NUR2459 Mental Health Exam Questions With Complete Answers.

"Termination Phase" of the Nurse-Client Relationship - Summarizing the goals and objectives achieved, discussing ways to incorporate new coping strategies, reviewing situations that occurred and exchanging memories "Working Phase" of the Nurse-Patient Relationship - Maintaining the relationship, gathering data, promoting problem solving skills and self-esteem, facilitate discharge, overcome resistance, evaluate problems and goals Cognitive Behavioral Therapy (CBT) - Theory behind this therapy: Everyone has schemata-unique assumptions about self, others, and the world around them What is a therapeutic milieu or milieu therapy? - A health environment, combined with a healthy social structure within a inpatient or outpatient setting supporting and treating those with mental illness Difference between a social relationship and the nurse-client relationship - Focus on the patient's problems and concerns encouraging them to find their own situations, not "being a friend" or meeting the needs of the nurse Examples of Non-Therapeutic Communication techniques - Reassuring, giving advice, giving approval, disapproving, changing the subject What is "Exploring"- a therapeutic communication technique? - "Tell me more about that" "Would you describe it more fully?" What are examples of therapeutic communication techniques? - Paraphrasing, summarizing, clarifying, exploring, silence, touch What is "False Reassurance"- a non-therapeutic communication technique? - "Don't worry everything will be alright", "You'll be fine". "There's nothing to worry about"What is minimizing feelings- (a non-therapeutic communication technique - Patient: "I wish I were dead. "Nurse: 'I know what you mean." What is affect? - Client's emotional display of mood being experienced What are levels of consciousness? - Alert, Lethargic, Stuporous What is "flight of ideas"? - Rapid changes from one thought to another related thought What is perseveration? - Repeating the same words in response to different questions What is judgement? - Ability to evaluate choices and make appropriate decisions What is autonomy? - Respecting the rights of others to make their own decisions (Big choices: Do you want CPR? Surgery?. Little choices: What would you like to take your medicine with?) =CHOICE/SELF DETERMINATION What are the reasons to use seclusion? - Being a harm to self or others, decreasing sensory overload, patient request What is a violation of the patient's rights? - Forcing client to eat, wash, or dress self What is "Duty to Warn"? - Informing medical staff about a client's threat to harm a specific individual What is the right to leave against medical advice, privacy, and all belongings? - The difference in the rights of clients involuntarily admitted vs. voluntary What is Cognitive Behavioral Therapy? - In this type of therapy, the individual is taught to control negative thoughts to maintain and manage emotions. Uses both cognitive and behavioral approaches to assist client with anxiety management.What is "Autonomy vs. Shame and Doubt"? - During this Erickson's task successful completion would include gain self-control and independence within the environment What is generativity vs. stagnation? - This task-achieve life goals and obtain concern and awareness of future generations What is Maslow's Hierarchy of Needs? - Most basic needs require fulfillment before those at higher levels can be achieved What is identity vs. role confusion? - This task integrates all the tasks previously mastered into a secure sense of self What is empathy? - The ability to feel what others feel and respond to and understand the experience of others on their terms What are the components of MSE? - Appearance, Behavior, Speech(rate,volume, cluttering), Mood (subjective) and affect (what we see/no change of facial expression), Perceptions, Thought process (order of thinking), Thought content (thinking about), Cognition What is outcome identification? - This must be completed prior tp developing implementation and planning steps What are the types of groups that could be lead by a Registered Nurse? - Medication education, multifamily groups focusing on education, symptom management group, self care group, and stress management groups What are considerations for assessing the elderly client? - Being aware of physical limitations, sensory deficits, motor or medical condition that may increase anxiety, stress or physical discomfort What is displacement? - Redirecting of energies to another person or object; Eed the door because you got mad at your parents