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NUR2459 MENTAL HEALTH EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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Terms in this set (109)
Summarizing the goals and objectives achieved, discussing ways to incorporate
"Termination Phase" of the Nurse-Client
new coping strategies, reviewing situations that occurred and exchanging
Relationship
memories
Maintaining the relationship, gathering data, promoting problem solving skills
"Working Phase" of the Nurse-Patient
and self-esteem, facilitate discharge, overcome resistance, evaluate problems
Relationship
and goals
Theory behind this therapy: Everyone has schemata-unique assumptions about
Cognitive Behavioral Therapy (CBT)
self, others, and the world around them
What is a therapeutic milieu or milieu A health environment, combined with a healthy social structure within a
therapy? inpatient or outpatient setting supporting and treating those with mental illness
Difference between a social relationship Focus on the patient's problems and concerns encouraging them to find their own
and the nurse-client relationship situations, not "being a friend" or meeting the needs of the nurse
Examples of Non-Therapeutic Reassuring, giving advice, giving approval, disapproving, changing the subject
Communication techniques
What is "Exploring"- a therapeutic "Tell me more about that"
communication technique? "Would you describe it more fully?"
What are examples of therapeutic Paraphrasing, summarizing, clarifying, exploring, silence, touch
communication techniques?
What is "False Reassurance"- a non- "Don't worry everything will be alright", "You'll be fine". "There's nothing to worry
therapeutic communication technique? about"
What is minimizing feelings- (a non- Patient: "I wish I were dead. "Nurse: 'I know what you mean."
therapeutic communication technique
What is affect? Client's emotional display of mood being experienced
What are levels of consciousness? Alert, Lethargic, Stuporous
What is "flight of ideas"? Rapid changes from one thought to another related thought
What is perseveration? Repeating the same words in response to different questions
What is judgement? Ability to evaluate choices and make appropriate decisions
Respecting the rights of others to make their own decisions (Big choices: Do you
What is autonomy? want CPR? Surgery?. Little choices: What would you like to take your
medicine with?) =CHOICE/SELF DETERMINATION
What are the reasons to use seclusion? Being a harm to self or others, decreasing sensory overload, patient request
What is a violation of the patient's rights? Forcing client to eat, wash, or dress self
What is "Duty to Warn"? Informing medical staff about a client's threat to harm a specific individual
What is the right to leave against medical The difference in the rights of clients involuntarily admitted vs. voluntary
advice, privacy, and all belongings?
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In this type of therapy, the individual is taught to control negative thoughts to
What is Cognitive Behavioral Therapy? maintain and manage emotions. Uses both cognitive and behavioral
approaches to assist client with anxiety management.
What is "Autonomy vs. Shame and During this Erickson's task successful completion would include gain self-control
Doubt"? and independence within the environment
This task-achieve life goals and obtain concern and awareness of future
What is generativity vs. stagnation?
generations
What is Maslow's Hierarchy of Needs? Most basic needs require fulfillment before those at higher levels can be achieved
What is identity vs. role confusion? This task integrates all the tasks previously mastered into a secure sense of self
The ability to feel what others feel and respond to and understand the experience
What is empathy?
of others on their terms
Appearance, Behavior, Speech(rate,volume, cluttering), Mood (subjective) and
What are the components of MSE? affect (what we see/no change of facial expression), Perceptions, Thought process
(order of thinking), Thought content (thinking about), Cognition
What is outcome identification? This must be completed prior tp developing implementation and planning steps
What are the types of groups that could Medication education, multifamily groups focusing on education, symptom
be lead by a Registered Nurse? management group, self care group, and stress management groups
What are considerations for assessing the Being aware of physical limitations, sensory deficits, motor or medical condition
elderly client? that may increase anxiety, stress or physical discomfort
Redirecting of energies to another person or object; Ex.slammed the door
What is displacement?
because you got mad at your parents
Unconscious channeling of unacceptable behaviors into constructive, more
What is sublimation?
socially approved areas
The use of "good" reason to explain behavior to make an unacceptable motivation
What is rationalization?
more acceptable
What is denial? Refusal to acknowledge conflict and thus escape reality of situation.
What is projection? Putting of one's own acceptable thoughts, wishes, emotions onto others
Encouraging the client to select topic discussion which emphasizes the role of the
What is giving broad openings?
client in the interaction
What is reflecting? Directing questions and feelings back to the client
What is seeking clarification? Attempting to put into words vague ideas or unclear thoughts of the client
What is giving advice? Telling the client what to do or how to behave implying the nurse knows best
Appearance, body motions, use of space and non-language sounds
What is non-verbal communication?
(verbalizations without words)
What is cultural competence? Nursing awareness of personal culture, beliefs, and practices of individual patients
Traditions of thought and behavior such as language and history that can be
What is "culture"?
socially acquired, shared and passed on to new generations
What are cultural assessments? Tools that allow us to learn how clients perceive and cope within their world
Affiliation or identity within a group of people bound by common ancestry and
What is "ethnicity"?
culture
Language, works of art, music, dance, ethnic clothing, customs, traditions, diets
What are expressions of culture?
and expressions of spirituality
Unconsciously displaces feelings formed toward a person from their past onto the
What is transference?
nurse
What is mental illness? Disturbance in one's ability to cope with adversity
What is the criteria for involuntary Person must be a danger to him or herself and others, Must be mentally ill and in
admission? need of treatment, Unable to provide for his or her own basic needs
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