EXAM UPDATE WITH QUESTIONS AND
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"Termination Phase" of the Nurse-Client Relationship -CORRECTANSWER
Summarizing the goals and objectives achieved, discussing ways to incorporate new
coping strategies, reviewing situations that occurred and exchanging memories
"Working Phase" of the Nurse-Patient Relationship -CORRECTANSWER Maintaining
the relationship, gathering data, promoting problem solving skills and self-esteem,
facilitate discharge, overcome resistance, evaluate problems and goals
Cognitive Behavioral Therapy (CBT) -CORRECTANSWER Theory behind this therapy:
Everyone has schemata-unique assumptions about self, others, and the world around
them
What is a therapeutic milieu or milieu therapy? -CORRECTANSWER A health
environment, combined with a healthy social structure within a inpatient or outpatient
setting supporting and treating those with mental illness
Difference between a social relationship and the nurse-client relationship -
CORRECTANSWER Focus on the patient's problems and concerns encouraging them
to find their own situations, not "being a friend" or meeting the needs of the nurse
Examples of Non-Therapeutic Communication techniques -CORRECTANSWER
Reassuring, giving advice, giving approval, disapproving, changing the subject
What is "Exploring"- a therapeutic communication technique? -CORRECTANSWER
"Tell me more about that"
"Would you describe it more fully?"
What are examples of therapeutic communication techniques? -CORRECTANSWER
Paraphrasing, summarizing, clarifying, exploring, silence, touch
What is "False Reassurance"- a non-therapeutic communication technique? -
CORRECTANSWER "Don't worry everything will be alright", "You'll be fine". "There's
nothing to worry about"
, What is minimizing feelings- (a non-therapeutic communication technique -
CORRECTANSWER Patient: "I wish I were dead. "Nurse: 'I know what you mean."
What is affect? -CORRECTANSWER Client's emotional display of mood being
experienced
What are levels of consciousness? -CORRECTANSWER Alert, Lethargic, Stuporous
What is "flight of ideas"? -CORRECTANSWER Rapid changes from one thought to
another related thought
What is perseveration? -CORRECTANSWER Repeating the same words in response to
different questions
What is judgement? -CORRECTANSWER Ability to evaluate choices and make
appropriate decisions
What is autonomy? -CORRECTANSWER Respecting the rights of others to make their
own decisions (Big choices: Do you want CPR? Surgery?. Little choices: What would
you like to take your medicine with?) =CHOICE/SELF DETERMINATION
What are the reasons to use seclusion? -CORRECTANSWER Being a harm to self or
others, decreasing sensory overload, patient request
What is a violation of the patient's rights? -CORRECTANSWER Forcing client to eat,
wash, or dress self
What is "Duty to Warn"? -CORRECTANSWER Informing medical staff about a client's
threat to harm a specific individual
What is the right to leave against medical advice, privacy, and all belongings? -
CORRECTANSWER The difference in the rights of clients involuntarily admitted vs.
voluntary
What is Cognitive Behavioral Therapy? -CORRECTANSWER In this type of therapy,
the individual is taught to control negative thoughts to maintain and manage emotions.
Uses both cognitive and behavioral approaches to assist client with anxiety
management.
What is "Autonomy vs. Shame and Doubt"? -CORRECTANSWER During this
Erickson's task successful completion would include gain self-control and independence
within the environment
What is generativity vs. stagnation? -CORRECTANSWER This task-achieve life goals
and obtain concern and awareness of future generations