NUR2459 Mental Health Exam Questions and Answers Latest Update Graded A+
"Termination Phase" of the Nurse-Client Relationship - Answers 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 - Answers Maintaining the relationship, gathering
data, promoting problem solving skills and self-esteem, facilitate discharge, overcome resistance,
evaluate problems and goals
Cognitive Behavioral Therapy (CBT) - Answers 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? - Answers 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 - Answers 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 - Answers Reassuring, giving advice, giving
approval, disapproving, changing the subject
What is "Exploring"- a therapeutic communication technique? - Answers "Tell me more about that"
"Would you describe it more fully?"
What are examples of therapeutic communication techniques? - Answers Paraphrasing, summarizing,
clarifying, exploring, silence, touch
What is "False Reassurance"- a non-therapeutic communication technique? - Answers "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 - Answers Patient: "I wish I
were dead. "Nurse: 'I know what you mean."
What is affect? - Answers Client's emotional display of mood being experienced
What are levels of consciousness? - Answers Alert, Lethargic, Stuporous
What is "flight of ideas"? - Answers Rapid changes from one thought to another related thought
What is perseveration? - Answers Repeating the same words in response to different questions
What is judgement? - Answers Ability to evaluate choices and make appropriate decisions
, What is autonomy? - Answers 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? - Answers Being a harm to self or others, decreasing sensory
overload, patient request
What is a violation of the patient's rights? - Answers Forcing client to eat, wash, or dress self
What is "Duty to Warn"? - Answers 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? - Answers The difference
in the rights of clients involuntarily admitted vs. voluntary
What is Cognitive Behavioral Therapy? - Answers 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"? - Answers During this Erickson's task successful completion
would include gain self-control and independence within the environment
What is generativity vs. stagnation? - Answers This task-achieve life goals and obtain concern and
awareness of future generations
What is Maslow's Hierarchy of Needs? - Answers Most basic needs require fulfillment before those at
higher levels can be achieved
What is identity vs. role confusion? - Answers This task integrates all the tasks previously mastered into
a secure sense of self
What is empathy? - Answers 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? - Answers 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? - Answers 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? - Answers 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? - Answers Being aware of physical limitations,
sensory deficits, motor or medical condition that may increase anxiety, stress or physical discomfort
