Psychiatric Mental Health Nursing Exam 1B (2025) comprehensive questions and verified
answers ( detailed & elaborated) 2025-2026 TEST
When communicating with a patient in a mental health setting
yawning.
what are the 4 goals to help the patient?
Feel understood and
comfortable, identify and explore problems relating to others, discover healthy ways
of meeting emotional needs, and experience satisfying interpersonal relationships.
There are many communication techniques that nurses can use to enhance
their nursing practice. Name at least 10:
using silence, offering self, giving board openings, restating, reflecting, focusing,
exploring, making observations, seeking clarification, voicing doubt, summarizing.
Table 8.2 pg. 124-125
Define countertransference:
the nurse unconsciously transfers feelings onto the patient that are related to people
in their past.
Define transference:
a patient unconsciously transfers feelings onto the nurse that are related to someone
from their childhood/past.
Describe the phases of the nurse-patient relationship:
pre-orientation, orientation, working, termination
Define empathy and sympathy:
empathy understands the feelings of others and sympathy is feeling the feelings of
others.
There are many tactics to avoid when interviewing a patient. Describe at least
3:
not argue with, minimize or challenge the patient. Do not give false reassurance. Do
not question or probe.
HIPPA
The psychiatric client's right to receive treatment and to have confidential medical
records is legally protected through this law. The law passed in 1996 and established
, national standards for the protection of electronic medical records. Privacy breaches
could lead to harm to the nurse-patient relationship; harm to the client's well-being;
grounds for corrective action; and liabilities for the hospital and health care workers.
Informed Consent
This legal term is based on the client's right to self-determination. Each adult of
sound mind has the right to determine what shall be done with his or her own body
when a basic understanding of risks, benefits, and options has been achieved.
Tort
A category of civil law that commonly applies to health care practice. It is a civil
wrong for which monetary compensation may be collected by the injured party (the
plaintiff) from the wrongdoer (the defendant).
Negligence
An act, or failure to act, that breaches the duty of due care, and results in or is
responsible for another person's injuries.
Duty to Warn
An obligation that may result in a breach of confidentiality on the part of the health
care worker to warn third parties when they may be in danger from a client.
Autonomy
Respecting the rights of other to make their own decisions (e.g. the right to refuse a
specific medication or treatment).
Involuntary Commitment
Admission to a psychiatric facility without the client's consent.
Civil Rights
The rights of personal liberty guaranteed under two U.S. constitutional amendments
(e.g. the right to vote, the right to religious freedom and practice, the right to humane
care and treatment, the right to exercise, the right to press charges against another
person).
What is psychiatric mental health nursing and its main focus?
A core mental health profession that employs a purposeful use of self as its art and a
wide range of nursing, psychosocial, and neurobiological theories and research
evidence as its science. (ANA, 2007, p.1). Its focus is the treatment of human
responses to mental health problems and psychiatric disorders.
Recovering from a mental illness is viewed as a personal journey of healing.
What is the goal of recovery?
answers ( detailed & elaborated) 2025-2026 TEST
When communicating with a patient in a mental health setting
yawning.
what are the 4 goals to help the patient?
Feel understood and
comfortable, identify and explore problems relating to others, discover healthy ways
of meeting emotional needs, and experience satisfying interpersonal relationships.
There are many communication techniques that nurses can use to enhance
their nursing practice. Name at least 10:
using silence, offering self, giving board openings, restating, reflecting, focusing,
exploring, making observations, seeking clarification, voicing doubt, summarizing.
Table 8.2 pg. 124-125
Define countertransference:
the nurse unconsciously transfers feelings onto the patient that are related to people
in their past.
Define transference:
a patient unconsciously transfers feelings onto the nurse that are related to someone
from their childhood/past.
Describe the phases of the nurse-patient relationship:
pre-orientation, orientation, working, termination
Define empathy and sympathy:
empathy understands the feelings of others and sympathy is feeling the feelings of
others.
There are many tactics to avoid when interviewing a patient. Describe at least
3:
not argue with, minimize or challenge the patient. Do not give false reassurance. Do
not question or probe.
HIPPA
The psychiatric client's right to receive treatment and to have confidential medical
records is legally protected through this law. The law passed in 1996 and established
, national standards for the protection of electronic medical records. Privacy breaches
could lead to harm to the nurse-patient relationship; harm to the client's well-being;
grounds for corrective action; and liabilities for the hospital and health care workers.
Informed Consent
This legal term is based on the client's right to self-determination. Each adult of
sound mind has the right to determine what shall be done with his or her own body
when a basic understanding of risks, benefits, and options has been achieved.
Tort
A category of civil law that commonly applies to health care practice. It is a civil
wrong for which monetary compensation may be collected by the injured party (the
plaintiff) from the wrongdoer (the defendant).
Negligence
An act, or failure to act, that breaches the duty of due care, and results in or is
responsible for another person's injuries.
Duty to Warn
An obligation that may result in a breach of confidentiality on the part of the health
care worker to warn third parties when they may be in danger from a client.
Autonomy
Respecting the rights of other to make their own decisions (e.g. the right to refuse a
specific medication or treatment).
Involuntary Commitment
Admission to a psychiatric facility without the client's consent.
Civil Rights
The rights of personal liberty guaranteed under two U.S. constitutional amendments
(e.g. the right to vote, the right to religious freedom and practice, the right to humane
care and treatment, the right to exercise, the right to press charges against another
person).
What is psychiatric mental health nursing and its main focus?
A core mental health profession that employs a purposeful use of self as its art and a
wide range of nursing, psychosocial, and neurobiological theories and research
evidence as its science. (ANA, 2007, p.1). Its focus is the treatment of human
responses to mental health problems and psychiatric disorders.
Recovering from a mental illness is viewed as a personal journey of healing.
What is the goal of recovery?