NUR 253 MENTAL HEALTH 1 EXAM STUDY
GUIDE 2025/2026 | COMPLETE
QUESTIONS | VERIFIED ANSWERS |
GRADED A + | PASS GUARANTEED |
RECENT UPDATE
Communication with Hard of Hearing Patients - ANSWER Do not shout; turn
the TV volume down, do not stand behind the patient, and speak in a normal voice
and rate.
Orientation Phase - ANSWER The phase where the nurse should ask the client
how they would like to be addressed.
Client Opportunities to Reply - ANSWER If you do not give the client
opportunities to reply during the interview, they may be discouraged from
responding.
Establishing Rapport - ANSWER The nurse should continue attempts to
establish good rapport with the client, even if the client is newly admitted and
angry.
Refusal of Medications - ANSWER Clients are allowed to refuse medications,
and the nurse should document it as refused and notify the PHCP.
,Override of Medication Refusal - ANSWER A PHCP can override a client's
decision to refuse medication if the client is a danger to self or others.
Therapeutic Communication Techniques - ANSWER Include summarizing,
which has the nurse review what the client has said.
Assessment Finding - ANSWER A reported finding could be that the client is
refusing to attend school due to unrealistic safety concerns.
Voicing Doubt - ANSWER A therapeutic communication technique used when
the nurse doubts the client's perception, such as saying, 'That is hard to believe.'
Working Phase - ANSWER The phase during which the nurse should provide
education about a condition in the nurse-client relationship.
Seating for the nurse-client relationship - ANSWER Keeping space between the
client and the nurse free of furniture, placing the chairs at a 90-120 degree angle to
decrease interview intensity, having a chair available for the client and a chair for
the nurse.
Nontherapeutic communication techniques - ANSWER Discouraging
comparison.
Adolescent confidentiality - ANSWER When interviewing an adolescent, if the
client states, 'you will tell my parents what I say,' the nurse should respond, 'what
you say about feelings is private but some things must be reported to the treatment
team for your safety.'
, Response to unexpected job termination - ANSWER If the nurse is caring for a
client who has come to the crisis clinic after an unexpected job termination, the
best response by the nurse is, 'let's talk more about the unexpected job termination.'
Maslow's hierarchy in nursing assessment - ANSWER When thinking of
Maslow, the nurse should assess first the client who has thoughts of suicide.
Assessment order for clients - ANSWER When assessing clients, the nurse
should assess the client who has vital signs that are not in range just as with a
medical client.
Erikson's developmental stages - ANSWER Learn Erikson from the book so
that if presented with a client, you can pick out intimacy versus isolation or
whichever one it is.
Assault vs. battery - ANSWER Know the difference between assault and
battery by the nurse on a client.
Anticonvulsants as mood stabilizers - ANSWER We sometimes use
anticonvulsants as mood stabilizers if the client does not have a history of seizures
or epilepsy.
Validity of advanced directives - ANSWER Advanced directives must be
signed in order to be valid.
, Teenagers and friendships - ANSWER Erikson indicates that teenagers like to
spend time with their friends and this is normal.
Intimate relationships in early adulthood - ANSWER Establishing intimate
relationships occurs during the early adulthood years according to Erikson.
Medication discrepancies - ANSWER If a client states that the medication
being given is not the same they take at home, the PHCP must be called to discuss
that the order is correct.
Safety measures in inpatient units - ANSWER In an inpatient mental health
unit, if a visitor's bag and purse are searched, that is an acceptable safety measure.
Priority during client agitation - ANSWER If a client on the unit becomes
agitated, speaking rapidly, belligerent, and pacing, the priority for the nurse is the
safety for the client and the other clients on the unit.
Malpractice proof requirements - ANSWER In order to prove malpractice, you
must prove damages, duty, and cause; technically there are 4 things for
malpractice.
First generation antipsychotics - ANSWER First generation antipsychotics can
cause restlessness and an uncontrollable urge to move; these should be taught to
the client.
GUIDE 2025/2026 | COMPLETE
QUESTIONS | VERIFIED ANSWERS |
GRADED A + | PASS GUARANTEED |
RECENT UPDATE
Communication with Hard of Hearing Patients - ANSWER Do not shout; turn
the TV volume down, do not stand behind the patient, and speak in a normal voice
and rate.
Orientation Phase - ANSWER The phase where the nurse should ask the client
how they would like to be addressed.
Client Opportunities to Reply - ANSWER If you do not give the client
opportunities to reply during the interview, they may be discouraged from
responding.
Establishing Rapport - ANSWER The nurse should continue attempts to
establish good rapport with the client, even if the client is newly admitted and
angry.
Refusal of Medications - ANSWER Clients are allowed to refuse medications,
and the nurse should document it as refused and notify the PHCP.
,Override of Medication Refusal - ANSWER A PHCP can override a client's
decision to refuse medication if the client is a danger to self or others.
Therapeutic Communication Techniques - ANSWER Include summarizing,
which has the nurse review what the client has said.
Assessment Finding - ANSWER A reported finding could be that the client is
refusing to attend school due to unrealistic safety concerns.
Voicing Doubt - ANSWER A therapeutic communication technique used when
the nurse doubts the client's perception, such as saying, 'That is hard to believe.'
Working Phase - ANSWER The phase during which the nurse should provide
education about a condition in the nurse-client relationship.
Seating for the nurse-client relationship - ANSWER Keeping space between the
client and the nurse free of furniture, placing the chairs at a 90-120 degree angle to
decrease interview intensity, having a chair available for the client and a chair for
the nurse.
Nontherapeutic communication techniques - ANSWER Discouraging
comparison.
Adolescent confidentiality - ANSWER When interviewing an adolescent, if the
client states, 'you will tell my parents what I say,' the nurse should respond, 'what
you say about feelings is private but some things must be reported to the treatment
team for your safety.'
, Response to unexpected job termination - ANSWER If the nurse is caring for a
client who has come to the crisis clinic after an unexpected job termination, the
best response by the nurse is, 'let's talk more about the unexpected job termination.'
Maslow's hierarchy in nursing assessment - ANSWER When thinking of
Maslow, the nurse should assess first the client who has thoughts of suicide.
Assessment order for clients - ANSWER When assessing clients, the nurse
should assess the client who has vital signs that are not in range just as with a
medical client.
Erikson's developmental stages - ANSWER Learn Erikson from the book so
that if presented with a client, you can pick out intimacy versus isolation or
whichever one it is.
Assault vs. battery - ANSWER Know the difference between assault and
battery by the nurse on a client.
Anticonvulsants as mood stabilizers - ANSWER We sometimes use
anticonvulsants as mood stabilizers if the client does not have a history of seizures
or epilepsy.
Validity of advanced directives - ANSWER Advanced directives must be
signed in order to be valid.
, Teenagers and friendships - ANSWER Erikson indicates that teenagers like to
spend time with their friends and this is normal.
Intimate relationships in early adulthood - ANSWER Establishing intimate
relationships occurs during the early adulthood years according to Erikson.
Medication discrepancies - ANSWER If a client states that the medication
being given is not the same they take at home, the PHCP must be called to discuss
that the order is correct.
Safety measures in inpatient units - ANSWER In an inpatient mental health
unit, if a visitor's bag and purse are searched, that is an acceptable safety measure.
Priority during client agitation - ANSWER If a client on the unit becomes
agitated, speaking rapidly, belligerent, and pacing, the priority for the nurse is the
safety for the client and the other clients on the unit.
Malpractice proof requirements - ANSWER In order to prove malpractice, you
must prove damages, duty, and cause; technically there are 4 things for
malpractice.
First generation antipsychotics - ANSWER First generation antipsychotics can
cause restlessness and an uncontrollable urge to move; these should be taught to
the client.
