Summary
Summary NUR 355 Exam 1 Study Guide
- Course
- NURS MISC
- Institution
- California Baptist University
This is a comprehensive and detailed study guide on Exam 1 for Nur 355. *Essential Study Material!!
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1. Know what indications to the nurse that a client is at risk for developing a mental illness?● Patient is at risk for developing mental illness when maladaptive responses to
stress are coupled with interference in daily functioning
2. Know what statements made by the student that learning has taken place and is
effective regard to the concepts of mental health and mental.
● The concepts are multidimensional and culturally defined
● Mental Health, successful adaptation to stressors from the internal or external
environment, evidenced by thoughts, feelings and behaviors that are
age-appropriate and congruent with local and cultural norms
● Mental Illness, maladaptive responses to stressors from the internal or external
environment evidenced by thoughts, feelings, and behaviors that are incongruent
with the local and cultural norms and that interfere with the individual’s social,
occupation and/or physical functioning
3. Know which psychoneurotic responses to severe anxiety are identified in the DSM-5?
● Anxiety Disorders
● Somatic Symptom Disorders
● Dissociative Disorders
● Panic Anxiety
● Psychosis
4. Know what kind of statements demonstrates the nurse understands an individual’s
experiencing of neurosis?
● Aware they are experiencing distress
● Aware their behaviors are maladaptive
● Unaware of any possible psychological causes of the distress
● Feel helpless to change their situation
● Experience no loss of contact with reality
5. Know which disorders are recognized as a mental health disorder in the DSM-5 verses a
medical diagnosis?
● Generalized anxiety disorder
6. Know which theorist believed that mental illness was curable?
● Dorothea Dix
7. Know the most appropriate nursing action to implement, to decrease the possibility of a
lawsuit if you have an involuntarily committed client that is verbally abusive to the staff
and repeatedly threatens to sue. The client records the full names and phone numbers
of the staff.
● Continue professional attempts to establish positive working relationship with the
client
8. Know when a professional can override treatment refusal if the client is actively suicidal
or homicidal.
● Patients have the right to refuse treatment unless immediate intervention is
required to prevent death or serious harm to the patient or another person.
9. Know and identify statements that a client verbalizes that will potentially make him a
candidate for involuntarily commitment.
● Patient threatening to commit suicide
, ● Being dangerous to others
● Being gravely disabled and unable to meet basic needs
10. Know if a schizophrenia patient refuses to take medication, citing the right of autonomy.
Under which circumstance would a nurse have the right to medicate the client?
● A client physically attacks another client after being confronted in group therapy.
11. Know what situation exemplifies both assault and battery?
● The nurse threatens to "tie down" the client and then does so, against the client's
wishes.
12. Know the next steps taken if an inpatient client, whom the treatment team has
determined to be a danger to self, gives notice of intent to leave the hospital. Know who
determines the length of time a psychiatric facility that can hold a client.
● State law determines how long a psychiatric facility can hold a client
13. Know the concept of competency. Know which information that nurses is true regarding.
● A competent client has the ability to make reasonable judgements and decisions
for themselves
● The client is not oriented to person, place, date, or time
14. Know the legal significance of a nurse’s action when the nurse threatens to restrain a
client physically?
● The nurse can be charged with assault.
15. Know the priority nursing action during the orientation (introductory) phase of the
nurse-client relationship?
● Establish rapport and develop mutually agreeable treatment goals.
16. Know the phase of the nurse-client relationship that begins when the nurse and client
first meet and is characterized by an agreement to continue meeting and working on
setting client-centered goals?
● Orientation
17. Know a client’s statement that indicates to the nurse that the client may be experiencing
a transference reaction?
● "I need a real nurse. You are young enough to be my daughter and I don't want
to tell you about my personal life."
18. Know and understand what is the foundation of patient-centered care?
● Therapeutic relationship
19. Know therapeutic behavior that a nurse maintains when she has an uncrossed arm and
leg posture. Know the nonverbal behavior it reflects in which letter of the SOLER
acronym for active listening?
● S: Sit squarely facing the patient
- Gives message nurse is there to listen and interested
● O: Observe an open posture
- “Open” = arms and legs remain uncrossed
● L: Lean forward toward the patient
- Conveys that the nurse is involved in interaction and interested
● E: Establish eye contact
- Conveys involvement and willingness to listen to what patient is saying
● R: Relax
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