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