Module 2: PMH Nursing Roles, Practice Settings, &
Assessment (CMAN 272) | UPDATED Questions with 100%
Verified Answers
Q1: What is therapeutic communication?
A: It's communication where every single thing is directed to the patients healing while
keeping strict safe boundaries. We have a time limited relationship that terminates, and
we want patients to stay inpatient only as long as they need to and then we want them to
go out and thrive + be safe in society.
Q2: What are interventions Psyc nurses can implement?
A: + Coordination of Care w/ the individual's care team
+ Health Teaching & Promotion
+ Milieu Therapy ENVIRONMENT (no low bearing hooks, no door handles, no sharp
table edges, no dropped ceiling, no wires, no easy access windows, etc)
+ Pharmacological, Biological, & Integrative Therapies medication, ECT, etc.
+ Therapeutic Relationship & Counseling “I would love to talk to you, but I can not give
you 1 to 1 confidentiality”
+ If we have a secret = special relation (NOT professional) and will break trust & healing if
we report them when we said we wouldn’t.
+ Only done by Nurse Practitioners (Exam Question)
+ Prescriptive Authority and Treatment
+ Psychotherapy
+ Consultation
Q3: What are elements of a therapeutic relationship?
A: + Rapport comfort & familiarity
+ Trust we can NOT promise it but we can show it by repeatedly owning to mistakes, etc.
+ Respect only reason we have power in the situation is because of what situation the
patients are in
+ Genuineness
+ Empathy
+ Positive Regard consider a patient "good" until proven wrong
+ Establish Boundaries
+ Determine Values guide patients to figure out what they want
Q4: What is Peplau's Model of the NursePatient Relationship?
A: The model states therapeutic, cooperative process that serves as the foundation of
professional nursing practice through a set of phases.
Q5: What are the phases of Peplau's Model of the NursePatient Relationship?
A: + Preorientation (Preinteraction)
+ Orientation
+ Working
+ Termination
, Q6: Tell me about the preorientation phase?
A: Basically before the patient even arrives in the unit, we want to
+ Obtaining client information
+ Examine own feelings, fears, anxieties, etc. "I have a difficult time working with this
patient b/c it reminds me of someone else"
+ Analyze professional strengths and weaknesses Type A or B nurses
+ Assess, formulate, conceptualize
Q7: Tell me about the orientation phase?
A: + Establish trust and rapport can be difficult at first
+ Specify contract expectations on the unit, participate in treatments, & a nonnegotiable
is no tolerance violence towards care team & patients
+ Explain confidentiality:
+ "I don't want my insurance to be billed b/c I get it from work and I don't want them to
know I was in a psych unit "We can't tell your job or insurance any information about
your care, they might need a return for absence and we can say "you received treatment
for a medical illness, and were unable to work"
+ Identify why the patient sought help; selfidentified problem was it voluntary or
involuntary
Q8: Tell me about the working phase?
A: + Maintain and grow in trust and rapport
+ Explore feelings of both client and nurse
•Encourage expression of feelings Empathy, genuineness, & positive regard
+ Problem solving (anxiety connected to self esteem)
+ Provide education disorder, symptom management, and medication
+ Identify stressors and promote constructive coping strategies
+ Overcome resistance behaviors people don't like to change but they have to learn
that effort = discomfort which could lead to resistance
+ Evaluate progress
Q9: Tell me about the termination phase?
A: + End of therapeutic relationship "time limited therapeutic relationship"
+ Evaluation reveals achieved goals
+ Discuss achievements; summarize progress
+ Establish plan for continuing assistance
+ Discuss ways to integrate coping strategies into daily life
+ Say goodbyes
+ Explore feelings regarding termination; exchange memories
Assessment (CMAN 272) | UPDATED Questions with 100%
Verified Answers
Q1: What is therapeutic communication?
A: It's communication where every single thing is directed to the patients healing while
keeping strict safe boundaries. We have a time limited relationship that terminates, and
we want patients to stay inpatient only as long as they need to and then we want them to
go out and thrive + be safe in society.
Q2: What are interventions Psyc nurses can implement?
A: + Coordination of Care w/ the individual's care team
+ Health Teaching & Promotion
+ Milieu Therapy ENVIRONMENT (no low bearing hooks, no door handles, no sharp
table edges, no dropped ceiling, no wires, no easy access windows, etc)
+ Pharmacological, Biological, & Integrative Therapies medication, ECT, etc.
+ Therapeutic Relationship & Counseling “I would love to talk to you, but I can not give
you 1 to 1 confidentiality”
+ If we have a secret = special relation (NOT professional) and will break trust & healing if
we report them when we said we wouldn’t.
+ Only done by Nurse Practitioners (Exam Question)
+ Prescriptive Authority and Treatment
+ Psychotherapy
+ Consultation
Q3: What are elements of a therapeutic relationship?
A: + Rapport comfort & familiarity
+ Trust we can NOT promise it but we can show it by repeatedly owning to mistakes, etc.
+ Respect only reason we have power in the situation is because of what situation the
patients are in
+ Genuineness
+ Empathy
+ Positive Regard consider a patient "good" until proven wrong
+ Establish Boundaries
+ Determine Values guide patients to figure out what they want
Q4: What is Peplau's Model of the NursePatient Relationship?
A: The model states therapeutic, cooperative process that serves as the foundation of
professional nursing practice through a set of phases.
Q5: What are the phases of Peplau's Model of the NursePatient Relationship?
A: + Preorientation (Preinteraction)
+ Orientation
+ Working
+ Termination
, Q6: Tell me about the preorientation phase?
A: Basically before the patient even arrives in the unit, we want to
+ Obtaining client information
+ Examine own feelings, fears, anxieties, etc. "I have a difficult time working with this
patient b/c it reminds me of someone else"
+ Analyze professional strengths and weaknesses Type A or B nurses
+ Assess, formulate, conceptualize
Q7: Tell me about the orientation phase?
A: + Establish trust and rapport can be difficult at first
+ Specify contract expectations on the unit, participate in treatments, & a nonnegotiable
is no tolerance violence towards care team & patients
+ Explain confidentiality:
+ "I don't want my insurance to be billed b/c I get it from work and I don't want them to
know I was in a psych unit "We can't tell your job or insurance any information about
your care, they might need a return for absence and we can say "you received treatment
for a medical illness, and were unable to work"
+ Identify why the patient sought help; selfidentified problem was it voluntary or
involuntary
Q8: Tell me about the working phase?
A: + Maintain and grow in trust and rapport
+ Explore feelings of both client and nurse
•Encourage expression of feelings Empathy, genuineness, & positive regard
+ Problem solving (anxiety connected to self esteem)
+ Provide education disorder, symptom management, and medication
+ Identify stressors and promote constructive coping strategies
+ Overcome resistance behaviors people don't like to change but they have to learn
that effort = discomfort which could lead to resistance
+ Evaluate progress
Q9: Tell me about the termination phase?
A: + End of therapeutic relationship "time limited therapeutic relationship"
+ Evaluation reveals achieved goals
+ Discuss achievements; summarize progress
+ Establish plan for continuing assistance
+ Discuss ways to integrate coping strategies into daily life
+ Say goodbyes
+ Explore feelings regarding termination; exchange memories
