NUR 2459 MENTAL HEALTH EXAMS SCRIPT
QUESTIONS AND ANSWERS SET A+
✔✔example of splitting - ✔✔Someone says she has the best friend ever, until her friend
is not able to attend her party. Then she says she never wants to see her again.
✔✔explain sublimation - ✔✔dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
✔✔example of sublimation - ✔✔A mother whose child has cystic fibrosis, develops a
support group for other parents with children diagnosed with the illness.
✔✔explain undoing - ✔✔performing an act to make up for prior behavior.
✔✔example of undoing - ✔✔A man argues with his wife and the next day brings her
flowers.
✔✔explain what the therapeutic use of self means and the role of the nurse - ✔✔The
ability to use one's personality consciously and in full awareness in an attempt to
establish relatedness and to structure nursing intervention.
The nurse must possess self-awareness and self understanding based on the belief of
the human condition.
The nurse must understand the ability to effectively help others in time of need is
influenced strongly by the internal values one has.
✔✔conditions essential for a therapeutic relationship to be established - ✔✔rapport,
trust,
respect, genuineness, empathy
✔✔explain what rapport is - ✔✔implies special feelings on the part of both the patient
and the nurse based on acceptance, warmth, friendliness, common interest, a sense of
trust, and a nonjudgmental attitude
,✔✔explain what trust is - ✔✔one must feel confident in that person's presence,
reliability, integrity, veracity, and sincere desire to provide assistance when requested.
demonstrated through nursing interventions that convey a sense of warmth and caring
to the patient.
✔✔explain what respect is - ✔✔believe in the dignity and worth of an individual
regardless of his or her unacceptable behavior
✔✔explain what genuineness is - ✔✔nurse's ability to be open, honest, and "real" in
interactions with the patient. To be real is to be aware of what one is experiencing
internally and to allow the quality of this inner experience to be apparent in the
therapeutic relationshi
✔✔explain what empathy is - ✔✔conveys an objective awareness and understanding of
the feelings, emotions, and behaviors of others, including trying to envision what it must
be like to be in the position of the client and the clients family.
✔✔explain the therapeutic nurse patient relationship - ✔✔pre orientation, orientation,
working, termination
✔✔explain what happens during pre orientation phase - ✔✔involves preparation for the
first encounter with the patient.
The nurse obtains information from the chart, significant others, or other team members.
They also may examine one's feelings, fears, and anxieties about working with a
specific patient and how they may affect the ability to care for the patient. no bias
✔✔explain the orientation phase - ✔✔involves the nurse and the patient becoming
acquainted. Introductions.
Creates environment with trust, identifies strengths and limitations and assess and
create goals, discuss the termination phase.
✔✔explain the working phase - ✔✔the therapeutic work of the relationship is
accomplished, and interventions take place. maintain trust and rapport, problem solving,
overcoming resistance saviors, advancing to reaching ones goals.
✔✔explain transference - ✔✔when the patient unconsciously displaces to the nurse
feelings formed to a person from his or her past from feelings or personality that remind
the patient of another person, but also be dependency on the nurse based on unreal
patient expectations.
✔✔explain countertransference - ✔✔the nurse's behavioral and emotional responses in
which the nurse transfers feelings about past experiences to the patient that can
interfere with the relationship
, ✔✔explain termination phase - ✔✔occurs when the goals are reached, the client is
discharged, or the shift ends.
Can be difficult for all parties involved and therapeutic conclusions must be developed
and feeling of sadness and loss may occur.
✔✔explain therapeutic communication - ✔✔caregiver verbal and nonverbal techniques
that focus on the care receivers needs and that advance the promotion of healing and
change. It fosters the exploration of feelings and understanding of behavioral
motivation. Nonjudgemental, discourages defensiveness, and promotes trust.
✔✔explain non therapeutic communication - ✔✔barriers to open communication
between the nurse and patient that lead to anxiety, non healing, judgment, and
defensiveness. No trust and rapport.
✔✔what is verbal communication? - ✔✔communication by word or sound.
Nurses must be cautious about the word choices or sounds they make, as some works
or phrases may not be therapeutic or healing.
✔✔what is non verbal communication? - ✔✔communication that expresses one's
attitudes and feelings with body language, physical appearance, movement, posture,
touch, facial expressions, eye contact, and vocal cutes.
✔✔explain what active listening is - ✔✔occurs nonverbally and is important to have a
desire to hear and understand what the patient is saying.
✔✔explain the acronym SOLER and active listening - ✔✔S- sit squarely facing the
patient
O- observe a open posture with legs and arms not crossed.
L- lean forward to the patient and allow them to see your interest in what they are
saying
E- eye contact should be established to show interest
R- relaxing will show that you are comfortable and have full interest in the patient
✔✔explain nonverbal techniques that are therapeutic - ✔✔appearance is nice and
groomed appropriately, body movement is minimal per conversation and posture is
upright with an open figure, no touch, facial expression is pleasant, eye contact is
maintained, vocal cues are followed and tone of voice is neutral
✔✔explain nonverbal techniques that are non therapeutic - ✔✔appearance is
disheveled, body language is very negative (arms crossed, should shrugging), mood
does not equal affect, posture is too relaxed or slouched, touch is used, eye rolling or
looking at the clock, door or not the patient, vocal cues seem very conscientious and
forceful
QUESTIONS AND ANSWERS SET A+
✔✔example of splitting - ✔✔Someone says she has the best friend ever, until her friend
is not able to attend her party. Then she says she never wants to see her again.
✔✔explain sublimation - ✔✔dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
✔✔example of sublimation - ✔✔A mother whose child has cystic fibrosis, develops a
support group for other parents with children diagnosed with the illness.
✔✔explain undoing - ✔✔performing an act to make up for prior behavior.
✔✔example of undoing - ✔✔A man argues with his wife and the next day brings her
flowers.
✔✔explain what the therapeutic use of self means and the role of the nurse - ✔✔The
ability to use one's personality consciously and in full awareness in an attempt to
establish relatedness and to structure nursing intervention.
The nurse must possess self-awareness and self understanding based on the belief of
the human condition.
The nurse must understand the ability to effectively help others in time of need is
influenced strongly by the internal values one has.
✔✔conditions essential for a therapeutic relationship to be established - ✔✔rapport,
trust,
respect, genuineness, empathy
✔✔explain what rapport is - ✔✔implies special feelings on the part of both the patient
and the nurse based on acceptance, warmth, friendliness, common interest, a sense of
trust, and a nonjudgmental attitude
,✔✔explain what trust is - ✔✔one must feel confident in that person's presence,
reliability, integrity, veracity, and sincere desire to provide assistance when requested.
demonstrated through nursing interventions that convey a sense of warmth and caring
to the patient.
✔✔explain what respect is - ✔✔believe in the dignity and worth of an individual
regardless of his or her unacceptable behavior
✔✔explain what genuineness is - ✔✔nurse's ability to be open, honest, and "real" in
interactions with the patient. To be real is to be aware of what one is experiencing
internally and to allow the quality of this inner experience to be apparent in the
therapeutic relationshi
✔✔explain what empathy is - ✔✔conveys an objective awareness and understanding of
the feelings, emotions, and behaviors of others, including trying to envision what it must
be like to be in the position of the client and the clients family.
✔✔explain the therapeutic nurse patient relationship - ✔✔pre orientation, orientation,
working, termination
✔✔explain what happens during pre orientation phase - ✔✔involves preparation for the
first encounter with the patient.
The nurse obtains information from the chart, significant others, or other team members.
They also may examine one's feelings, fears, and anxieties about working with a
specific patient and how they may affect the ability to care for the patient. no bias
✔✔explain the orientation phase - ✔✔involves the nurse and the patient becoming
acquainted. Introductions.
Creates environment with trust, identifies strengths and limitations and assess and
create goals, discuss the termination phase.
✔✔explain the working phase - ✔✔the therapeutic work of the relationship is
accomplished, and interventions take place. maintain trust and rapport, problem solving,
overcoming resistance saviors, advancing to reaching ones goals.
✔✔explain transference - ✔✔when the patient unconsciously displaces to the nurse
feelings formed to a person from his or her past from feelings or personality that remind
the patient of another person, but also be dependency on the nurse based on unreal
patient expectations.
✔✔explain countertransference - ✔✔the nurse's behavioral and emotional responses in
which the nurse transfers feelings about past experiences to the patient that can
interfere with the relationship
, ✔✔explain termination phase - ✔✔occurs when the goals are reached, the client is
discharged, or the shift ends.
Can be difficult for all parties involved and therapeutic conclusions must be developed
and feeling of sadness and loss may occur.
✔✔explain therapeutic communication - ✔✔caregiver verbal and nonverbal techniques
that focus on the care receivers needs and that advance the promotion of healing and
change. It fosters the exploration of feelings and understanding of behavioral
motivation. Nonjudgemental, discourages defensiveness, and promotes trust.
✔✔explain non therapeutic communication - ✔✔barriers to open communication
between the nurse and patient that lead to anxiety, non healing, judgment, and
defensiveness. No trust and rapport.
✔✔what is verbal communication? - ✔✔communication by word or sound.
Nurses must be cautious about the word choices or sounds they make, as some works
or phrases may not be therapeutic or healing.
✔✔what is non verbal communication? - ✔✔communication that expresses one's
attitudes and feelings with body language, physical appearance, movement, posture,
touch, facial expressions, eye contact, and vocal cutes.
✔✔explain what active listening is - ✔✔occurs nonverbally and is important to have a
desire to hear and understand what the patient is saying.
✔✔explain the acronym SOLER and active listening - ✔✔S- sit squarely facing the
patient
O- observe a open posture with legs and arms not crossed.
L- lean forward to the patient and allow them to see your interest in what they are
saying
E- eye contact should be established to show interest
R- relaxing will show that you are comfortable and have full interest in the patient
✔✔explain nonverbal techniques that are therapeutic - ✔✔appearance is nice and
groomed appropriately, body movement is minimal per conversation and posture is
upright with an open figure, no touch, facial expression is pleasant, eye contact is
maintained, vocal cues are followed and tone of voice is neutral
✔✔explain nonverbal techniques that are non therapeutic - ✔✔appearance is
disheveled, body language is very negative (arms crossed, should shrugging), mood
does not equal affect, posture is too relaxed or slouched, touch is used, eye rolling or
looking at the clock, door or not the patient, vocal cues seem very conscientious and
forceful
