Exam 1: Psych NursiNg – 100% corrEct
QuEstioNs & ExPErt-VErifiEd aNswErs
2025
✔ Milieu Therapy: Topics of Client Education (Table 8-2). Answer: 1. Ways to increase self-
esteem
2. Ways to deal with anger appropriately
3. Stress-management techniques
4. How to recognize signs of increasing anxiety and intervene to stop progression
5. Normal stages of grieving and behaviors associated with each stage
6. Assertiveness techniques
7. Relaxation techniques (Progressive relaxation, Tense and relax, Deep breathing,
Autogenics)
8. Medications (specify) (Reason for taking, Harmless side effects, Side effects to report to
physician, Importance of taking regularly, Importance of not stopping abruptly)
9. Effects of (substance) on the body (Alcohol, Other depressants, Stimulants,
Hallucinogens, Narcotics, Cannabinols)
10. Problem-solving skills
11. Thought-stopping/thought-switching techniques
12. Sex education (Structure and function of reproductive system, Contraceptives, STIs)
13. Essentials of good nutrition
14. (For parents/guardians) (Signs and symptoms of substance abuse & Effective parenting
techniques)
,✔ MSE Formal Testing: Concentration. Answer: -subtract 7 from 100 and then go back to
the 60s/50s
-if fail the 7s test then do serial 3s (go back from 20 and subtract 3 until they are back to 0)
-spell the word WORLD front and backwards
-Money test (pocket change)
✔ MSE Formal Testing: Judgment & Insight. Answer: -are they safe...good judgement?
-Ask..."What is causing your disease?"
-Judgement (Ask..."If you see an envelope on the ground sealed, stamped and
addressed...what do you do with it?) ...want to see concern for others
-Judgement (Ask..."If sitting in a movie theater and you smell smoke...what do you
do?)...want to see concern for others
✔ MSE Formal Testing: Memory. Answer: -immediate recall
-remote memory (who is president now...go back 4 presidential terms)
-3 word test (give three words...repeat immediately; then later have them repeat them back
again)
✔ MSE Formal Testing: Proverbs. Answer: -assess if they are thinking abstractly (higher
level) or concretely
-Can ask...What does "people in glass houses shouldn't throw stones" or "grass is not
always greener on the other side of the fence".
✔ MSE: Affect. Answer: facial expression (what am I looking at when I see the patient?)
✔ MSE: Appearance. Answer: -Are clothes appropriate to the setting/season?
-Hygiene
, -Eye contact
-General state of health (pale/posture)
-Body movements (any abnormals?)
✔ MSE: Speech. Answer: -rate and rhythm (are they talking fast/monotone)
-emotional tone
-underproductive speech (not saying much)
-overproductive speech (saying too much)
✔ MSE: thought content. Answer: WHAT is the client thinking
✔ MSE: thought process. Answer: HOW is patient thinking (are they being goal directed and
logical?)
✔ Nonmaleficience. Answer: doing no harm
✔ Nurse-Client Relationship: Orientation Phase. Answer: -introduce self to client and state
purpose
-set the contract: meeting time, place, frequency, duration and date of termination
-discuss confidentiality
-build trust by establishing expectations and boundaries
-identify goals
-explore the client's ideas, issue and needs
-explore the meaning of testing behaviors
-enforce limits on testing or other inappropriate behaviors
QuEstioNs & ExPErt-VErifiEd aNswErs
2025
✔ Milieu Therapy: Topics of Client Education (Table 8-2). Answer: 1. Ways to increase self-
esteem
2. Ways to deal with anger appropriately
3. Stress-management techniques
4. How to recognize signs of increasing anxiety and intervene to stop progression
5. Normal stages of grieving and behaviors associated with each stage
6. Assertiveness techniques
7. Relaxation techniques (Progressive relaxation, Tense and relax, Deep breathing,
Autogenics)
8. Medications (specify) (Reason for taking, Harmless side effects, Side effects to report to
physician, Importance of taking regularly, Importance of not stopping abruptly)
9. Effects of (substance) on the body (Alcohol, Other depressants, Stimulants,
Hallucinogens, Narcotics, Cannabinols)
10. Problem-solving skills
11. Thought-stopping/thought-switching techniques
12. Sex education (Structure and function of reproductive system, Contraceptives, STIs)
13. Essentials of good nutrition
14. (For parents/guardians) (Signs and symptoms of substance abuse & Effective parenting
techniques)
,✔ MSE Formal Testing: Concentration. Answer: -subtract 7 from 100 and then go back to
the 60s/50s
-if fail the 7s test then do serial 3s (go back from 20 and subtract 3 until they are back to 0)
-spell the word WORLD front and backwards
-Money test (pocket change)
✔ MSE Formal Testing: Judgment & Insight. Answer: -are they safe...good judgement?
-Ask..."What is causing your disease?"
-Judgement (Ask..."If you see an envelope on the ground sealed, stamped and
addressed...what do you do with it?) ...want to see concern for others
-Judgement (Ask..."If sitting in a movie theater and you smell smoke...what do you
do?)...want to see concern for others
✔ MSE Formal Testing: Memory. Answer: -immediate recall
-remote memory (who is president now...go back 4 presidential terms)
-3 word test (give three words...repeat immediately; then later have them repeat them back
again)
✔ MSE Formal Testing: Proverbs. Answer: -assess if they are thinking abstractly (higher
level) or concretely
-Can ask...What does "people in glass houses shouldn't throw stones" or "grass is not
always greener on the other side of the fence".
✔ MSE: Affect. Answer: facial expression (what am I looking at when I see the patient?)
✔ MSE: Appearance. Answer: -Are clothes appropriate to the setting/season?
-Hygiene
, -Eye contact
-General state of health (pale/posture)
-Body movements (any abnormals?)
✔ MSE: Speech. Answer: -rate and rhythm (are they talking fast/monotone)
-emotional tone
-underproductive speech (not saying much)
-overproductive speech (saying too much)
✔ MSE: thought content. Answer: WHAT is the client thinking
✔ MSE: thought process. Answer: HOW is patient thinking (are they being goal directed and
logical?)
✔ Nonmaleficience. Answer: doing no harm
✔ Nurse-Client Relationship: Orientation Phase. Answer: -introduce self to client and state
purpose
-set the contract: meeting time, place, frequency, duration and date of termination
-discuss confidentiality
-build trust by establishing expectations and boundaries
-identify goals
-explore the client's ideas, issue and needs
-explore the meaning of testing behaviors
-enforce limits on testing or other inappropriate behaviors
