Midterm NU 671 Purdue Global Exam With
Complete Solutions
What is a therapeutic relationship? - ANSWER A mutual, interactive, interpersonal
relationship between client and nurse/provider, centered on the needs of the client.
What are the core qualities of a positive therapeutic relationship? - ANSWER
Genuineness, openness, acceptance, non-judgment, authenticity, empathy, respect,
and clear professional boundaries.
What are the phases of the therapeutic relationship? - ANSWER Introduction/Orientation
Phase, Working Phase, and Termination Phase.
What is the primary goal of the introduction/orientation phase? - ANSWER To establish
trust, safety, and expectations while beginning to understand presenting concerns and
needs.
What occurs during the working phase of the therapeutic relationship? - ANSWER
Identify and explore problems, implement treatments and interventions, and monitor
progress.
What signifies the termination phase in a therapeutic relationship? - ANSWER Symptoms
improved or in remission/stable, with care decreasing in frequency or transitioning to a
'call when things get bad' plan.
What is the first priority during initial contact with a patient? - ANSWER Safety and
emotional security for the patient.
What is the resilience zone? - ANSWER A state where individuals can tolerate life's ups
and downs without falling apart under stress.
,What are treatment goals related to the resilience zone? - ANSWER Promote
mind-body-spirit wellness, self-regulation, belief in ability to change, and management
of physical symptoms linked to mental health.
What is the #1 predictor of good psychotherapy outcomes? - ANSWER The therapeutic
alliance, not the specific modality.
What are practical strategies to cultivate a strong therapeutic relationship? - ANSWER
Ask detailed questions, validate feelings, provide clear education, support autonomy,
and listen empathetically.
What is transference in a therapeutic context? - ANSWER When a patient unconsciously
transfers feelings/expectations from past relationships onto the provider.
What is countertransference? - ANSWER The provider's emotional response to the
patient based on their own history, biases, or prior experiences.
What are signs that countertransference may be happening? - ANSWER Strong
emotions toward a patient, feeling anxious or preoccupied, difficulty empathizing, and
boundary issues.
What is the purpose of the Mental Status Exam (MSE)? - ANSWER To provide an
objective evaluation of emotional, cognitive, and behavioral functioning at the time of
the visit.
What are the core elements of the MSE? - ANSWER Appearance, behavior/attitude,
speech, mood & affect, thought process, thought content, perception, cognition,
insight, and judgment.
What should be documented regarding a patient's appearance in the MSE? - ANSWER
Grooming, hygiene, clothing appropriateness, body habitus, and any notable physical
findings reflecting mental state.
, What aspects of behavior/attitude are assessed in the MSE? - ANSWER Cooperation,
engagement, eye contact, and psychomotor activity.
What should be noted about a patient's speech during the MSE? - ANSWER Rate,
volume, fluency, and quality, including logical vs. rambling patterns.
How is mood assessed in the MSE? - ANSWER By asking the patient to describe their
mood and documenting their response in quotes.
What does affect refer to in the context of the MSE? - ANSWER The provider's objective
observation of the patient's emotional expression, including range and appropriateness.
What does thought process refer to in the MSE? - ANSWER How thoughts are organized
and connected, such as being logical, disorganized, or showing loose associations.
What should be looked for in thought content during the MSE? - ANSWER Suicidal
ideation, homicidal ideation, delusions, and ideas of reference.
What is the impact of suicide on public health? - ANSWER Suicide kills more Americans
than car crashes and remains unchanged over decades.
What is the CSSRS? - ANSWER The Columbia Suicide Severity Rating Scale, a tool used
for suicide screening across various sectors.
What does the SAD PERSONS mnemonic stand for? - ANSWER Sex, Age, Depression,
Previous Attempt, Ethanol abuse, Rational thinking loss, Social supports lacking,
Organized plan, No spouse, Sickness.
Which age group has the highest suicide rates? - ANSWER Older adults, particularly
white males over 85 years.
Complete Solutions
What is a therapeutic relationship? - ANSWER A mutual, interactive, interpersonal
relationship between client and nurse/provider, centered on the needs of the client.
What are the core qualities of a positive therapeutic relationship? - ANSWER
Genuineness, openness, acceptance, non-judgment, authenticity, empathy, respect,
and clear professional boundaries.
What are the phases of the therapeutic relationship? - ANSWER Introduction/Orientation
Phase, Working Phase, and Termination Phase.
What is the primary goal of the introduction/orientation phase? - ANSWER To establish
trust, safety, and expectations while beginning to understand presenting concerns and
needs.
What occurs during the working phase of the therapeutic relationship? - ANSWER
Identify and explore problems, implement treatments and interventions, and monitor
progress.
What signifies the termination phase in a therapeutic relationship? - ANSWER Symptoms
improved or in remission/stable, with care decreasing in frequency or transitioning to a
'call when things get bad' plan.
What is the first priority during initial contact with a patient? - ANSWER Safety and
emotional security for the patient.
What is the resilience zone? - ANSWER A state where individuals can tolerate life's ups
and downs without falling apart under stress.
,What are treatment goals related to the resilience zone? - ANSWER Promote
mind-body-spirit wellness, self-regulation, belief in ability to change, and management
of physical symptoms linked to mental health.
What is the #1 predictor of good psychotherapy outcomes? - ANSWER The therapeutic
alliance, not the specific modality.
What are practical strategies to cultivate a strong therapeutic relationship? - ANSWER
Ask detailed questions, validate feelings, provide clear education, support autonomy,
and listen empathetically.
What is transference in a therapeutic context? - ANSWER When a patient unconsciously
transfers feelings/expectations from past relationships onto the provider.
What is countertransference? - ANSWER The provider's emotional response to the
patient based on their own history, biases, or prior experiences.
What are signs that countertransference may be happening? - ANSWER Strong
emotions toward a patient, feeling anxious or preoccupied, difficulty empathizing, and
boundary issues.
What is the purpose of the Mental Status Exam (MSE)? - ANSWER To provide an
objective evaluation of emotional, cognitive, and behavioral functioning at the time of
the visit.
What are the core elements of the MSE? - ANSWER Appearance, behavior/attitude,
speech, mood & affect, thought process, thought content, perception, cognition,
insight, and judgment.
What should be documented regarding a patient's appearance in the MSE? - ANSWER
Grooming, hygiene, clothing appropriateness, body habitus, and any notable physical
findings reflecting mental state.
, What aspects of behavior/attitude are assessed in the MSE? - ANSWER Cooperation,
engagement, eye contact, and psychomotor activity.
What should be noted about a patient's speech during the MSE? - ANSWER Rate,
volume, fluency, and quality, including logical vs. rambling patterns.
How is mood assessed in the MSE? - ANSWER By asking the patient to describe their
mood and documenting their response in quotes.
What does affect refer to in the context of the MSE? - ANSWER The provider's objective
observation of the patient's emotional expression, including range and appropriateness.
What does thought process refer to in the MSE? - ANSWER How thoughts are organized
and connected, such as being logical, disorganized, or showing loose associations.
What should be looked for in thought content during the MSE? - ANSWER Suicidal
ideation, homicidal ideation, delusions, and ideas of reference.
What is the impact of suicide on public health? - ANSWER Suicide kills more Americans
than car crashes and remains unchanged over decades.
What is the CSSRS? - ANSWER The Columbia Suicide Severity Rating Scale, a tool used
for suicide screening across various sectors.
What does the SAD PERSONS mnemonic stand for? - ANSWER Sex, Age, Depression,
Previous Attempt, Ethanol abuse, Rational thinking loss, Social supports lacking,
Organized plan, No spouse, Sickness.
Which age group has the highest suicide rates? - ANSWER Older adults, particularly
white males over 85 years.
