Download NUR 2459 Rasmussen Mental Health Exam 1 Modules 1-3 questions with answers and more Exams Nursing in PDF only on Docsity!
NUR 2459 Rasmussen Mental Health
Exam 1 Modules 1-3 questions with
answers
examples of psychotherapy - CORRECT ANSWERS ✔✔behavioral therapy, cognitive therapy, didactical behavior therapy based on a verbal therapist to client interaction explain what behavioral therapy is. - CORRECT ANSWERS ✔✔aims to modify maladaptive behavior patterns. based that a behavior is learned and has consequences and abnormal behavior results from an attempt to avoid painful feelings and reduce anxiety. explain what cognitive therapy is. - CORRECT ANSWERS ✔✔focuses on individual client thoughts and behaviors to solve current problems. Based on changing the way one thinks. explain what cognitive behavioral therapy is (CBT) - CORRECT ANSWERS ✔✔uses both cognitive and behavioral approaches to assist a client with anxiety management.
explain what family therapy is - CORRECT ANSWERS ✔✔therapy based on family dynamics and improving family functioning by learning the ways for dealing with mental illness in the family, improving understanding among family members, maximizing positive interaction with family members. explain what milieu therapy is - CORRECT ANSWERS ✔✔creates an environment that is supportive and therapeutic and safe to benefit clients and promote coping within a safe place. explain what group therapy is - CORRECT ANSWERS ✔✔therapy focused on helping individuals develop more functional and satisfying reactions within a group setting with common feelings, experiences and thoughts that lead to positive behavior changes from interaction and feedback. what types of disorders can ECT help with? - CORRECT ANSWERS ✔✔Used as a last resort in depression, mania, schizophrenia, and psychosis when medication and treatment has failed. which two defense mechanisms are always healthy? - CORRECT ANSWERS ✔✔alturism and sublimation explain altruism - CORRECT ANSWERS ✔✔dealing with anxiety by reaching out for others
explain projection - CORRECT ANSWERS ✔✔attributing one's unacceptable thoughts and feelings onto another who does not have them example of projection - CORRECT ANSWERS ✔✔A woman has feelings for someone other than her husband, but blames him for being unfaithful. Explain identification - CORRECT ANSWERS ✔✔conscious or unconscious assumption of the characteristics of another individual or group Example of identification - CORRECT ANSWERS ✔✔The student nurse imitates the nurturing actions of the instructor. explain intellectualization - CORRECT ANSWERS ✔✔separation of emotions and logical facts when analyzing or coping with a situation or event. example of intellectualization - CORRECT ANSWERS ✔✔A wife is moving far away from her family because of her husband's job transfer. She explains to her family all the advantages of the move.
explain rationalization - CORRECT ANSWERS ✔✔creating reasonable and unacceptable explanations for unacceptable behavior example of rationalization - CORRECT ANSWERS ✔✔A boy justifies cheating in a card game because he said everyone cheats. explain reaction formation - CORRECT ANSWERS ✔✔preventing unacceptable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors. example of reaction formation - CORRECT ANSWERS ✔✔A girl is angry with someone, but expresses exaggerated friendliness when she sees her. explain regression - CORRECT ANSWERS ✔✔sudden use of childlike or earlier developmental behaviors that do not correlate with age or developmental stage. example of regression - CORRECT ANSWERS ✔✔An adult throws a temper tantrum when she doesn't get her way. explain repression - CORRECT ANSWERS ✔✔unconsciously putting unacceptable feelings, ideas and thoughts out of awareness. No memory.
explain sublimation - CORRECT ANSWERS ✔✔dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression example of sublimation - CORRECT ANSWERS ✔✔A mother whose child has cystic fibrosis, develops a support group for other parents with children diagnosed with the illness. explain undoing - CORRECT ANSWERS ✔✔performing an act to make up for prior behavior. example of undoing - CORRECT ANSWERS ✔✔A man argues with his wife and the next day brings her flowers. explain the therapeutic nurse patient relationship - CORRECT ANSWERS ✔✔pre orientation, orientation, working, termination explain what happens during pre orientation phase - CORRECT ANSWERS ✔✔involves preparation for the first encounter with the patient. The nurse obtains information from the chart, significant others, or other team members. They also may examine one's feelings, fears, and anxieties about working with a specific patient and how they may affect the ability to care for the patient. no bias
explain the orientation phase - CORRECT ANSWERS ✔✔involves the nurse and the patient becoming acquainted. Introductions. Creates environment with trust, identifies strengths and limitations and assess and create goals, discuss the termination phase. explain the working phase - CORRECT ANSWERS ✔✔the therapeutic work of the relationship is accomplished, and interventions take place. maintain trust and rapport, problem solving, overcoming resistance saviors, advancing to reaching ones goals. explain transference - CORRECT ANSWERS ✔✔when the patient unconsciously displaces to the nurse feelings formed to a person from his or her past from feelings or personality that remind the patient of another person, but also be dependency on the nurse based on unreal patient expectations. explain countertransference - CORRECT ANSWERS ✔✔the nurse's behavioral and emotional responses in which the nurse transfers feelings about past experiences to the patient that can interfere with the relationship explain termination phase - CORRECT ANSWERS ✔✔occurs when the goals are reached, the client is discharged, or the shift ends.
explain offering general leads - CORRECT ANSWERS ✔✔offers the patient encouragement to continue with minimal nursing input. explain placing the event in time or sequence - CORRECT ANSWERS ✔✔allows the patient to identify the sequence of events and when they occurred to organize thoughts. explain making observations - CORRECT ANSWERS ✔✔allows patients to develop awareness of how they are perceived by others and prompts exploration of issues. explain encouraging description of perceptions - CORRECT ANSWERS ✔✔allows for development of awareness or understanding based on their perceptions and reality. explain encouraging comparison - CORRECT ANSWERS ✔✔asking the patient to compare similarities and differences in ideas or relationships helps the patient recognize recurring experiences and things they can change. explain restating - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔questions and feelings are referred back to the patient so that the patient is empowered to actively engage in problem solving techniques. explain focusing - CORRECT ANSWERS ✔✔taking notice of a single idea or word and exploring it even more. Hard with those who have anxiety. explain exploring - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔striving to achieve understanding of vague statements can help for understanding. explain presenting reality - CORRECT ANSWERS ✔✔when there is a misperception of reality, the nurse will express their perception of the situation without changing the patients. explain voicing doubt - CORRECT ANSWERS ✔✔expressing uncertainty as to the reality of the patient's perceptions during delusional thinking. explain verbalizing the implied - CORRECT ANSWERS ✔✔putting into words what the patient has implied or said indirectly.
discourages patient independence. "you should do this because it will help you" explain probing - CORRECT ANSWERS ✔✔persistent questioning and the push for answers the patient does not wish causes the patient to feel used and valued for what information the nurse is only seeking, consistently talking about a traumatic childhood event by bringing up things about the clients childhood explain defending - CORRECT ANSWERS ✔✔minimizes or completely ignores the patients concerns and encourages taking sides. explain requesting an explanation - CORRECT ANSWERS ✔✔involves asking the client why they have certain behaviors or thoughts and that they must defend their feelings. "why do you feel depressed" explain indicating there is a external source of power - CORRECT ANSWERS ✔✔attributing the thoughts to an outside source encourages the patient to project blame for their thoughts on others rather than accepting their own responsibility. explain minimizing feelings - CORRECT ANSWERS ✔✔encourages a lack of empathy and understanding based on their concerns being irrelevant and not important.
explain stereotyping - CORRECT ANSWERS ✔✔using meaningless expressions to encourage a similar response from the patient explain using denial - CORRECT ANSWERS ✔✔denying a problem exists blocks discussion with the patient and avoids getting help in areas they need it, explain interpreting - CORRECT ANSWERS ✔✔attempts to tell the patient the meaning of his or her experience. explain introducing an unrelated topic - CORRECT ANSWERS ✔✔changing the topic indicates the nurse does not want to discuss the topic the patient wants to discuss. explain how to use the nursing process with psychiatric disorders - CORRECT ANSWERS ✔✔assessment- collecting information about past medical history, assessing physical and emotional state diagnosis: medically will be through the DSM5 but can use NANDA as well for nursing dx's palling: independently and individualized with multiple disciplines involved. planning/ implementation: the nurse plans intervention with the client and are then acted out evaluation: did the client meet the goals or do we need to change things.
explain fidelity - CORRECT ANSWERS ✔✔keepings one's promise. the nurse should never break a promise if one is made explain moral behaviors - CORRECT ANSWERS ✔✔conduct that results from serious critical thinking about how individuals treat others what are client specific rights in mental health? - CORRECT ANSWERS ✔✔-informed consent -right to refuse meds/ tx -right to least restrictive tx
- are not valid when the client is at risk of harming self or others* explain what a voluntary admission is - CORRECT ANSWERS ✔✔The client or client's guardian chooses admission to a mental facility. A voluntarily admitted client may request release at any time. explain what a temporary emergency admission is - CORRECT ANSWERS ✔✔The client is admitted for emergent mental health care due to the inability to make decisions regarding care. After the admission is initiated by a healthcare provider, the client is evaluated by another healthcare provider. This temporary admission varies by client's needs and state laws.
explain what a involuntary admission is - CORRECT ANSWERS ✔✔The client enters against her/his will for an indefinite period time. This is based on the client's need for psychiatric treatment, the risk of harm to self or others, and the inability to provide self-care. Physicians(generally) certify the client's condition meets the above criteria. The client can request a legal review. explain competent/incompetent client in regards to involuntary admissions - CORRECT ANSWERS ✔✔can be competent or incompetent.if competent- the client can make decisions regarding refusal of treatment/meds. if incompetent- by the court, someone will sign the consent for the client. how long is an involuntary admission lasting? - CORRECT ANSWERS ✔✔60 days explain what a crisis is - CORRECT ANSWERS ✔✔psychological disequilibrium in a person who experiences a situation that constitutes a problem that cannot be escaped or solved with usual problem solving techniques. what does the client need while they are in a crisis that the nurse can help with? - CORRECT ANSWERS ✔✔In this type situation, guidance and
