SN
| Be ialter-tome §
TABLE OF CONTENTS
NSG 121 Exam 1.......cc:cc:se0: 02
NSG 121 Exam 2........cccecceees: 25
NSG 121 Exam 3......ccsscceeeees 36
NSG 121 Exam 4........cccscsees: 46
NSG 121 Final Exam............ 59
,1. Describe how the care of clients with mental illness has changed over time
due to evidence based research.
-psychopharmacological
talking therapies and meds.
-Closure of old asylums;
-moved care into the community
-Better medications
-less restrictive settings in the community
-legislation (affordable care act)
-payment for treatment in the community (Medicaid & Medicare)
2. Verbal communication factors that may influence transcultural interactions
between the client and the nurse
Answer>
-Age
-Culture
-Tone of voice
-Pitch of voice
-speed of speech
3. non-Verbal communication factors that may influence transcultural interac-
tions between the client and the nurse©
-touch
,-Congruence
4. What problems may occur when nurses are insensitive to cultural differ-
ences in the client's communication style?
-nurse can misinterpret signs + symptoms and patient communication
-Patient's understanding of the nurse's communication may be distorted
-Poor adherence to treatment.
-Poorer health outcomes.
-Ineffective assessment and interventions due to being biased or racist
5. Describe ways that the nurse can advocate for clients with mental illness.-
-commitment to the patient's health/well-being,
-access to treatment
-Safety
-alleviation of suffering and promoting a peaceful, comfortable and dignified death
-informing patients of their rights
-providing information on which the patient can make informed decisions
-Speak up for patients, especially those that lack the knowledge/skills/ability to for
themselves
6. Therapeutic communication techniques that enhance communication
Answer>
-Silence 3/12
-Open question
-Sharing observation
,-Acknowledgment
-Giving information
-Active listening
-General lead
-Verbalizing implied thoughts
-Closed question
7. non-therapeutic communication techniques that block communication
Answer? -
-Why questions
-Changing the topic
-Defensive responses
-Excessive questions
-Failure to listen
-Closed questions
-False reassurance
-Giving opinion or advice
-Showing approval or disproval
-Side-stepping the topic
-Stereotype responses
8. Why is it important for nurses to do a self-evaluation in order to provide
competent cultural care to clients from other sociocultural backgrounds?
Answer> -
-improve their awareness of implicit biases
-foster an approach to patients characterized by openness and curiosity about each
new patient.
-need to be able to see the world form a bigger viewpoint than our own.
,-touch,
-time orientation
-communication
-eye contact,
-social organization
-biologic/physical variations.
9. If pt asks for an ITT (intent to terminate treatment)
-you have to give it them
-also has to ask them "if something has changed?"
-only if they want to leave
-doctor determines if they get to leave
-only a voluntary pt can fill it out
10. Mental health
-Lifelong Process
-Ability to engage, enjoy, adapt and cope
-Resiliency
ability to recover/adjust
11. Mental illness
Answer>
-Affect a person's thinking, feeling, mood, ability to relate to others, and daily
functioning 5/12
-Ability to Care For Self (ADLs and manage self)
-Performance in Work/School
,12. What are some factors that affect mental health?
-Childhood abuse, trauma or neglect
-Social isolation or lonelinessc.
-Discrimination or stigma
-Poverty, debt, unemployment
-Severe or long term stress
-Being a long term carer for someone
-Drug and alcohol misuse
13. Orientation
-introduce yourself
-establish contract
-identify the problems
-discuss confidentiality
-discuss termination
14. Working
-build trust
-gather data
-trying to facilitate change in the client
-find out what happened and why they aréhere.
,15. Termination
-Summarize work accomplished & how to implement at home
-don't initiate new topics
16. Explain how the nurse can establish a therapeutic relationship with clients
by using genuineness
Answer> Genuineness
self-awareness of ones own feelings as they come and the ability to communicate
them appropriately which is a key to building trust.
-When a person is genuine one gets the sense that what is displayed on the outside
of a person in congruent with the internal processes
-Conveyed by listening and communicating with others without distorting their
messages
17. Explain how the nurse can establish a therapeutic relationship with clients
by using empathy,
Answer> Empathy
signifies a central focus and feeling with and in the patients world, temporarily living
in the others life.
-Accurately perceiving the patients situation, perspective, and feelings.
-Communicating ones understanding to the patient and checking with the patient
for accuracy
-Acting on the understanding in a helpful (therapeutic) way toward the patient
18. Explain how the nurse can establish a therapeutic relationship with clients
by using positive regard
Answer? Positive regard
, velop resources
19. Describe ways to establish and maintain boundaries in the nurse-client
relationship.
Answer> -Separate the patients needs from your own as the nurse.
-Avoid over involvement (overhelping)
-Avoid narcissism (supporting weakness) do not be a hero
-Avoid the blurring of roles.
-Avoid transference
-Avoid countertransference
20. Psychosocial Assessment
Answer> -Subjective Data
-Hx of Psychiatric Tx/Meds
-Lifestyle (substance use, abuse/neglect, suicidality, self-harm, violence)
-Friends & Family (including suicide attempts & family hx of mental illness; support
system)
-Education & Work (including learning needs)
-Quality of ADLs
8/12
| Be ialter-tome §
TABLE OF CONTENTS
NSG 121 Exam 1.......cc:cc:se0: 02
NSG 121 Exam 2........cccecceees: 25
NSG 121 Exam 3......ccsscceeeees 36
NSG 121 Exam 4........cccscsees: 46
NSG 121 Final Exam............ 59
,1. Describe how the care of clients with mental illness has changed over time
due to evidence based research.
-psychopharmacological
talking therapies and meds.
-Closure of old asylums;
-moved care into the community
-Better medications
-less restrictive settings in the community
-legislation (affordable care act)
-payment for treatment in the community (Medicaid & Medicare)
2. Verbal communication factors that may influence transcultural interactions
between the client and the nurse
Answer>
-Age
-Culture
-Tone of voice
-Pitch of voice
-speed of speech
3. non-Verbal communication factors that may influence transcultural interac-
tions between the client and the nurse©
-touch
,-Congruence
4. What problems may occur when nurses are insensitive to cultural differ-
ences in the client's communication style?
-nurse can misinterpret signs + symptoms and patient communication
-Patient's understanding of the nurse's communication may be distorted
-Poor adherence to treatment.
-Poorer health outcomes.
-Ineffective assessment and interventions due to being biased or racist
5. Describe ways that the nurse can advocate for clients with mental illness.-
-commitment to the patient's health/well-being,
-access to treatment
-Safety
-alleviation of suffering and promoting a peaceful, comfortable and dignified death
-informing patients of their rights
-providing information on which the patient can make informed decisions
-Speak up for patients, especially those that lack the knowledge/skills/ability to for
themselves
6. Therapeutic communication techniques that enhance communication
Answer>
-Silence 3/12
-Open question
-Sharing observation
,-Acknowledgment
-Giving information
-Active listening
-General lead
-Verbalizing implied thoughts
-Closed question
7. non-therapeutic communication techniques that block communication
Answer? -
-Why questions
-Changing the topic
-Defensive responses
-Excessive questions
-Failure to listen
-Closed questions
-False reassurance
-Giving opinion or advice
-Showing approval or disproval
-Side-stepping the topic
-Stereotype responses
8. Why is it important for nurses to do a self-evaluation in order to provide
competent cultural care to clients from other sociocultural backgrounds?
Answer> -
-improve their awareness of implicit biases
-foster an approach to patients characterized by openness and curiosity about each
new patient.
-need to be able to see the world form a bigger viewpoint than our own.
,-touch,
-time orientation
-communication
-eye contact,
-social organization
-biologic/physical variations.
9. If pt asks for an ITT (intent to terminate treatment)
-you have to give it them
-also has to ask them "if something has changed?"
-only if they want to leave
-doctor determines if they get to leave
-only a voluntary pt can fill it out
10. Mental health
-Lifelong Process
-Ability to engage, enjoy, adapt and cope
-Resiliency
ability to recover/adjust
11. Mental illness
Answer>
-Affect a person's thinking, feeling, mood, ability to relate to others, and daily
functioning 5/12
-Ability to Care For Self (ADLs and manage self)
-Performance in Work/School
,12. What are some factors that affect mental health?
-Childhood abuse, trauma or neglect
-Social isolation or lonelinessc.
-Discrimination or stigma
-Poverty, debt, unemployment
-Severe or long term stress
-Being a long term carer for someone
-Drug and alcohol misuse
13. Orientation
-introduce yourself
-establish contract
-identify the problems
-discuss confidentiality
-discuss termination
14. Working
-build trust
-gather data
-trying to facilitate change in the client
-find out what happened and why they aréhere.
,15. Termination
-Summarize work accomplished & how to implement at home
-don't initiate new topics
16. Explain how the nurse can establish a therapeutic relationship with clients
by using genuineness
Answer> Genuineness
self-awareness of ones own feelings as they come and the ability to communicate
them appropriately which is a key to building trust.
-When a person is genuine one gets the sense that what is displayed on the outside
of a person in congruent with the internal processes
-Conveyed by listening and communicating with others without distorting their
messages
17. Explain how the nurse can establish a therapeutic relationship with clients
by using empathy,
Answer> Empathy
signifies a central focus and feeling with and in the patients world, temporarily living
in the others life.
-Accurately perceiving the patients situation, perspective, and feelings.
-Communicating ones understanding to the patient and checking with the patient
for accuracy
-Acting on the understanding in a helpful (therapeutic) way toward the patient
18. Explain how the nurse can establish a therapeutic relationship with clients
by using positive regard
Answer? Positive regard
, velop resources
19. Describe ways to establish and maintain boundaries in the nurse-client
relationship.
Answer> -Separate the patients needs from your own as the nurse.
-Avoid over involvement (overhelping)
-Avoid narcissism (supporting weakness) do not be a hero
-Avoid the blurring of roles.
-Avoid transference
-Avoid countertransference
20. Psychosocial Assessment
Answer> -Subjective Data
-Hx of Psychiatric Tx/Meds
-Lifestyle (substance use, abuse/neglect, suicidality, self-harm, violence)
-Friends & Family (including suicide attempts & family hx of mental illness; support
system)
-Education & Work (including learning needs)
-Quality of ADLs
8/12
