NUR 2459 MENTAL HEALTH COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔explain friendship/romantic association - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔refusing to consider or showing contempt for patients ideas or
behavior may cause patients to discontinue the relationship.
✔✔explain approving/ disapproving or agreeing/disagreeing - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔minimizes or completely ignores the patients concerns and
encourages taking sides.
✔✔explain requesting an explanation - ✔✔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 - ✔✔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 - ✔✔encourages a lack of empathy and understanding
based on their concerns being irrelevant and not important.
✔✔explain stereotyping - ✔✔using meaningless expressions to encourage a similar
response from the patient
✔✔explain using denial - ✔✔denying a problem exists blocks discussion with the
patient and avoids getting help in areas they need it,
✔✔explain interpreting - ✔✔attempts to tell the patient the meaning of his or her
experience.
✔✔explain introducing an unrelated topic - ✔✔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 - ✔✔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
palling: independently and individualized with multiple disciplines involved.
planning/ implementation: the nurse plans intervention with the client and are then acted
out
evaluation: did the client meet the goals or do we need to change things.
✔✔explain the parts of the mental status exam - ✔✔appearance, motor activity, speech
patterns, attitude, emotions, affect, thought processes, cognitive ability
✔✔explain what appearance means in relation to the mental status exam - ✔✔-
Grooming
-Personal hygiene
-Posture
-Level of eye contact
-Evidence of scars or other distinguishing skin marks
✔✔explain what motor acitvity means in relation to the mental status exam - ✔✔-
Tremors
-Tics
-Mannerisms
-Hyperactivity
-Restless or agitated
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔explain friendship/romantic association - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔refusing to consider or showing contempt for patients ideas or
behavior may cause patients to discontinue the relationship.
✔✔explain approving/ disapproving or agreeing/disagreeing - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔minimizes or completely ignores the patients concerns and
encourages taking sides.
✔✔explain requesting an explanation - ✔✔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 - ✔✔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 - ✔✔encourages a lack of empathy and understanding
based on their concerns being irrelevant and not important.
✔✔explain stereotyping - ✔✔using meaningless expressions to encourage a similar
response from the patient
✔✔explain using denial - ✔✔denying a problem exists blocks discussion with the
patient and avoids getting help in areas they need it,
✔✔explain interpreting - ✔✔attempts to tell the patient the meaning of his or her
experience.
✔✔explain introducing an unrelated topic - ✔✔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 - ✔✔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
palling: independently and individualized with multiple disciplines involved.
planning/ implementation: the nurse plans intervention with the client and are then acted
out
evaluation: did the client meet the goals or do we need to change things.
✔✔explain the parts of the mental status exam - ✔✔appearance, motor activity, speech
patterns, attitude, emotions, affect, thought processes, cognitive ability
✔✔explain what appearance means in relation to the mental status exam - ✔✔-
Grooming
-Personal hygiene
-Posture
-Level of eye contact
-Evidence of scars or other distinguishing skin marks
✔✔explain what motor acitvity means in relation to the mental status exam - ✔✔-
Tremors
-Tics
-Mannerisms
-Hyperactivity
-Restless or agitated
