NUR 2459 MENTAL HEALTH FINAL EXAM ACTUAL
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔example of denial - ✔✔A woman who drinks alcohol daily, refuses to acknowledge
she has a problem.
✔✔explain displacement - ✔✔shifting feelings related to an object, person, or situation
to another less threatening object, person or situation.
✔✔example of displacement - ✔✔A man is angry with his boss and when he comes
home, he yells at his children.
✔✔explain projection - ✔✔attributing one's unacceptable thoughts and feelings onto
another who does not have them
✔✔example of projection - ✔✔A woman has feelings for someone other than her
husband, but blames him for being unfaithful.
✔✔Explain identification - ✔✔conscious or unconscious assumption of the
characteristics of another individual or group
✔✔Example of identification - ✔✔The student nurse imitates the nurturing actions of the
instructor.
✔✔explain intellectualization - ✔✔separation of emotions and logical facts when
analyzing or coping with a situation or event.
✔✔example of intellectualization - ✔✔A wife is moving far away from her family
because of her husband's job transfer. She explains to her family all the advantages of
the move.
✔✔explain rationalization - ✔✔creating reasonable and unacceptable explanations for
unacceptable behavior
✔✔example of rationalization - ✔✔A boy justifies cheating in a card game because he
said everyone cheats.
✔✔explain reaction formation - ✔✔preventing unacceptable thoughts or behaviors from
being expressed by exaggerating opposite thoughts or types of behaviors.
✔✔example of reaction formation - ✔✔A girl is angry with someone, but expresses
exaggerated friendliness when she sees her.
,✔✔explain regression - ✔✔sudden use of childlike or earlier developmental behaviors
that do not correlate with age or developmental stage.
✔✔example of regression - ✔✔An adult throws a temper tantrum when she doesn't get
her way.
✔✔explain repression - ✔✔unconsciously putting unacceptable feelings, ideas and
thoughts out of awareness. No memory.
✔✔example of repression - ✔✔A trauma victim is unable to remember anything about
his accident.
✔✔explain suppression - ✔✔voluntary denying or putting away stressful feelings
✔✔example of suppression - ✔✔A student states, "I'll worry about that exam tomorrow."
✔✔explain conversion - ✔✔responding to stress through the unconscious development
of physical manifestations of illnesses.
✔✔example of conversion - ✔✔A girl is unable to speak just before she is to try out for
chorus.
✔✔explain splitting - ✔✔demonstrating an inability to reconcile negative and positive
attributes of self to others.
✔✔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.
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔example of denial - ✔✔A woman who drinks alcohol daily, refuses to acknowledge
she has a problem.
✔✔explain displacement - ✔✔shifting feelings related to an object, person, or situation
to another less threatening object, person or situation.
✔✔example of displacement - ✔✔A man is angry with his boss and when he comes
home, he yells at his children.
✔✔explain projection - ✔✔attributing one's unacceptable thoughts and feelings onto
another who does not have them
✔✔example of projection - ✔✔A woman has feelings for someone other than her
husband, but blames him for being unfaithful.
✔✔Explain identification - ✔✔conscious or unconscious assumption of the
characteristics of another individual or group
✔✔Example of identification - ✔✔The student nurse imitates the nurturing actions of the
instructor.
✔✔explain intellectualization - ✔✔separation of emotions and logical facts when
analyzing or coping with a situation or event.
✔✔example of intellectualization - ✔✔A wife is moving far away from her family
because of her husband's job transfer. She explains to her family all the advantages of
the move.
✔✔explain rationalization - ✔✔creating reasonable and unacceptable explanations for
unacceptable behavior
✔✔example of rationalization - ✔✔A boy justifies cheating in a card game because he
said everyone cheats.
✔✔explain reaction formation - ✔✔preventing unacceptable thoughts or behaviors from
being expressed by exaggerating opposite thoughts or types of behaviors.
✔✔example of reaction formation - ✔✔A girl is angry with someone, but expresses
exaggerated friendliness when she sees her.
,✔✔explain regression - ✔✔sudden use of childlike or earlier developmental behaviors
that do not correlate with age or developmental stage.
✔✔example of regression - ✔✔An adult throws a temper tantrum when she doesn't get
her way.
✔✔explain repression - ✔✔unconsciously putting unacceptable feelings, ideas and
thoughts out of awareness. No memory.
✔✔example of repression - ✔✔A trauma victim is unable to remember anything about
his accident.
✔✔explain suppression - ✔✔voluntary denying or putting away stressful feelings
✔✔example of suppression - ✔✔A student states, "I'll worry about that exam tomorrow."
✔✔explain conversion - ✔✔responding to stress through the unconscious development
of physical manifestations of illnesses.
✔✔example of conversion - ✔✔A girl is unable to speak just before she is to try out for
chorus.
✔✔explain splitting - ✔✔demonstrating an inability to reconcile negative and positive
attributes of self to others.
✔✔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.
