NSG-322 Exam Question With 100% Correct
Answers Grade A Certified
community mental health center act - correct answersfocused on community care instead of
institutionalization if possible
mental health continuum - correct answersA conceptual line used to represent levels of mental
health and mental illness that vary from person to person and vary for a particular person over
time.
standards of practice for psychiatric nursing were developed by - correct answersANA, APNA,
ISPN
what is the official manual for psychiatric medical dx - correct answersDSM-5
therapeutic strategies in community mental health setting (all RNs) - correct answers-
counseling/psychotherapy
-cognitive, behavioral, milieu therapies
-health teaching on social and coping skills
-promoting self care
-health promotion (psychoeducational groups)
-admin meds
-case management
therapeutic strategies in community mental health setting (Adv. Practice RN) - correct
answersconducting psychotherapy
boundary crossings - correct answersbrief excursions across professional lines of behavior that
may be inadvertent, thoughtless or even purposeful, while attempting to meet a special
therapeutic need of the patient.
boundary violations - correct answerswhen there is confusion between the needs of the nurse and
those of the patient.
transference - correct answersthe pt is the only one that can have this experience; transferring
something of importance in their past onto someone who was not involved (you remind me of
my granddaughter. expecting the nurse to tx the pt exactly like the granddaughter)
Countertransference - correct answersRefers to the nurse's behavioral and emotional response to
the client based on past experiences (care differs because a new pt reminds the nurse of an old,
awful pt)
SAMHSA's Six Key Principles of a Trauma-Informed Approach - correct answers-safety
-collab and mutuality
-trustworthiness and transparency
-empowerment, voice, and choice
-peer support
-cultural, historical, and gender issues
clients rights under the law - correct answers-Right to treatment
-Right to refuse treatment
-Right to informed consent
-Rights surrounding involuntary commitment
Psychiatric advanced directives
-Rights regarding seclusion and restraint
due process - correct answersfollowing established legal procedures
writ of habeas corpus - correct answersA court order that requires police to bring a prisoner to
court to explain why they are holding the person
least restrictive alternative - correct answersa hospitalized patient must be treated in a setting that
imposes as few restrictions as possible on his or her freedom.
Tarasoff Doctrine - correct answersPublic safety is more important than client confidentiality if it
is believed that the pt is a risk to themselves/others
duty to warn and protect third parties includes - correct answers•Assessing and predicting a
patient's danger of violence toward another
•Identifying specific individual(s) being threatened
•Identifying appropriate actions to protect victim(s)
cause in fact - correct answersThe actual cause of an event; the instrument that is the responsible
force for the occurrence of a certain event. A required element of a tort.
proximate cause - correct answersLegal cause. It exists when the connection between an act and
an injury is strong enough to justify imposing liability.
seclusion - correct answersinvoluntary confinement of a person alone in a room or area from
which the person is physically prevented from leaving.
restraint - correct answersany manual method, physical or mechanical device, material, or
equipment that immobilizes or reduces the ability of a person to move his or her arms, legs,
body, or head freely.
can an order for seclusion and restraint be obtained - correct answersonly for a specific
restrictive intervention with specific time limit (pt condition must be reviewed and documented
every 15 mins, CONTINUOUS observation)
negligence - correct answersan act, or failure to act, that breaches duty of due care and results
in/is responsible for another person's injuries