NURS 2459 MENTAL HEALTH EXAM 1 BEST
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
Exam 1 Concepts:
Mental illness changes with culture, time in history and the group defining it
Therapeutic Communication:
• Communication technique “reflecting”
• Therapeutic Communication technique “giving a broad opening”
• Therapeutic vs. non responses
• Therapeutic- getting them to provide more information “tell me more”,
restating, seeking clarification, active listening, exploring
o not giving advice or your opinion
Stereotyped comments
Nonverbal communication
Transference vs. Countertransference- can happen in therapy
Probing
Understand:
Informed Consent
Rapport- getting acquainted
Countertransference/Transference (know the difference)
Labile (mood swings and unpredictable)
Negligence
Sublimation – defense mechanism
Defense mechanism “reaction-formation”
, NURS 2459 MENTAL HEALTH EXAM 1 BEST
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
Communication with barriers (hard of hearing, cultural barriers)
Addressing spiritual & cultural needs
Response to an agitated patient
Orientation phase of the Nurse-client relationship
Working phase of the nurse-client relationship
Communication Techniques:
Probing
Focusing
Presenting Reality
Offering Self
Therapeutic Communication (Active listening)
Nonverbal communication (What percent of communication is
nonverbal?) Non-therapeutic techniques
Active listening
Therapy:
Milieu therapy: orient them, show them the environment
Interpersonal
Cognitive-behavioral
Psychoanalytical
*Refusing medication/agitated patients: What can you do for safety (keep self safe, try to get
them to talk with you about what’s going on)
*Restraints: you can restrain for safety and then get order from provider after
, NURS 2459 MENTAL HEALTH EXAM 1 BEST
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
*Ethical Principle of Autonomy (respecting patient’s decisions to refuse certain treatments)
*Professional Boundaries
*Education for ECT/Side Effects: (Memory loss and disorientation)
*Best approach for anxious/pacing patients (attempt to talk with the patient, what can you
do to help calm them? Perhaps walk with them while they’re pacing)
*Criteria for involuntary mental health admissions
*Patient rights
*HIPAA Privacy Rule- When can this be breached? (warn other’s if the patient may be
reporting harm to others)
Module 1 = Effective Therapies in Mental Health Treatment:
Many therapies have been successful in helping those with mental health disorders.
Psychotherapy: involves more verbal therapist-to-client interaction and includes the
following:
• Behavioral therapy - This is a form of psychotherapy. The goal is to
modify maladaptive behavior patterns by reinforcing adaptive behavior.
• Cognitive therapy - In this type of therapy, the individual is taught to
control negative thoughts to maintain and manage emotions.
• Dialectical behavioral therapy - This therapy was first used with individuals
who were diagnosed with a personality disorder and had self-abusive tendencies.
It has expanded and has been successful in the treatment of those with other
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
Exam 1 Concepts:
Mental illness changes with culture, time in history and the group defining it
Therapeutic Communication:
• Communication technique “reflecting”
• Therapeutic Communication technique “giving a broad opening”
• Therapeutic vs. non responses
• Therapeutic- getting them to provide more information “tell me more”,
restating, seeking clarification, active listening, exploring
o not giving advice or your opinion
Stereotyped comments
Nonverbal communication
Transference vs. Countertransference- can happen in therapy
Probing
Understand:
Informed Consent
Rapport- getting acquainted
Countertransference/Transference (know the difference)
Labile (mood swings and unpredictable)
Negligence
Sublimation – defense mechanism
Defense mechanism “reaction-formation”
, NURS 2459 MENTAL HEALTH EXAM 1 BEST
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
Communication with barriers (hard of hearing, cultural barriers)
Addressing spiritual & cultural needs
Response to an agitated patient
Orientation phase of the Nurse-client relationship
Working phase of the nurse-client relationship
Communication Techniques:
Probing
Focusing
Presenting Reality
Offering Self
Therapeutic Communication (Active listening)
Nonverbal communication (What percent of communication is
nonverbal?) Non-therapeutic techniques
Active listening
Therapy:
Milieu therapy: orient them, show them the environment
Interpersonal
Cognitive-behavioral
Psychoanalytical
*Refusing medication/agitated patients: What can you do for safety (keep self safe, try to get
them to talk with you about what’s going on)
*Restraints: you can restrain for safety and then get order from provider after
, NURS 2459 MENTAL HEALTH EXAM 1 BEST
STUDY GUIDE WITH COMPLETE SOLUTIONS 2023
A+
*Ethical Principle of Autonomy (respecting patient’s decisions to refuse certain treatments)
*Professional Boundaries
*Education for ECT/Side Effects: (Memory loss and disorientation)
*Best approach for anxious/pacing patients (attempt to talk with the patient, what can you
do to help calm them? Perhaps walk with them while they’re pacing)
*Criteria for involuntary mental health admissions
*Patient rights
*HIPAA Privacy Rule- When can this be breached? (warn other’s if the patient may be
reporting harm to others)
Module 1 = Effective Therapies in Mental Health Treatment:
Many therapies have been successful in helping those with mental health disorders.
Psychotherapy: involves more verbal therapist-to-client interaction and includes the
following:
• Behavioral therapy - This is a form of psychotherapy. The goal is to
modify maladaptive behavior patterns by reinforcing adaptive behavior.
• Cognitive therapy - In this type of therapy, the individual is taught to
control negative thoughts to maintain and manage emotions.
• Dialectical behavioral therapy - This therapy was first used with individuals
who were diagnosed with a personality disorder and had self-abusive tendencies.
It has expanded and has been successful in the treatment of those with other
