NUR 180 - Exam 1 Questions With
Answers
What are the interrelated concepts of Mental Health?
(3 concepts to prioritize care) - Answer Stress, coping, cognition
What is the goal of in-patient mental health? - Answer Least restrictive environment
What should the LPN be aware of to protect the safety of themselves and the staff? -
Answer Increased anxiety, frustration, agitation (these can lead to violence)
What type of patient would be seen for in-patient treatment? - Answer Patients that are in
an acute condition (pt who is experiencing hallucinations)
What is the purpose of orienting a client? - Answer Decrease anxiety, find out what their
daily routine is
Your patient is refusing to attend group therapy, what do you do next? - Answer
Therapeutic communication- find it why they do not want to attend
What is the first priority in a Crisis Intervention? - Answer Emotional support
Do Not Harm - Answer Staff and client safety and most important
What can you do if you need 10 minutes alone with your client? - Answer Delegate so you
have uninterrupted time, provide privacy, find it about patient daily routines
What is Failure to Probe? - Answer Failure to investigate during interview or conversation
Your patient recently lost his spouse and hysterical in your office. What can you do? -
Answer Provide them with the tools to help them cope
Acceptance - Answer Communicate a favorable reception. One does not have to approve
of another's behavior
Interest - Answer Expressing desire to know another person. This is conveyed by asking
about those aspects of a person's life that others often reject
Respect - Answer Show consideration for another by communicating a willingness to
work with the client. Accept the client's ideas, feelings and rights
,Honesty - Answer Demonstrate this by being consistent, open, and frank.
Concreteness - Answer Be specific, to the point and clear. Use understandable language
and avoid the use of jargon.
Assistance - Answer Commit time and energy to the therapeutic relationships. Convey
that you are present and available
Permission - Answer Communicate this by conveying the message that it is acceptable to
try new ways of behaving
Protection - Answer This can be done by ensuring safety. Work with clients to anticipate
trouble spots with new behavior and develop effective ways of dealing with anticipated or
actual problem
Listening - Answer Active process of receiving information and examining reactions to
messages received (ex. Maintaining eye contact)
Restating - Answer Repeating main though expressed by client (ex you said that your
mother left you when you were 5 years old?)
Clarification - Answer Attempting to put into words vague ideas or unexplained clear
thoughts of client (ex I'm not sure what you mean. Can you tell me again?)
Reflection - Answer Directing back client's ideas, feelings, questions, and content (ex so
you're feeling tense and anxious about a conversation you had with your husband,
right?)
Sharing Perceptions - Answer Asking a client to verify caregiver's understanding of
client's message (ex you're smiling, but I sense that you are really very angry with me)
Silence - Answer Lack of verbal communication for therapeutic reason (ex sitting with
client and no verbally communicating interest and involvement)
Drowsy/Somnolent - Answer Wakens with strong stimuli;falls asleep if left in disturbed
Hyperalertness - Answer Increased state of alertness or watchfulness (hypervigilance)
Communication technique for someone with Alzheimer's disease - Answer Ask only one
questions at a time. More than one question increases confusion
, Examples of ineffective coping skills - Answer alcohol/substance abuse, violence,
isolation
Factors that affect coping - Answer Family dynamics, culture, stress, addiction, cognition
(Acute stress effect:) Stress is a set of what responses? - Answer Behavioral,
Physiological, Emotional
Typical physiological stress response - Answer Increased: HR,sweat, BP, pupil
contraction, blood glucose, bronchodilation
Decreased: insulin uptake in skeletal muscle, peristalsis
Primary prevention - Answer prevent or decrease probability of occurence of an injury,
physical or mental illness, or health-threatening situation
Secondary prevention - Answer Screening and detection, allowing for prompt
interventions
Tertiary prevention - Answer returning pt to optimal health, managing, restoration and
rehabilitation
Which population has an increased risk of violence/abuse? - Answer Pregnant women
Woman comes into ER and says she's been abused by her live-in boyfriend. What is the
priority nursing intervention for this patient? - Answer Emotional support, interview her
privately
What do we as nurses need to look out for in a bullied patient? - Answer Anxiety level,
poor self esteem, and risk for suicide
Suicide survivors express what type of feelings? - Answer Feelings of guilt, anger and
Answers
What are the interrelated concepts of Mental Health?
(3 concepts to prioritize care) - Answer Stress, coping, cognition
What is the goal of in-patient mental health? - Answer Least restrictive environment
What should the LPN be aware of to protect the safety of themselves and the staff? -
Answer Increased anxiety, frustration, agitation (these can lead to violence)
What type of patient would be seen for in-patient treatment? - Answer Patients that are in
an acute condition (pt who is experiencing hallucinations)
What is the purpose of orienting a client? - Answer Decrease anxiety, find out what their
daily routine is
Your patient is refusing to attend group therapy, what do you do next? - Answer
Therapeutic communication- find it why they do not want to attend
What is the first priority in a Crisis Intervention? - Answer Emotional support
Do Not Harm - Answer Staff and client safety and most important
What can you do if you need 10 minutes alone with your client? - Answer Delegate so you
have uninterrupted time, provide privacy, find it about patient daily routines
What is Failure to Probe? - Answer Failure to investigate during interview or conversation
Your patient recently lost his spouse and hysterical in your office. What can you do? -
Answer Provide them with the tools to help them cope
Acceptance - Answer Communicate a favorable reception. One does not have to approve
of another's behavior
Interest - Answer Expressing desire to know another person. This is conveyed by asking
about those aspects of a person's life that others often reject
Respect - Answer Show consideration for another by communicating a willingness to
work with the client. Accept the client's ideas, feelings and rights
,Honesty - Answer Demonstrate this by being consistent, open, and frank.
Concreteness - Answer Be specific, to the point and clear. Use understandable language
and avoid the use of jargon.
Assistance - Answer Commit time and energy to the therapeutic relationships. Convey
that you are present and available
Permission - Answer Communicate this by conveying the message that it is acceptable to
try new ways of behaving
Protection - Answer This can be done by ensuring safety. Work with clients to anticipate
trouble spots with new behavior and develop effective ways of dealing with anticipated or
actual problem
Listening - Answer Active process of receiving information and examining reactions to
messages received (ex. Maintaining eye contact)
Restating - Answer Repeating main though expressed by client (ex you said that your
mother left you when you were 5 years old?)
Clarification - Answer Attempting to put into words vague ideas or unexplained clear
thoughts of client (ex I'm not sure what you mean. Can you tell me again?)
Reflection - Answer Directing back client's ideas, feelings, questions, and content (ex so
you're feeling tense and anxious about a conversation you had with your husband,
right?)
Sharing Perceptions - Answer Asking a client to verify caregiver's understanding of
client's message (ex you're smiling, but I sense that you are really very angry with me)
Silence - Answer Lack of verbal communication for therapeutic reason (ex sitting with
client and no verbally communicating interest and involvement)
Drowsy/Somnolent - Answer Wakens with strong stimuli;falls asleep if left in disturbed
Hyperalertness - Answer Increased state of alertness or watchfulness (hypervigilance)
Communication technique for someone with Alzheimer's disease - Answer Ask only one
questions at a time. More than one question increases confusion
, Examples of ineffective coping skills - Answer alcohol/substance abuse, violence,
isolation
Factors that affect coping - Answer Family dynamics, culture, stress, addiction, cognition
(Acute stress effect:) Stress is a set of what responses? - Answer Behavioral,
Physiological, Emotional
Typical physiological stress response - Answer Increased: HR,sweat, BP, pupil
contraction, blood glucose, bronchodilation
Decreased: insulin uptake in skeletal muscle, peristalsis
Primary prevention - Answer prevent or decrease probability of occurence of an injury,
physical or mental illness, or health-threatening situation
Secondary prevention - Answer Screening and detection, allowing for prompt
interventions
Tertiary prevention - Answer returning pt to optimal health, managing, restoration and
rehabilitation
Which population has an increased risk of violence/abuse? - Answer Pregnant women
Woman comes into ER and says she's been abused by her live-in boyfriend. What is the
priority nursing intervention for this patient? - Answer Emotional support, interview her
privately
What do we as nurses need to look out for in a bullied patient? - Answer Anxiety level,
poor self esteem, and risk for suicide
Suicide survivors express what type of feelings? - Answer Feelings of guilt, anger and
