Quiz 2

Question 1

What is the nursing process in mental health?

Answer 1

assessment
nursing diagnosis
outcome
planning
implementation
evaluation

Question 2

What is done during the assessment in the nursing process?

Answer 2

collect data

Question 3

What are different types of assessments for mental health?

Answer 3

review of systems
lab data
spiritual/religious assessment
cultural assessment
mental status exam
psychosocial assessment
validating assesment

Question 4

What type of assessment is not done in mental health?

Answer 4

head to toe assessments

Question 5

What is a mental status evaluation?

Answer 5

nurse will observe mental status improvements

Question 6

During the nursing process, what is done during the outcome portion?

Answer 6

setting goals that are SMART

Question 7

What does SMART stand for?

Answer 7

specific
measurable
achievable
realistic
timely

Question 8

During the nursing process, how is implementation done?

Answer 8

through:

coordinating care
teaching
milieu therapy
therapeutic relationship

Question 9

What is done after the evaluation stage in the nursing process?

Answer 9

documentation

Question 10

What is the difference between a congruent and an incongruent message?

Answer 10

congruent: actions and words match

incongruent: actions and words don’t match

Question 11

What is therapeutic communication?

Answer 11

professional
goal-directed
scientifically based

allows pt to feel safe and secure

Question 12

What is therapeutic silence?

Answer 12

encourages pt to open up by allowing them to break the silence

Question 13

What is active listening?

Answer 13

observing nonverbal behaviors
listening/understanding verbal message
providing feedback

Question 14

What are clarifying techniques?

Answer 14

paraphrasing
restating
reflecting
making observations
exploring
“what if”
“miracle question”

Question 15

What is reflecting?

Answer 15

bringing conversation back to pt

ex: “what do yout think”

Question 16

What is exploring?

Answer 16

describe, tell me more…

Question 17

What is “what if” and “miracle question”?

Answer 17

helps with problem solving and coping skills

“what if you could go back?”

Question 18

Will a nurse ever ask close ended questions?

Answer 18

no

exception: “have you thought of harming yourself?

Question 19

Describe cultural competence

Answer 19

different communication styles
use of eye contact depends
different perceptions of touch
cultural filters

Question 20

What are the 4 core concepts of a nurse-patient relationship?

Answer 20

dignity and respect
information sharing
pt/family participation
pt feels heard and understood

Question 21

What is the difference between social and therapeutic relationships?

Answer 21

social: friends giving advice

therapeutic: straight forward and concrete

Question 22

What are boundary warning signals?

Answer 22

over helping (doing what pt can do for themselves)
controlling (asserting authority)
narcissim (needing to help weak to feel helpful)

Question 23

Define transference

Answer 23

person unconsciously transfers patterns and emotional reactions toward another person

Question 24

Define countertransference

Answer 24

nurse displaces emotions related to people in past onto the pt

Question 25

What are the phases of the nurse-patient relationship?

Answer 25

preorientation orientation working termination

Question 26

What happens during the preorientation phase of the nurse-patient relationship?

Answer 26

becoming familiar with environment

Question 27

What happens during the orientation phase of the nurse-patient relationship?

Answer 27

meet pt build rapport/trust set goals terminations begins

Question 28

What happens during the working phase of the nurse-patient relationship?

Answer 28

gather data evaluate problems and goals

Question 29

What happens during the termination phase of the nurse-patient relationship?

Answer 29

review goals and accomplishments

Question 30

What does the clinical interview consist of?

Answer 30

prepare for interview introduce self initiate interview

Question 31

What are the goals of the clinical interview?

Answer 31

to feel safe to feel understood identify problems discuss healthy ways to cope

Question 32

Define stress response

Answer 32

survival mechanism by which the body and mind become immediately ready to meet a threat

Question 33

What are the symptoms of PTSD?

Answer 33

TRAUMA Traumatic event Reexperiencing trauma Avoidance Unable to function Month long symptoms Arousal increase (hypervigilant, startle response)

Question 34

What are the risk factors of PTSD?

Answer 34

age of traumatic event (younger age=higher risk) female Hx of psych illness lower education level

Question 35

What are comorbidities of PTSD?

Answer 35

cardiovascular diseases increase susceptibility to infections dementia depressive disorders anxiety disorders substance-related increased risk of suicide

Question 36

How soon will symptoms resolve in acute stress disorder?

Answer 36

within 1 month

Question 37

What are nursing interventions for PTSD?

Answer 37

- stay with pt - help pt recognize avoidance behaviors - family psychoeducation - teach coping skills - ensure sleep - stress reduction techniques

Question 38

What are interdisciplinary treatments of PTSD?

Answer 38

cognitive therapy prolonged exposure therapy eye movement desensitization and reprocessing antidepressants

Question 39

What is compassion fatigue in regard to nursing?

Answer 39

indirect traumatization from work