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NUR 253/ NUR253 Exam 1 – Concepts of Mental Health Nursing Review| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NUR 253/ NUR253 Exam 1 – Concepts of Mental Health Nursing Review| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION MSE (Mental Status Exam) Assess, observe, describe client's state of mind: appearance behavior speech mood disorders of the form of thought perceptual disturbances cognition ideas of harming self or others QUESTION mental health charting Answer: timely, facts, descriptive, pertinent observations, subjective data ( pts feelings and thoughts) QUESTION Patient centered care core concepts Answer: -dignity and respect -information sharing -patient and family participation -collaboration in policy and program development QUESTION therapeutic use of self Answer: ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions QUESTION Psychotherapy Answer: an ongoing dialogue between a patient and a mental health professional QUESTION goals of nurse-patient relationship Answer: -facilitate communication of distressing thoughts and feelings -assist patients with problem solving -help patients examine self-defeating behaviors and test alternatives -promote self-care and independence -providing education about disorders, medications, and symptom management QUESTION Social vs. Therapeutic Relationships Answer: Social - intimate, focuses on needs of both, unstructured, gives advice, roles may shift Therapeutic - clear boundaries, focuses on client's needs, structured/goal oriented, and confidentiality is used, roles do not shift QUESTION under-involved nurse Answer: lack of agreed-upon goals, no progress toward goals,failure to follow through with interventions, avoiding spending time with patient QUESTION over-involved nurse Answer: More frequent requests for help, not being able to complete tasks w/o assistance they formally could complete independently, angry co-workers r/t nurse behaviors Boundaries QUESTION blurred boundaries Answer: occur if the relationship begins to meet the needs of the nurse rather than those of the client, or if the relationship becomes social rather than therapeutic. QUESTION transference Answer: pt transfers feelings and behaviors onto the nurse related tosignificant figures in the patient's past QUESTION Countertransference Answer: Nurse transfers feelings and behaviors onto the patientrelated to significant figures in the nurse's pastBlurred Boundaries and Roles QUESTION self-awareness Answer: a key concept in therapeutic relationships. -develop awareness, acknowledge, and then monitor our responses to pt with different values and beliefs QUESTION values Answer: our judgment of what is important in life QUESTION belief Answer: -A conviction or opinion you believe to be true. - Confidence, trust, faith QUESTION Peplau's model Pre-orientation phase

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NURl 253/l NUR253l Examl 1l –l Conceptsl
ofl Mentall Healthl Nursingl Review|l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A


Q:l MSEl (Mentall Statusl Exam)
Answer:
Assess,l observe,l describel client'sl statel ofl mind:l

appearance
behavior
speech
mood
disordersl ofl thel forml ofl thought
perceptuall disturbances
cognition
ideasl ofl harmingl selfl orl others



Q:l mentall healthl charting
Answer:
timely,l facts,l descriptive,l pertinentl observations,l subjectivel datal (l ptsl feelingsl andl
thoughts)



Q:l Patientl centeredl carel corel concepts
Answer:
-dignityl andl respect
-informationl sharing
-patientl andl familyl participation

,-collaborationl inl policyl andl programl development



Q:l therapeuticl usel ofl self
Answer:
abilityl tol usel one'sl personalityl consciouslyl andl inl fulll awarenessl inl anl attemptl tol
establishl relatednessl andl tol structurel nursingl interventions



Q:l Psychotherapy
Answer:
anl ongoingl dialoguel betweenl al patientl andl al mentall healthl professional



Q:l goalsl ofl nurse-patientl relationship
Answer:
-facilitatel communicationl ofl distressingl thoughtsl andl feelings
-assistl patientsl withl probleml solving
-helpl patientsl examinel self-defeatingl behaviorsl andl testl alternatives
-promotel self-carel andl independence
-providingl educationl aboutl disorders,l medications,l andl symptoml management



Q:l Sociall vs.l Therapeuticl Relationships
Answer:
Sociall -l intimate,l focusesl onl needsl ofl both,l unstructured,l givesl advice,l rolesl mayl shift

Therapeuticl -l clearl boundaries,l focusesl onl client'sl needs,l structured/goall oriented,l andl
confidentialityl isl used,l rolesl dol notl shift



Q:l under-involvedl nurse
Answer:

,lackl ofl agreed-uponl goals,l nol progressl towardl goals,failurel tol followl throughl withl
interventions,l avoidingl spendingl timel withl patient



Q:l over-involvedl nurse
Answer:
Morel frequentl requestsl forl help,l notl beingl ablel to
completel tasksl w/ol assistancel theyl formallyl couldl completel independently,l angry
co-workersl r/tl nursel behaviors
Boundaries



Q:l blurredl boundaries
Answer:
occurl ifl thel relationshipl beginsl tol meetl thel needsl ofl thel nursel ratherl thanl thosel ofl thel
client,l orl ifl thel relationshipl becomesl sociall ratherl thanl therapeutic.



Q:l transference
Answer:
ptl transfersl feelingsl andl behaviorsl ontol thel nursel relatedl tosignificantl figuresl inl thel
patient'sl past



Q:l Countertransference
Answer:
Nursel transfersl feelingsl andl behaviorsl ontol thel patientrelatedl tol significantl figuresl inl
thel nurse'sl pastBlurredl Boundariesl andl Roles



Q:l self-awareness
Answer:
al keyl conceptl inl therapeuticl relationships.

, -developl awareness,l acknowledge,l andl thenl monitorl ourl responsesl tol ptl withl differentl
valuesl andl beliefs



Q:l values
Answer:
ourl judgmentl ofl whatl isl importantl inl life



Q:l belief
Answer:
-Al convictionl orl opinionl youl believel tol bel true.
-l Confidence,l trust,l faith



Q:l Peplau'sl model
Answer:
Pre-orientationl phase
Orientationl phase
Workingl phase
Terminationl phase



Q:l Preorientationl Stage
Answer:
-preparingl forl yourl assignment
-exl takingl report,l ptl hx



Q:l orientationl phase
Answer:
whenl thel nursel andl thel patientl meetl andl getl tol knowl eachl other

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