Mental Health RN Ati Proctored Preparation Exam /
/Rn Ati Mental Health Proctored Exam With Complete
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What are the general desired qualities of the
nurse/therapist/clinician?-ANSWER-o Most important quality:
Communication
o Genuineness/authenticity: ability to be honest with Pt (Pt will
be able to risk being more genuine themselves)
o Empathy: ability to understand and share the feelings of
others (vs Sympathetic: condolence, agreement, pity)
o Compassionate neutrality, unconditional regard (for the Pt)
o Self reflective: → ↑ ability to empathize w/ Pt
o Respect for the patient: the Pt is an individual who deserves
respect
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Discuss the difference between social vs therapeutic
communication?-ANSWER-o Social communication is less
formal than therapeutic, so therapeutic is more appropriate in
mental health milieu
o The Pt is the focus of the communication with therapeutic
communication
What are the phases of the Nurse–Patient relationship?-
ANSWER-1. Pre–Orientation/Pre–Interaction Phase
2. Orientation/Introductory Phase
3. Working Phase: (note: a ↓ working phase → ↓ depth of
relationship w/ Pt)
4. Termination Phase
What does the pre–orienation and pre–interaction phase
consist of?-ANSWER-– Gathering data about Pt (haven’t
assessed Pt yet, so from ED, chart, written/oral reports,
family/EMT/police)
– Self–reflection: ID own feelings; plan for first contact w/ Pt
What does the orientation/introductory phase consist of?-
ANSWER-– Emphases: build trust, assess, ID Pt’s emotions,
provide support, establish structure
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– Establish contact and create environment conducive to trust
and rapport
– Establish mutually–agreeable goals and own plan of action
(care plans are vital to Tx of psych. Pt’s)
– ID Pt’s strengths and weaknesses
– Establish length of relationship (it’s OK to ID self as student
and note that interactions will be max of 96 hours)
– Formulate nursing diagnoses
What does the working phase consist of?-ANSWER-– ID,
explore, link, and modify behaviors, thoughts, attitudes relative
to presenting issue(s)
– Establish short– and long–term goals (might be change or
stabilization vs. “cure”)
– Solve problems
– Address resistance (Freudian: part of us that resists Δ)
– Exploring/Journaling/Confrontation: these help Pt to note
reactions to events to help w/ their care; try not to
direct Pt, but help them come to realizations
– Redefining perceptions & interpretations with goal of more
realistic conclusions
– Promoting Δ (Pt–initiated)
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What does the termination phase consist of?-ANSWER-–
therapeutic closure to relationship
– Reason(s): e.g.: d/c of Pt; end of nursing rotation
– Difficult phase, may try to avoid
– Review: goals met, + Δ’s, strategies for coping w/ future crises
– Referrals: MD, therapist
– ID resources for future needs of Pt
– D/C instructions: nurse is responsible for summarizing for the
Pt the d/c instructions from several sources
– “Official good–bye”; encourage future therapeutic
relationships and friendships
What is transference?-ANSWER-Pt reacting to clinician as if
they were someone else
What is countertransference?-ANSWER-clinician transferring
unconscious emotion onto the Pt
What information is in a Mental Status Exam/Evaluation?-
ANSWER-o ID Data (e.g. name, age, S/O, occupation, religion,
med. Dx’s, allergies, CC)
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