NUR 2459 Mental Status Assessment (MSE) Guide: Components, Examples

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NUR2459 / NUR 2459: Mental Status Assessment

(Latest 2025) Mental and Behavioral Health Nursing -

Rasmussen

"Termination Phase" of the Nurse-Client Relationship

.....ANSWER.....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

.....ANSWER.....Maintaining the relationship, gathering data,

promoting problem solving skills and self-esteem, facilitate

discharge, overcome resistance, evaluate problems and goals

Cognitive Behavioral Therapy (CBT) .....ANSWER.....Theory

behind this therapy: Everyone has schemata-unique assumptions

about self, others, and the world around them

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What is a therapeutic milieu or milieu therapy? .....ANSWER.....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 .....ANSWER.....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

.....ANSWER.....Reassuring, giving advice, giving approval,

disapproving, changing the subject

What is "Exploring"- a therapeutic communication technique?

.....ANSWER....."Tell me more about that"

"Would you describe it more fully?"

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What are examples of therapeutic communication techniques?

.....ANSWER.....Paraphrasing, summarizing, clarifying, exploring,

silence, touch

What is "False Reassurance"- a non-therapeutic communication

technique? .....ANSWER....."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 .....ANSWER.....Patient: "I wish I were dead. "Nurse: 'I

know what you mean."

What is affect? .....ANSWER.....Client's emotional display of

mood being experienced

What are levels of consciousness? .....ANSWER.....Alert, Lethargic,

Stuporous

What is "flight of ideas"? .....ANSWER.....Rapid changes from one

thought to another related thought