NUR 2459 MENTAL HEALTH COMPREHENSIVE
QUESTIONS AND ANSWERS SET A+
✔✔explain restating - ✔✔repeating the main idea of what the patient said helps to let
the patient know there is either understanding or a need for more clarity.
✔✔explain reflecting - ✔✔questions and feelings are referred back to the patient so that
the patient is empowered to actively engage in problem solving techniques.
✔✔explain focusing - ✔✔taking notice of a single idea or word and exploring it even
more. Hard with those who have anxiety.
✔✔explain exploring - ✔✔when an issue or theme is relevant, the nurse may instruct
the patient to explore it further and understand awareness about the event or feelings.
✔✔explain seeking clarification - ✔✔striving to achieve understanding of vague
statements can help for understanding.
✔✔explain presenting reality - ✔✔when there is a misperception of reality, the nurse will
express their perception of the situation without changing the patients.
✔✔explain voicing doubt - ✔✔expressing uncertainty as to the reality of the patient's
perceptions during delusional thinking.
✔✔explain verbalizing the implied - ✔✔putting into words what the patient has implied
or said indirectly.
✔✔explain translating words into feelings - ✔✔the nurse will symbolize what has been
said to find the underlying feelings.
✔✔explain formulating a plan of action - ✔✔encouraging identification of a behavior
change will allow for better coping skills.
, ✔✔explain material boundaries - ✔✔can be seen, like a fence that borders land.
✔✔explain social boundaries - ✔✔hese are established within a culture and define how
individuals are expected to behave in social situations.
✔✔explain personal boundaries - ✔✔these are boundaries that individuals define for
themselves.
✔✔explain physical/distance boundaries - ✔✔how close individuals will allow others to
enter their physical space.
✔✔explain emotional boundaries - ✔✔how much individuals choose to disclose their
most private and intimate sleeves to others.
✔✔explain professional boundaries - ✔✔limit and outline expectations for appropriate
professional relationships with patients. space between nurses power and patient
vulnerability. Imbalance of power does exist because the nurse can see patient records.
They must avoid conflict where a personal gain may be achieved within the relationship.
✔✔explain self disclosure - ✔✔appropriate when the information could therapeutically
benefit the patient. Not undertaken to meet the nurses needs.
✔✔explain gift giving - ✔✔Nurses should not accept gifts but also use professional
judgement based on the type of gift and patient care and thought behind it. Refusal
should be based on patient sensitivity.
✔✔explain touch - ✔✔Touching is required to do the therapeutic procedures and care,
but caring touch in times where they have no need to do so is inappropriate. Touch
should be appropriate, therapeutic, and welcomed. Many need to avoid it based on the
situation and culture.
✔✔explain friendship/romantic association - ✔✔all relationships should be professional.
If unable to do this, one should withdraw from the relationship. Romantic relationships
should not occur.
✔✔complications if boundaries are breeched - ✔✔threatens the integrity of the nurse
patient relationship, can cause boundary violations. Potential for the nurse to be fired or
to lose their license.
✔✔signs that boundaries may be breeched - ✔✔favoriting patients, keeping secrets,
changing dress for working, swapping assignments, giving special attention to one client
over another, spending free time with patients, thinking about patients when away from
work, shoring personal concerns with patient, receive gifts or have contact with the
patient after discharge
QUESTIONS AND ANSWERS SET A+
✔✔explain restating - ✔✔repeating the main idea of what the patient said helps to let
the patient know there is either understanding or a need for more clarity.
✔✔explain reflecting - ✔✔questions and feelings are referred back to the patient so that
the patient is empowered to actively engage in problem solving techniques.
✔✔explain focusing - ✔✔taking notice of a single idea or word and exploring it even
more. Hard with those who have anxiety.
✔✔explain exploring - ✔✔when an issue or theme is relevant, the nurse may instruct
the patient to explore it further and understand awareness about the event or feelings.
✔✔explain seeking clarification - ✔✔striving to achieve understanding of vague
statements can help for understanding.
✔✔explain presenting reality - ✔✔when there is a misperception of reality, the nurse will
express their perception of the situation without changing the patients.
✔✔explain voicing doubt - ✔✔expressing uncertainty as to the reality of the patient's
perceptions during delusional thinking.
✔✔explain verbalizing the implied - ✔✔putting into words what the patient has implied
or said indirectly.
✔✔explain translating words into feelings - ✔✔the nurse will symbolize what has been
said to find the underlying feelings.
✔✔explain formulating a plan of action - ✔✔encouraging identification of a behavior
change will allow for better coping skills.
, ✔✔explain material boundaries - ✔✔can be seen, like a fence that borders land.
✔✔explain social boundaries - ✔✔hese are established within a culture and define how
individuals are expected to behave in social situations.
✔✔explain personal boundaries - ✔✔these are boundaries that individuals define for
themselves.
✔✔explain physical/distance boundaries - ✔✔how close individuals will allow others to
enter their physical space.
✔✔explain emotional boundaries - ✔✔how much individuals choose to disclose their
most private and intimate sleeves to others.
✔✔explain professional boundaries - ✔✔limit and outline expectations for appropriate
professional relationships with patients. space between nurses power and patient
vulnerability. Imbalance of power does exist because the nurse can see patient records.
They must avoid conflict where a personal gain may be achieved within the relationship.
✔✔explain self disclosure - ✔✔appropriate when the information could therapeutically
benefit the patient. Not undertaken to meet the nurses needs.
✔✔explain gift giving - ✔✔Nurses should not accept gifts but also use professional
judgement based on the type of gift and patient care and thought behind it. Refusal
should be based on patient sensitivity.
✔✔explain touch - ✔✔Touching is required to do the therapeutic procedures and care,
but caring touch in times where they have no need to do so is inappropriate. Touch
should be appropriate, therapeutic, and welcomed. Many need to avoid it based on the
situation and culture.
✔✔explain friendship/romantic association - ✔✔all relationships should be professional.
If unable to do this, one should withdraw from the relationship. Romantic relationships
should not occur.
✔✔complications if boundaries are breeched - ✔✔threatens the integrity of the nurse
patient relationship, can cause boundary violations. Potential for the nurse to be fired or
to lose their license.
✔✔signs that boundaries may be breeched - ✔✔favoriting patients, keeping secrets,
changing dress for working, swapping assignments, giving special attention to one client
over another, spending free time with patients, thinking about patients when away from
work, shoring personal concerns with patient, receive gifts or have contact with the
patient after discharge
