or outpatient setting supporting and
treating those with mental illness
Difference between a social relationship and the nurse-client relationship - ANS Focus
on the patient's problems and concerns encouraging them to find their own situations,
not "being a friend" or meeting the needs of the nurse
Examples of Non-Therapeutic Communication techniques - ANS Reassuring, giving
advice, giving approval, disapproving, changing the subject
What is "Exploring"- a therapeutic communication technique? - ANS "Tell me more
about that"
"Would you describe it more fully?"
What are examples of therapeutic communication techniques? - ANS Paraphrasing,
summarizing, clarifying, exploring, silence, touch
What is "False Reassurance"- a non-therapeutic communication technique? - ANS
"Don't worry everything will be alright", "You'll be fine". "There's nothing to worry about"
What is minimizing feelings- (a non-therapeutic communication technique - ANS
Patient: "I wish I were dead. "Nurse: 'I know what you mean."
What is affect? - ANS Client's emotional display of mood being experienced
What are levels of consciousness? - ANS Alert, Lethargic, Stuporous
What is "flight of ideas"? - ANS Rapid changes from one thought to another related
thought
What is perseveration? - ANS Repeating the same words in response to different
questions
What is judgement? - ANS Ability to evaluate choices and make appropriate decisions
What is autonomy? - ANS Respecting the rights of others to make their own decisions
(Big choices: Do you want CPR? Surgery?. Little choices: What would you like to take
your medicine with?) =CHOICE/SELF DETERMINATION
What are the reasons to use seclusion? - ANS Being a harm to self or others,
decreasing sensory overload, patient request
What is a violation of the patient's rights? - ANS Forcing client to eat, wash, or dress self
What is "Duty to Warn"? - ANS Informing medical staff about a client's threat to harm a
specific individual
, What is the right to leave against medical advice, privacy, and all belongings? - ANS
The difference in the rights of clients involuntarily admitted vs. voluntary
What is Cognitive Behavioral Therapy? - ANS In this type of therapy, the individual is
taught to control negative thoughts to maintain and manage emotions. Uses both
cognitive and behavioral approaches to assist client with anxiety management.
What is "Autonomy vs. Shame and Doubt"? - ANS During this Erickson's task
successful completion would include gain self-control and independence within the
environment
What is generativity vs. stagnation? - ANS This task-achieve life goals and obtain
concern and awareness of future generations
What is Maslow's Hierarchy of Needs? - ANS Most basic needs require fulfillment
before those at higher levels can be achieved
What is identity vs. role confusion? - ANS This task integrates all the tasks previously
mastered into a secure sense of self
What is empathy? - ANS The ability to feel what others feel and respond to and
understand the experience of others on their terms
What are the components of MSE? - ANS Appearance, Behavior, Speech(rate,volume,
cluttering), Mood (subjective) and affect (what we see/no change of facial expression),
Perceptions, Thought process (order of thinking), Thought content (thinking about),
Cognition
What is outcome identification? - ANS This must be completed prior tp developing
implementation and planning steps
What are the types of groups that could be lead by a Registered Nurse? - ANS
Medication education, multifamily groups focusing on education, symptom management
group, self care group, and stress management groups
What are considerations for assessing the elderly client? - ANS Being aware of physical
limitations, sensory deficits, motor or medical condition that may increase anxiety,
stress or physical discomfort
What is displacement? - ANS Redirecting of energies to another person or object;
Ex.slammed the door because you got mad at your parents
What is sublimation? - ANS Unconscious channeling of unacceptable behaviors into
constructive, more socially approved areas
What is rationalization? - ANS The use of "good" reason to explain behavior to make an
unacceptable motivation more acceptable
What is denial? - ANS Refusal to acknowledge conflict and thus escape reality of
situation.
What is projection? - ANS Putting of one's own acceptable thoughts, wishes, emotions
onto others
What is giving broad openings? - ANS Encouraging the client to select topic discussion
which emphasizes the role of the client in the interaction
What is reflecting? - ANS Directing questions and feelings back to the client
What is seeking clarification? - ANS Attempting to put into words vague ideas or unclear
thoughts of the client
What is giving advice? - ANS Telling the client what to do or how to behave implying the
nurse knows best
