NUR 250 MENTAL HEALTH MODULE 1 EXAM
Therapeutic Relationships - Answers -Professional
Confidential
Purposeful & Goal Oriented
Structured with Well Defined Boundaries
It's about the "patient" not the nurse!
Social Relationships - Answers -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 - Answers -Pre-interaction
Orientation
Working
Termination
Mental Health Nursing requires - Answers -therapeutic use of self
Transference - Answers -the patient's transfer to the analyst of emotions linked with
other relationships
Countertransference - Answers -Refers to the nurse's behavioral and emotional
response to the client
Steps of the Problem Solving Process - Answers -Identify Attempted Solutions
List Alternatives
Predict Consequences & Choose Best Alternative
Implement Selected Alternative
Evaluate
Cultural Considerations that Impact Communication Skills - Answers -Communication
Style (verbal & nonverbal)
Eye contact
Touch
Cultural Filters
Communication techniques: "Go on." - Answers -Therapeutic; General Lead
Communication techniques: "Why do you feel that way?" - Answers -Nontherapeutic;
Asking why
,Communication techniques: "We all have our bad days." - Answers -Nontherapeutic;
Minimizing feelings
Communication techniques: "I will sit with you for a while." - Answers -Therapeutic;
Offering Self
Communication techniques: "What made you do that?" - Answers -Nontherapeutic;
External Power
Communication techniques: "I notice you are crying." - Answers -Therapeutic; Making
Observations
Communication techniques: "What would you like to talk about?" - Answers -
Therapeutic; Giving Broad Openings
Communication techniques: "This medication will help you..." - Answers -Therapeutic;
Giving Information
The Clinical Interview - Answers -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 - Answers -Stimulus
Sender
Message
Channel
Receiver
Defense Mechanisms - Answers -Id
Ego
Superego
Id - Answers -pleasure seeking
"I want to do that now!"
Ego - Answers -"Maybe we can compromise."
Superego - Answers -perfection
"It's not right to do that."
, Repression - Answers -unknowingly placing an unpleasant memory or thought in the
unconscious
Regression - Answers -reverting back to immature behavior from an earlier stage of
development
Displacement - Answers -redirecting feelings from a threatening target to a less
threatening one
Sublimation - Answers -replacing socially unacceptable impulses with socially
acceptable behavior
Reaction Formation - Answers -overacting in the opposite wat to one's true feelings
Projection - Answers -attributing one's own unacceptable feelings and thoughts to
others and not yourself
Rationalization - Answers -justifying actions, thoughts, or unwanted outcomes with
excuses or faulty logic
Defense Mechanisms Examples: Repression - Answers -not remembering a traumatic
event such as being sexually abused as a child
Defense Mechanisms Examples: Regression - Answers -throwing temper tantrums as
an adult when you don't get your way
Defense Mechanisms Examples: Displacement - Answers -taking your anger towards
your boss out on family members by yelling at them in place of your boss
Defense Mechanisms Examples: Sublimation - Answers -channeling aggressiveness
into playing football
Defense Mechanisms Examples: Reaction Formation - Answers -being over protective
of an unwanted child
"phony"
Defense Mechanisms Examples: Projection - Answers -accusing your boy/girlfriend of
cheating on you because you have thought about cheating on him/her
Defense Mechanisms Examples: Rationalization - Answers -blaming the teaching style
of a professor for why you failed an exam
Introjection - Answers -integrating the beliefs and values of another individual into one's
own ego structure
Therapeutic Relationships - Answers -Professional
Confidential
Purposeful & Goal Oriented
Structured with Well Defined Boundaries
It's about the "patient" not the nurse!
Social Relationships - Answers -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 - Answers -Pre-interaction
Orientation
Working
Termination
Mental Health Nursing requires - Answers -therapeutic use of self
Transference - Answers -the patient's transfer to the analyst of emotions linked with
other relationships
Countertransference - Answers -Refers to the nurse's behavioral and emotional
response to the client
Steps of the Problem Solving Process - Answers -Identify Attempted Solutions
List Alternatives
Predict Consequences & Choose Best Alternative
Implement Selected Alternative
Evaluate
Cultural Considerations that Impact Communication Skills - Answers -Communication
Style (verbal & nonverbal)
Eye contact
Touch
Cultural Filters
Communication techniques: "Go on." - Answers -Therapeutic; General Lead
Communication techniques: "Why do you feel that way?" - Answers -Nontherapeutic;
Asking why
,Communication techniques: "We all have our bad days." - Answers -Nontherapeutic;
Minimizing feelings
Communication techniques: "I will sit with you for a while." - Answers -Therapeutic;
Offering Self
Communication techniques: "What made you do that?" - Answers -Nontherapeutic;
External Power
Communication techniques: "I notice you are crying." - Answers -Therapeutic; Making
Observations
Communication techniques: "What would you like to talk about?" - Answers -
Therapeutic; Giving Broad Openings
Communication techniques: "This medication will help you..." - Answers -Therapeutic;
Giving Information
The Clinical Interview - Answers -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 - Answers -Stimulus
Sender
Message
Channel
Receiver
Defense Mechanisms - Answers -Id
Ego
Superego
Id - Answers -pleasure seeking
"I want to do that now!"
Ego - Answers -"Maybe we can compromise."
Superego - Answers -perfection
"It's not right to do that."
, Repression - Answers -unknowingly placing an unpleasant memory or thought in the
unconscious
Regression - Answers -reverting back to immature behavior from an earlier stage of
development
Displacement - Answers -redirecting feelings from a threatening target to a less
threatening one
Sublimation - Answers -replacing socially unacceptable impulses with socially
acceptable behavior
Reaction Formation - Answers -overacting in the opposite wat to one's true feelings
Projection - Answers -attributing one's own unacceptable feelings and thoughts to
others and not yourself
Rationalization - Answers -justifying actions, thoughts, or unwanted outcomes with
excuses or faulty logic
Defense Mechanisms Examples: Repression - Answers -not remembering a traumatic
event such as being sexually abused as a child
Defense Mechanisms Examples: Regression - Answers -throwing temper tantrums as
an adult when you don't get your way
Defense Mechanisms Examples: Displacement - Answers -taking your anger towards
your boss out on family members by yelling at them in place of your boss
Defense Mechanisms Examples: Sublimation - Answers -channeling aggressiveness
into playing football
Defense Mechanisms Examples: Reaction Formation - Answers -being over protective
of an unwanted child
"phony"
Defense Mechanisms Examples: Projection - Answers -accusing your boy/girlfriend of
cheating on you because you have thought about cheating on him/her
Defense Mechanisms Examples: Rationalization - Answers -blaming the teaching style
of a professor for why you failed an exam
Introjection - Answers -integrating the beliefs and values of another individual into one's
own ego structure
