NUR 180 - Exam 1 Questions with Complete Solutions 2023
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Course
NUR 180
Institution
NUR 180
What are the interrelated concepts of Mental Health?
(3 concepts to prioritize care) - Stress, coping, cognition
What is the goal of in-patient mental health? - Least restrictive environment
What should the LPN be aware of to protect the safety of themselves and the staff? - Increased ...
NUR 180 - Exam 1 Questions with
Complete Solutions 2023
What are the interrelated concepts of Mental Health?
(3 concepts to prioritize care) - ✔✔ Stress, coping, cognition
What is the goal of in-patient mental health? - ✔✔ Least restrictive environment
What should the LPN be aware of to protect the safety of themselves and the staff?
- ✔✔ Increased anxiety, frustration, agitation (these can lead to violence)
What type of patient would be seen for in-patient treatment? - ✔✔ Patients that are in an acute condition (pt who is experiencing hallucinations)
What is the purpose of orienting a client? - ✔✔ Decrease anxiety, find out what their daily routine is
Your patient is refusing to attend group therapy, what do you do next? - ✔✔ Therapeutic communication- find it why they do not want to attend
What is the first priority in a Crisis Intervention? - ✔✔ Emotional support
Do Not Harm - ✔✔ Staff and client safety and most important
What can you do if you need 10 minutes alone with your client? - ✔✔ Delegate so
you have uninterrupted time, provide privacy, find it about patient daily routines
What is Failure to Probe? - ✔✔ Failure to investigate during interview or conversation
Your patient recently lost his spouse and hysterical in your office. What can you do? - ✔✔ Provide them with the tools to help them cope
Acceptance - ✔✔ Communicate a favorable reception. One does not have to approve of another's behavior
Interest - ✔✔ Expressing desire to know another person. This is conveyed by asking about those aspects of a person's life that others often reject Respect - ✔✔ Show consideration for another by communicating a willingness to work with the client. Accept the client's ideas, feelings and rights
Honesty - ✔✔ Demonstrate this by being consistent, open, and frank.
Concreteness - ✔✔ Be specific, to the point and clear. Use understandable language and avoid the use of jargon.
Assistance - ✔✔ Commit time and energy to the therapeutic relationships. Convey
that you are present and available
Permission - ✔✔ Communicate this by conveying the message that it is acceptable to try new ways of behaving
Protection - ✔✔ This can be done by ensuring safety. Work with clients to anticipate trouble spots with new behavior and develop effective ways of dealing with anticipated or actual problem
Listening - ✔✔ Active process of receiving information and examining reactions to messages received (ex. Maintaining eye contact)
Restating - ✔✔ Repeating main though expressed by client (ex you said that your mother left you when you were 5 years old?)
Clarification - ✔✔ Attempting to put into words vague ideas or unexplained clear thoughts of client (ex I'm not sure what you mean. Can you tell me again?)
Reflection - ✔✔ Directing back client's ideas, feelings, questions, and content (ex so you're feeling tense and anxious about a conversation you had with your husband, right?)
Sharing Perceptions - ✔✔ Asking a client to verify caregiver's understanding of client's message (ex you're smiling, but I sense that you are really very angry with me)
Silence - ✔✔ Lack of verbal communication for therapeutic reason (ex sitting with client and no verbally communicating interest and involvement)
Drowsy/Somnolent - ✔✔ Wakens with strong stimuli;falls asleep if left in disturbed Hyperalertness - ✔✔ Increased state of alertness or watchfulness (hypervigilance)
Communication technique for someone with Alzheimer's disease - ✔✔ Ask only one questions at a time. More than one question increases confusion
Examples of ineffective coping skills - ✔✔ alcohol/substance abuse, violence, isolation
Factors that affect coping - ✔✔ Family dynamics, culture, stress, addiction, cognition
(Acute stress effect:) Stress is a set of what responses? - ✔✔ Behavioral, Physiological, Emotional
Typical physiological stress response - ✔✔ Increased: HR,sweat, BP, pupil contraction, blood glucose, bronchodilation
Decreased: insulin uptake in skeletal muscle, peristalsis
Primary prevention - ✔✔ prevent or decrease probability of occurence of an injury, physical or mental illness, or health-threatening situation
Secondary prevention - ✔✔ Screening and detection, allowing for prompt interventions
Tertiary prevention - ✔✔ returning pt to optimal health, managing, restoration and
rehabilitation
Which population has an increased risk of violence/abuse? - ✔✔ Pregnant women
Woman comes into ER and says she's been abused by her live-in boyfriend. What is the priority nursing intervention for this patient? - ✔✔ Emotional support, interview her privately
What do we as nurses need to look out for in a bullied patient? - ✔✔ Anxiety level, poor self esteem, and risk for suicide
Suicide survivors express what type of feelings? - ✔✔ Feelings of guilt, anger and
shame
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