NUR 2459 Rasmussen Mental Health Exams 1 & 2
COMPLETE BUNDLE (2025/2026) | Actual Exams |
Foundational & Advanced Psychiatric Nursing
Assessment
what are some psychiatric historical events that have occurred in the early psychiatric era? --
answer--18th century- state asylums created, 600,000 residents were in them, 1st school or
psychiatric nursing was created in 1882, deinstitutionalization, shift in role of the nurse from
custodial care to professional care.
explain seeking clarification -- answer--striving to achieve understanding of vague statements
can help for understanding.
explain presenting reality -- answer--when there is a misperception of reality, the nurse will
express their perception of the situation without changing the patients.
explain voicing doubt -- answer--expressing uncertainty as to the reality of the patient's
perceptions during delusional thinking.
explain verbalizing the implied -- answer--putting into words what the patient has implied or
said indirectly.
explain translating words into feelings -- answer--the nurse will symbolize what has been said
to find the underlying feelings.
explain formulating a plan of action -- answer--encouraging identification of a behavior change
will allow for better coping skills.
,explain material boundaries -- answer--can be seen, like a fence that borders land.
explain social boundaries -- answer--hese are established within a culture and define how
individuals are expected to behave in social situations.
explain personal boundaries -- answer--these are boundaries that individuals define for
themselves.
explain physical/distance boundaries -- answer--how close individuals will allow others to enter
their physical space.
explain emotional boundaries -- answer--how much individuals choose to disclose their most
private and intimate sleeves to others.
explain professional boundaries -- answer--limit and outline expectations for appropriate
professional relationships with patients. space between nurses power and patient vulnerability.
Imbalance of power does exist because the nurse can see patient records. They must avoid
conflict where a personal gain may be achieved within the relationship.
explain self disclosure -- answer--appropriate when the information could therapeutically
benefit the patient. Not undertaken to meet the nurses needs.
explain gift giving -- answer--Nurses should not accept gifts but also use professional judgement
based on the type of gift and patient care and thought behind it. Refusal should be based on
patient sensitivity.
explain touch -- answer--Touching is required to do the therapeutic procedures and care, but
caring touch in times where they have no need to do so is inappropriate. Touch should be
appropriate, therapeutic, and welcomed. Many need to avoid it based on the situation and
culture.
,explain friendship/romantic association -- answer--all relationships should be professional. If
unable to do this, one should withdraw from the relationship. Romantic relationships should
not occur.
complications if boundaries are breeched -- answer--threatens the integrity of the nurse
patient relationship, can cause boundary violations. Potential for the nurse to be fired or to lose
their license.
signs that boundaries may be breeched -- answer--favoriting patients, keeping secrets,
changing dress for working, swapping assignments, giving special attention to one client over
another, spending free time with patients, thinking about patients when away from work,
shoring personal concerns with patient, receive gifts or have contact with the patient after
discharge
explain giving false reassurance -- answer--conveys the outcome is already known and
minimizes the patient's feelings and concerns and prevents further expression of feeling
"everything will be okay", "you will be better soon"
explain rejecting -- answer--refusing to consider or showing contempt for patients ideas or
behavior may cause patients to discontinue the relationship.
explain approving/ disapproving or agreeing/disagreeing -- answer--indication accord or
opposition based on good or right behaviors and bad or wrong behaviors that prevents
modification without admitting error, or to please the nurse . Creates defensiveness.
explain giving advice -- answer--telling the patient what to do or how to behave implies the
nurse knows what is best and discourages patient independence. "you should do this because it
will help you"
explain probing -- answer--persistent questioning and the push for answers the patient does
not wish causes the patient to feel used and valued for what information the nurse is only
, seeking, consistently talking about a traumatic childhood event by bringing up things about the
clients childhood
explain defending -- answer--minimizes or completely ignores the patients concerns and
encourages taking sides.
explain requesting an explanation -- answer--involves asking the client why they have certain
behaviors or thoughts and that they must defend their feelings. "why do you feel depressed"
explain indicating there is a external source of power -- answer--attributing the thoughts to an
outside source encourages the patient to project blame for their thoughts on others rather than
accepting their own responsibility.
explain minimizing feelings -- answer--encourages a lack of empathy and understanding based
on their concerns being irrelevant and not important.
explain stereotyping -- answer--using meaningless expressions to encourage a similar response
from the patient
explain using denial -- answer--denying a problem exists blocks discussion with the patient and
avoids getting help in areas they need it,
explain interpreting -- answer--attempts to tell the patient the meaning of his or her
experience.
explain introducing an unrelated topic -- answer--changing the topic indicates the nurse does
not want to discuss the topic the patient wants to discuss.
explain how to use the nursing process with psychiatric disorders -- answer--assessment-
collecting information about past medical history, assessing physical and emotional state
diagnosis: medically will be through the DSM5 but can use NANDA as well for nursing dx's
COMPLETE BUNDLE (2025/2026) | Actual Exams |
Foundational & Advanced Psychiatric Nursing
Assessment
what are some psychiatric historical events that have occurred in the early psychiatric era? --
answer--18th century- state asylums created, 600,000 residents were in them, 1st school or
psychiatric nursing was created in 1882, deinstitutionalization, shift in role of the nurse from
custodial care to professional care.
explain seeking clarification -- answer--striving to achieve understanding of vague statements
can help for understanding.
explain presenting reality -- answer--when there is a misperception of reality, the nurse will
express their perception of the situation without changing the patients.
explain voicing doubt -- answer--expressing uncertainty as to the reality of the patient's
perceptions during delusional thinking.
explain verbalizing the implied -- answer--putting into words what the patient has implied or
said indirectly.
explain translating words into feelings -- answer--the nurse will symbolize what has been said
to find the underlying feelings.
explain formulating a plan of action -- answer--encouraging identification of a behavior change
will allow for better coping skills.
,explain material boundaries -- answer--can be seen, like a fence that borders land.
explain social boundaries -- answer--hese are established within a culture and define how
individuals are expected to behave in social situations.
explain personal boundaries -- answer--these are boundaries that individuals define for
themselves.
explain physical/distance boundaries -- answer--how close individuals will allow others to enter
their physical space.
explain emotional boundaries -- answer--how much individuals choose to disclose their most
private and intimate sleeves to others.
explain professional boundaries -- answer--limit and outline expectations for appropriate
professional relationships with patients. space between nurses power and patient vulnerability.
Imbalance of power does exist because the nurse can see patient records. They must avoid
conflict where a personal gain may be achieved within the relationship.
explain self disclosure -- answer--appropriate when the information could therapeutically
benefit the patient. Not undertaken to meet the nurses needs.
explain gift giving -- answer--Nurses should not accept gifts but also use professional judgement
based on the type of gift and patient care and thought behind it. Refusal should be based on
patient sensitivity.
explain touch -- answer--Touching is required to do the therapeutic procedures and care, but
caring touch in times where they have no need to do so is inappropriate. Touch should be
appropriate, therapeutic, and welcomed. Many need to avoid it based on the situation and
culture.
,explain friendship/romantic association -- answer--all relationships should be professional. If
unable to do this, one should withdraw from the relationship. Romantic relationships should
not occur.
complications if boundaries are breeched -- answer--threatens the integrity of the nurse
patient relationship, can cause boundary violations. Potential for the nurse to be fired or to lose
their license.
signs that boundaries may be breeched -- answer--favoriting patients, keeping secrets,
changing dress for working, swapping assignments, giving special attention to one client over
another, spending free time with patients, thinking about patients when away from work,
shoring personal concerns with patient, receive gifts or have contact with the patient after
discharge
explain giving false reassurance -- answer--conveys the outcome is already known and
minimizes the patient's feelings and concerns and prevents further expression of feeling
"everything will be okay", "you will be better soon"
explain rejecting -- answer--refusing to consider or showing contempt for patients ideas or
behavior may cause patients to discontinue the relationship.
explain approving/ disapproving or agreeing/disagreeing -- answer--indication accord or
opposition based on good or right behaviors and bad or wrong behaviors that prevents
modification without admitting error, or to please the nurse . Creates defensiveness.
explain giving advice -- answer--telling the patient what to do or how to behave implies the
nurse knows what is best and discourages patient independence. "you should do this because it
will help you"
explain probing -- answer--persistent questioning and the push for answers the patient does
not wish causes the patient to feel used and valued for what information the nurse is only
, seeking, consistently talking about a traumatic childhood event by bringing up things about the
clients childhood
explain defending -- answer--minimizes or completely ignores the patients concerns and
encourages taking sides.
explain requesting an explanation -- answer--involves asking the client why they have certain
behaviors or thoughts and that they must defend their feelings. "why do you feel depressed"
explain indicating there is a external source of power -- answer--attributing the thoughts to an
outside source encourages the patient to project blame for their thoughts on others rather than
accepting their own responsibility.
explain minimizing feelings -- answer--encourages a lack of empathy and understanding based
on their concerns being irrelevant and not important.
explain stereotyping -- answer--using meaningless expressions to encourage a similar response
from the patient
explain using denial -- answer--denying a problem exists blocks discussion with the patient and
avoids getting help in areas they need it,
explain interpreting -- answer--attempts to tell the patient the meaning of his or her
experience.
explain introducing an unrelated topic -- answer--changing the topic indicates the nurse does
not want to discuss the topic the patient wants to discuss.
explain how to use the nursing process with psychiatric disorders -- answer--assessment-
collecting information about past medical history, assessing physical and emotional state
diagnosis: medically will be through the DSM5 but can use NANDA as well for nursing dx's
