Therapeutic Communication, QSEN, HIPAA, DSM-5
Categories, Stigma, Risk Factors, Nurse-Patient Relationship
| Comprehensive Study Guide
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SUBJECT COURSE FOCUS
Mental Health / Psychiatric Nursing NUR 256 Exam 1 Practice Mental Health Assessment,
Therapeutic Communication,
QSEN, HIPAA, DSM-5, Stigma,
Risk Factors, Nurse-Patient
Relationship, Transference,
Boundary Issues
Question 1
When providing respectful, appropriate nursing care, how should the nurse identify the patient and
his or her observable characteristics?
A. The patient in room 234 is displaying manic behavior
B. The patient with bipolar disorder is acting out
C. The schizophrenic patient is hallucinating
D. The patient with depression is tearful
CORRECT ANSWER
A. The patient in room 234 is displaying manic behavior
RATIONALE
• Patient-centered language respects the person first, not the diagnosis.
• Avoid labeling patients by their disorder (e.g., "a schizophrenic").
• Describe observed behaviors rather than labeling the person.
,Question 2
Recognizing the frequency of depression among the American population, the nurse should advocate
for which mental health promotion intervention?
A. Providing regular depression screening for adolescent and teenage students
B. Teaching stress reduction techniques in elementary schools
C. Distributing literature on the effects of depression
D. Providing anti-anxiety medication to at-risk youth
CORRECT ANSWER
A. Providing regular depression screening for adolescent and teenage students
RATIONALE
• Early screening identifies depression before it becomes severe.
• Adolescence is a critical period for onset of depressive disorders.
• Screening programs in schools can improve access to mental health care.
, Question 3
Which statement made by a patient demonstrates a healthy degree of resilience? (Select All That
Apply)
A. "I try to remember not to take other people's bad moods personally."
B. "I know that if I get really mad, I'll end up being depressed."
C. "I really feel that sometimes bad things are meant to happen."
D. "I've learned to calm down before trying to defend my opinions."
E. "I know that discussing issues with my boss would help me get my point across."
CORRECT ANSWER
A, D, E
RATIONALE
• Resilience involves emotional regulation, perspective-taking, and adaptive coping.
• Not taking others' moods personally (A) shows boundary setting.
• Calming down before defending opinions (D) shows emotional regulation.
• Discussing issues with boss (E) shows assertive communication.