NURS 250 MENTAL HEALTH MODULE 1
EXAM QUESTIONS AND ANSWERS.
VERIFIED 2025/2026.
Therapeutic Relationships - ANS Professional
Confidential
Purposeful & Goal Oriented
Structured with Well Defined Boundaries
It's about the "patient" not the nurse!
Social Relationships - ANS Casual
Not necessarily confidential
No purpose or goal oriented
Loose boundaries or none
It's mutual in nature so more self disclosure!
Phases of Nurse-Patient Relationship - ANS Pre-interaction
Orientation
Working
Termination
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Mental Health Nursing requires - ANS therapeutic use of self
Transference - ANS the patient's transfer to the analyst of emotions linked with other
relationships
Countertransference - ANS Refers to the nurse's behavioral and emotional response to the
client
Steps of the Problem Solving Process - ANS Identify Attempted Solutions
List Alternatives
Predict Consequences & Choose Best Alternative
Implement Selected Alternative
Evaluate
Cultural Considerations that Impact Communication Skills - ANS Communication Style (verbal
& nonverbal)
Eye contact
Touch
Cultural Filters
Communication techniques: "Go on." - ANS Therapeutic; General Lead
Communication techniques: "Why do you feel that way?" - ANS Nontherapeutic; Asking why
Communication techniques: "We all have our bad days." - ANS Nontherapeutic; Minimizing
feelings
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Communication techniques: "I will sit with you for a while." - ANS Therapeutic; Offering Self
Communication techniques: "What made you do that?" - ANS Nontherapeutic; External
Power
Communication techniques: "I notice you are crying." - ANS Therapeutic; Making
Observations
Communication techniques: "What would you like to talk about?" - ANS Therapeutic; Giving
Broad Openings
Communication techniques: "This medication will help you..." - ANS Therapeutic; Giving
Information
The Clinical Interview - ANS Seating Arrangement (proxemics)
-Personal distance (18-40 inches)
-Social distance (4 to 12 feet)
Introductions & positive regard
Attending Behaviors
-Eye contact
-Body language
-Vocal quality
The Communication Process - ANS Stimulus
Sender
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Message
Channel
Receiver
Defense Mechanisms - ANS Id
Ego
Superego
Id - ANS pleasure seeking
"I want to do that now!"
Ego - ANS "Maybe we can compromise."
Superego - ANS perfection
"It's not right to do that."
Repression - ANS unknowingly placing an unpleasant memory or thought in the unconscious
Regression - ANS reverting back to immature behavior from an earlier stage of development
Displacement - ANS redirecting feelings from a threatening target to a less threatening one
Sublimation - ANS replacing socially unacceptable impulses with socially acceptable behavior
Reaction Formation - ANS overacting in the opposite wat to one's true feelings
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND ANSWERS.
VERIFIED 2025/2026.
Therapeutic Relationships - ANS Professional
Confidential
Purposeful & Goal Oriented
Structured with Well Defined Boundaries
It's about the "patient" not the nurse!
Social Relationships - ANS Casual
Not necessarily confidential
No purpose or goal oriented
Loose boundaries or none
It's mutual in nature so more self disclosure!
Phases of Nurse-Patient Relationship - ANS Pre-interaction
Orientation
Working
Termination
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Mental Health Nursing requires - ANS therapeutic use of self
Transference - ANS the patient's transfer to the analyst of emotions linked with other
relationships
Countertransference - ANS Refers to the nurse's behavioral and emotional response to the
client
Steps of the Problem Solving Process - ANS Identify Attempted Solutions
List Alternatives
Predict Consequences & Choose Best Alternative
Implement Selected Alternative
Evaluate
Cultural Considerations that Impact Communication Skills - ANS Communication Style (verbal
& nonverbal)
Eye contact
Touch
Cultural Filters
Communication techniques: "Go on." - ANS Therapeutic; General Lead
Communication techniques: "Why do you feel that way?" - ANS Nontherapeutic; Asking why
Communication techniques: "We all have our bad days." - ANS Nontherapeutic; Minimizing
feelings
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Communication techniques: "I will sit with you for a while." - ANS Therapeutic; Offering Self
Communication techniques: "What made you do that?" - ANS Nontherapeutic; External
Power
Communication techniques: "I notice you are crying." - ANS Therapeutic; Making
Observations
Communication techniques: "What would you like to talk about?" - ANS Therapeutic; Giving
Broad Openings
Communication techniques: "This medication will help you..." - ANS Therapeutic; Giving
Information
The Clinical Interview - ANS Seating Arrangement (proxemics)
-Personal distance (18-40 inches)
-Social distance (4 to 12 feet)
Introductions & positive regard
Attending Behaviors
-Eye contact
-Body language
-Vocal quality
The Communication Process - ANS Stimulus
Sender
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Message
Channel
Receiver
Defense Mechanisms - ANS Id
Ego
Superego
Id - ANS pleasure seeking
"I want to do that now!"
Ego - ANS "Maybe we can compromise."
Superego - ANS perfection
"It's not right to do that."
Repression - ANS unknowingly placing an unpleasant memory or thought in the unconscious
Regression - ANS reverting back to immature behavior from an earlier stage of development
Displacement - ANS redirecting feelings from a threatening target to a less threatening one
Sublimation - ANS replacing socially unacceptable impulses with socially acceptable behavior
Reaction Formation - ANS overacting in the opposite wat to one's true feelings
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
