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Therapeutic Communication, Psychiatric
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What is stigmatization of mental illness?
Correct Answer:
It affects individuals with mental illness and their families by making them less
open about their illness.
Define mental health.
Correct Answer:
A dynamic state of equilibrium that enables individuals to use their abilities in
harmony with universal values of society.
Define mental illness.
Correct Answer:
A syndrome characterized by clinically significant disturbance in cognition,
emotion regulation, or behavior.
What is the mental health continuum?
Correct Answer:
It describes how everyone experiences symptoms/traits, but those with mental
health illnesses are 'stuck' and have difficulty returning to normal.
What interventions are effective for managing aggressive clients?
,Correct Answer:
Deescalate using least invasive techniques, calm voice, set limits, communicate
concern, reduce stimulation, and respect personal space.
What is meant by the least restrictive means in mental health treatment?
Correct Answer:
Less restrictive options should be attempted first; restraints should only be used
if there is danger to self or others.
What are the criteria for involuntary admission of a patient?
Correct Answer:
A client can be involuntarily admitted if they are a danger to self, a danger to
others, or unable to care for basic personal needs.
Explain the CBT approach to treating mental health disorders.
Correct Answer:
Cognitive Behavioral Therapy emphasizes the link between thoughts, behaviors,
and emotions, aiming to change thoughts to indirectly change emotions.
What are some common CBT interventions?
Correct Answer:
Education, Socratic questioning, assertiveness training, and the ABCD method.
What are ego defense mechanisms?
Correct Answer:
Mechanisms the ego uses to protect itself during stress; they can be healthy or
unhealthy depending on the situation.
What are effective treatments for phobias?
Correct Answer:
Behavioral therapy, including systematic desensitization and relaxation
techniques.
What are the therapeutic factors described by Carl Rogers?
Correct Answer:
Genuineness, unconditional positive regard, and empathy.
, Explain motivational interviewing.
Correct Answer:
An alternative to the 12-step framework that motivates people to make positive
lifestyle changes without pushing them.
How can therapeutic communication support grieving clients?
Correct Answer:
By focusing on the client's well-being, using empathy, active listening, and
allowing silence for reflection.
What are the key components of the mental status exam?
Correct Answer:
Behavior, emotions, speech, thought content/processes, perceptual
disturbances, impulse control, cognition, and knowledge/insight/judgment.
What are the prodromal signs of aggression?
Correct Answer:
Signs that can be used to prevent aggressive behavior in mental health settings.
What behaviors may indicate a potential violent outburst?
Correct Answer:
Defiant affect, rigid posture, clenched fists and jaw, agitation, pacing, slamming
or pounding, talking loudly and rapidly, using profanity, making threats.
What is limit setting in mental health treatment?
Correct Answer:
Setting limits on unacceptable behavior using a calm tone, clear terminology,
explaining consequences, and ensuring consistency among staff.
What are some nursing interventions to manage mania in mental health
patients?
Correct Answer:
Decrease environmental stimuli, assess for suicidal thoughts, maintain a calm
demeanor, set limits on behaviors, provide physical outlets, monitor nutritional
status, and promote good sleep hygiene.