Mental Health (NUR 300) Final Exam Questions and Correct Answers
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Course
NUR 300
Institution
NUR 300
Self-reflection Allows us to examine our own actions, motivations, and feelings
3 things self-reflection can do: 1. Allows us to focus on and respond to the patient's needs. 2. Reflection helps individual to learn and adapt. 3. Promotes resilience
WHO Established the therapeutic nurse-patient rel...
Mental Health (NUR 300) Final Exam
Questions and Correct Answers
Self-reflection ✅Allows us to examine our own actions, motivations, and feelings
3 things self-reflection can do: ✅1. Allows us to focus on and respond to the patient's
needs.
2. Reflection helps individual to learn and adapt.
3. Promotes resilience
WHO Established the therapeutic nurse-patient relationship, which is the primary action
for the psychiatric-mental health nurse ✅HILDEGARD PEPLAU
Novices to this kind of relationship may fall back into? ✅relationship skills learned in
social relationships
Patients must be treated with dignity and positive regard ✅Suspending judgment or
approval regardless of patient's history and despite symptoms, or behaviors.
Judging: will not promote? ✅therapeutic relationship
Just know ✅AVOID responses to patients or comments that suggest nurse/clinician
has rendered a verdict.
Mindfullness ✅Self awareness described as "being in the moment"
Focusing on the patient's immediate needs
Empathy ✅Understanding and experiencing feelings, thoughts, and experience of
another from the other's perspective
Presence ✅Be willing to go where patient leads
Allows pt to safely share experience of suffering
A caring conversation utilizing EMPATHY helps the patient connect with the nurse ✅
Therapeutic use of self ✅offering yourself to listen
Patient is provided the time and space to tell his/her story
Active listening ✅Offers a way to hear, observe and understand what a patient
communicates
Listen in a supportive manner
, Meta-communication ✅Communication about Communication
Nurse must display congruence between his/her verbal and nonverbal communication
Alleviation or assisting with the softening of suffering is at the core of Nursing: We do
this through active listening ✅
Nurse prevents misinterpretation of the patient's feeling by checking his/her perceptions
with the patient ✅Ask how it made patient feel
"Many people may feel ____ when faced with a situation like that. How did you feel?"
T/F: The opening statement by the patient is the starting point for the therapeutic
communication ✅true!
Techniques ✅broad opening statement, open-ended questions, active listening,
accepting, affirming, giving recognition, paraphrasing, restating, and use of silence
Patients with mood disorders have: ✅hopelessness
NURSING Dx: Alteration in thought processes
Depressive disorders: genetic factors ✅Prevalence of depression in first-degree
relatives with depression
Seasonal Affective Disorder (SAD) ✅Marked seasonal differences in amount of
daylight;
Disruption in melatonin production, circadian rhythms
Major depressive disorder: dx ✅Anhedonia for at least two consecutive weeks, which
is loss of interest, pleasure in all activities.
Vegetative symptoms of major depressive disorder ✅Fatigue
Sleep disturbance
Appetite disturbance
Loss of sexual interest
Psychomotor retardation or agitation
Older adults with depression: Screen for?? ✅suicide
Bipolar I ✅At least one episode of mania and major depression
Bipolar II ✅recurrent, alternating episode
May cause disruption to relationships or reputation
**hypomania (irritable mood state that does not impair functioning)
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