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NUR 256/ NUR256 Concepts of Mental Health Nursing - Exam 1 | Latest 2025/ 2026 Update | Qu, Exams of Nursing

NUR 256/ NUR256 Concepts of Mental Health Nursing - Exam 1 | Latest 2025/ 2026 Update | Questions and Answers | 100% Correct | GRADED A Accurate

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NUR 256 Exam 1 (Mental Health)
VERIFIED QUESTIONS AND ANSWERS
Offering Self (therapeutic)
making oneself available
example of offering self
"I'll sit with you awhile."
"I'll stay here with you."
"I'm interested in what you think."
Giving Broad Openings (therapeutic)
Clarifies that the lead is to be taken by the patient. However, the nurse discourages pleasantries and
small talk.
Example of giving broad openings
"What would you like to talk about today?"
"Tell me what you are thinking."
Restating (therapeutic)
repeating the main idea expressed
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NUR 256 Exam 1 (Mental Health)

VERIFIED QUESTIONS AND ANSWERS

Offering Self (therapeutic)

making oneself available

example of offering self

"I'll sit with you awhile."

"I'll stay here with you."

"I'm interested in what you think."

Giving Broad Openings (therapeutic)

Clarifies that the lead is to be taken by the patient. However, the nurse discourages pleasantries and small talk.

Example of giving broad openings

"What would you like to talk about today?"

"Tell me what you are thinking."

Restating (therapeutic)

repeating the main idea expressed

Example of restating

Client: "I can't sleep. I stay awake all night."

Nurse: "You have difficulty sleeping."

Reflecting (therapeutic)

directs questions or feelings back to client so that they may be recognized and accepted

Example of reflecting

Client "What do you think I should do about my wife 's drinking problem?

Nurse: "What do you think you should do?"

Client: "My sister won't help a bit toward my mother's care. I have to do it all."

Nurse: You feel angry when she doesn't help.

seeking clarification

Helps patients clarify their own thoughts and maximize mutual understanding between nurse and patient.

Seeking clarification example

"I am not sure I follow you."

Asking "why" questions

Implies criticism; often has the effect of making the patient feel defensive.

Asking "why" questions example

"Why did you stop taking your medication?"

Giving approval, agreeing

Implies the patient is doing the right thing-and that not doing it is wrong. May lead the patient to focus on pleasing the nurse or clinician; denies the patient the opportunity to change his or her mind or decision.

Giving approval, agreeing example

"I'm proud of you for applying for that job."

"I agree with your decision."

Disapproving, disagreeing

can make a person defensive

Disapproving, disagreeing example

"You really should have shown up for the medication group."

"I disagree with that."

Transference

when the patient transfers feelings onto the nurse

"You remind me of my mother"

Countertransference

when the nurse transfers feelings onto the patient - can lead to over involvement with the patient

Pre-orientation phase

before you meet with client (reading the chart)

Orientation phase

meeting the patient/interview (pt agrees to be interviewed)

Working phase

identify, explore, EDUCATE the pt

termination phase

Discharge (continue to educate aftercare issues)

Maslow's

Physiological needs are most important; ABCs, water, shelter, food, heart rate, rhythm, strength of contraction

Teamwork and collaboration (QSEN)

nurses and interprofessional teams need to maintain open communication, respect, and shared decision making

Safety (QSEN)

the care provided should not add further injury

When a patient refuses meds, what should be documented?

date, time. HCP notified, why refused

You should only document ____?

Subjective information - what the patient says

Tardive dyskinesia symptoms

involuntary movements of the facial muscles, tongue, and limbs; grimacing, tongue protrusion, lip smacking, lip puckering (all permanent)

What medication causes tardive dyskinesia?

Haldol (1st generation antipsychotics)

What food should you avoid with MAOIs?

fermented cheese/meats, wines, anything chocolate, tyramine

TRUE or FALSE: You can take other antidepressants with MAOIs?

False - do not take any other antidepressants with MAOIs.

What should you do before or after taking am MAOI or other antidepressant?

Wash out period - stop meds & wait 2 weeks then start next medication

Lithium levels

0.5-1.

If lithium level is above 1.5, the pt is considered _____?

toxic

If lithium level is below 0.5, pt is considered ____?

Generation 2 Antipsychotics reversible side effects

Sexual dysfunction, weight gain, sedation, orthostatic hypotension

Generation 2 Antipsychotics irreversible side effects

poverty of speech

Pts always have the right to visit with ____?

Clergy

What are adolescents mostly concerned with?

Confidentiality

TRUE OR FALSE: With adolescents we must temper with what is told to the team because nurses are mandated reporters.

TRUE

Do patients have the right to refuse meds?

Yes but it can be overridden by HCP if patient is deemed incompetent

Who determines who has access to medical records?

The patient

Some rights can be removed based on ____?

care needs - like privacy (1:1)

Erikson's developmental stage: Infancy (0-1 1/2 y.o.)

Trust vs mistrust

Erikson's developmental stage: Early childhood (1 1/2 - 3 y.o.)

autonomy vs shame and doubt

Erikson's developmental stage: Preschool (3-6 y.o.)

initiative vs guilt

Erikson's developmental stage: School age (6-12 y.o.)

industry vs inferiority

Damages

Duty

Causes

Damages

actual damages (loss of earnings, medical expenses, property damage) & pain and suffering

Duty

When the nurse represents themselves as being capable of caring for a psychiatric pt

Cause

Actual cause (cause in fact) or legal cause (proximate cause)

Voluntary admission

pt agrees to admission, can sign themselves out if not a harm to self or others w/ HCP approval, can request discharge

Involuntary admission

pt may not agree to admission, unable to sign self out, length of stay may be extended depending upon need, may be court ordered

What should you watched for when a patient is from a different culture?

Nonverbal cues

If a patient speaks another language, should you use family or an interpreter for translation?

Interpreter

Negligence

failure to take proper care in doing something

Assault

intentional threat; verbal

Battery

actual harm; offensive touching

invasion of privacy

breaking of confidence; taking pictures without permission

anything that could potentially be used to harm oneself or another (sharp objects, razors, weapons, meds)

Contraband searches are always done?

At admissions

What is searched during contraband searches?

Pt's body - no cavity searches

clothing

Mental illness cues

pt is hallucinating, be paranoid, becoming aggressive for no obvious reason

If a pt states "I have more money than Elon Musk", could they be mentally ill?

Yes

TRUE OR FALSE: A patient is considered mentally ill if they brag about not sleeping for days.

TRUE

If we (nurses) are told, suspect or see abuse, we must report it?

Yes, we are mandated reporters

Breach of duty

failure to meet the standard of care

Wehn a pt refuses meds, if you can

Tell HCP why they refused

Can a pt refused meds if they have back up meds in IM form?

No

When do pts have back up meds in IM form?

When they're incompetent & involuntary

Restraints are never ____?

A PRN order

Should restraint orders be written each time that they're needed?

YES & the PCP must come evaluate ptWhat are last option orders?