NU 671: Midterm Purdue Global Exam
Questions All Answered Graded A+.
What is a therapeutic relationship? - Answer A mutual, interactive, interpersonal relationship
between client and nurse/provider, centered on the needs of the client.
What are the core qualities of a positive therapeutic relationship? - Answer Genuineness,
openness, acceptance, non-judgment, authenticity, empathy, respect, and clear professional
boundaries.
What are the phases of the therapeutic relationship? - Answer Introduction/Orientation
Phase, Working Phase, and Termination Phase.
What is the primary goal of the introduction/orientation phase? - Answer To establish trust,
safety, and expectations while beginning to understand presenting concerns and needs.
What occurs during the working phase of the therapeutic relationship? - Answer Identify and
explore problems, implement treatments and interventions, and monitor progress.
What signifies the termination phase in a therapeutic relationship? - Answer Symptoms
improved or in remission/stable, with care decreasing in frequency or transitioning to a 'call
when things get bad' plan.
What is the first priority during initial contact with a patient? - Answer Safety and emotional
security for the patient.
What is the resilience zone? - Answer A state where individuals can tolerate life's ups and
downs without falling apart under stress.
What are treatment goals related to the resilience zone? - Answer Promote mind-body-spirit
wellness, self-regulation, belief in ability to change, and management of physical symptoms
linked to mental health.
What is the #1 predictor of good psychotherapy outcomes? - Answer The therapeutic
alliance, not the specific modality.
What are practical strategies to cultivate a strong therapeutic relationship? - Answer Ask
detailed questions, validate feelings, provide clear education, support autonomy, and listen
empathetically.
, What is transference in a therapeutic context? - Answer When a patient unconsciously
transfers feelings/expectations from past relationships onto the provider.
What is countertransference? - Answer The provider's emotional response to the patient
based on their own history, biases, or prior experiences.
What are signs that countertransference may be happening? - Answer Strong emotions
toward a patient, feeling anxious or preoccupied, difficulty empathizing, and boundary issues.
What is the purpose of the Mental Status Exam (MSE)? - Answer To provide an objective
evaluation of emotional, cognitive, and behavioral functioning at the time of the visit.
What are the core elements of the MSE? - Answer Appearance, behavior/attitude, speech,
mood & affect, thought process, thought content, perception, cognition, insight, and judgment.
What should be documented regarding a patient's appearance in the MSE? - Answer
Grooming, hygiene, clothing appropriateness, body habitus, and any notable physical findings
reflecting mental state.
What aspects of behavior/attitude are assessed in the MSE? - Answer Cooperation,
engagement, eye contact, and psychomotor activity.
What should be noted about a patient's speech during the MSE? - Answer Rate, volume,
fluency, and quality, including logical vs. rambling patterns.
How is mood assessed in the MSE? - Answer By asking the patient to describe their mood
and documenting their response in quotes.
What does affect refer to in the context of the MSE? - Answer The provider's objective
observation of the patient's emotional expression, including range and appropriateness.
What does thought process refer to in the MSE? - Answer How thoughts are organized and
connected, such as being logical, disorganized, or showing loose associations.
What should be looked for in thought content during the MSE? - Answer Suicidal ideation,
homicidal ideation, delusions, and ideas of reference.
Questions All Answered Graded A+.
What is a therapeutic relationship? - Answer A mutual, interactive, interpersonal relationship
between client and nurse/provider, centered on the needs of the client.
What are the core qualities of a positive therapeutic relationship? - Answer Genuineness,
openness, acceptance, non-judgment, authenticity, empathy, respect, and clear professional
boundaries.
What are the phases of the therapeutic relationship? - Answer Introduction/Orientation
Phase, Working Phase, and Termination Phase.
What is the primary goal of the introduction/orientation phase? - Answer To establish trust,
safety, and expectations while beginning to understand presenting concerns and needs.
What occurs during the working phase of the therapeutic relationship? - Answer Identify and
explore problems, implement treatments and interventions, and monitor progress.
What signifies the termination phase in a therapeutic relationship? - Answer Symptoms
improved or in remission/stable, with care decreasing in frequency or transitioning to a 'call
when things get bad' plan.
What is the first priority during initial contact with a patient? - Answer Safety and emotional
security for the patient.
What is the resilience zone? - Answer A state where individuals can tolerate life's ups and
downs without falling apart under stress.
What are treatment goals related to the resilience zone? - Answer Promote mind-body-spirit
wellness, self-regulation, belief in ability to change, and management of physical symptoms
linked to mental health.
What is the #1 predictor of good psychotherapy outcomes? - Answer The therapeutic
alliance, not the specific modality.
What are practical strategies to cultivate a strong therapeutic relationship? - Answer Ask
detailed questions, validate feelings, provide clear education, support autonomy, and listen
empathetically.
, What is transference in a therapeutic context? - Answer When a patient unconsciously
transfers feelings/expectations from past relationships onto the provider.
What is countertransference? - Answer The provider's emotional response to the patient
based on their own history, biases, or prior experiences.
What are signs that countertransference may be happening? - Answer Strong emotions
toward a patient, feeling anxious or preoccupied, difficulty empathizing, and boundary issues.
What is the purpose of the Mental Status Exam (MSE)? - Answer To provide an objective
evaluation of emotional, cognitive, and behavioral functioning at the time of the visit.
What are the core elements of the MSE? - Answer Appearance, behavior/attitude, speech,
mood & affect, thought process, thought content, perception, cognition, insight, and judgment.
What should be documented regarding a patient's appearance in the MSE? - Answer
Grooming, hygiene, clothing appropriateness, body habitus, and any notable physical findings
reflecting mental state.
What aspects of behavior/attitude are assessed in the MSE? - Answer Cooperation,
engagement, eye contact, and psychomotor activity.
What should be noted about a patient's speech during the MSE? - Answer Rate, volume,
fluency, and quality, including logical vs. rambling patterns.
How is mood assessed in the MSE? - Answer By asking the patient to describe their mood
and documenting their response in quotes.
What does affect refer to in the context of the MSE? - Answer The provider's objective
observation of the patient's emotional expression, including range and appropriateness.
What does thought process refer to in the MSE? - Answer How thoughts are organized and
connected, such as being logical, disorganized, or showing loose associations.
What should be looked for in thought content during the MSE? - Answer Suicidal ideation,
homicidal ideation, delusions, and ideas of reference.
