NUR 322 Exam 1 Review Questions and
Correct Answers
What is the foundations of the Standards of Practice for Psychiatric Mental Health
Nursing? ✅The nursing process
What are the 6 QSEN competencies? ✅Patient -centered care,
quality improvement, safety, informatics, teamwork and
collaboration, evidenced-based practice (EBP).
What is the purpose of the Mental Status Exam (MSE)? ✅To evaluate an individual's
current cognitive processes.
What are the 4 aspects or considerations that every nurse needs to know when
administering psychotropic medications? ✅Intended action, therapeutic dosage,
adverse reactions, and safe blood levels.
What are the 4 basic principles in planning nursing interventions? ✅Safe, appropriate,
individualized, evidenced-based.
Describe what the new technology "telehealth" refers to. ✅The use of electronic
information and telecommunication technologies to
support long-distance clinical healthcare, patient and professional health-related
education, public health and health administration
Define therapeutic communication ✅professional, goal-directed, and scientifically
based communication
Give 9 common "cues" or examples of nonverbal communication: ✅Physical
appearance, facial expressions, body posture, amount of eye contact, eye cast, hand
gestures, sighs, fidgeting, and yawning
When communicating with a patient in a mental health setting what are the 4 goals to
help the patient? ✅Feel understood and comfortable, identify and explore problems
relating to others, discover healthy ways of meeting emotional needs, and experience
satisfying interpersonal relationship
There are many communication techniques that nurses can
use to enhance their nursing practice. Name at least 10: ✅using silence, offering self,
giving board openings, restating, reflecting, focusing, exploring, making observations,
seeking clarification, voicing doubt, summarizing. Table 8.2 pg. 124-125
, Define countertransference: ✅the nurse unconsciously transfers feelings onto the
patient that are related to people in their past.
Define transference: ✅a patient unconsciously transfers
feelings onto the nurse that are related to someone from their childhood/past.
Describe the phases of the nurse-patient relationship: ✅preorientation, orientation,
working, termination
Define empathy and sympathy: ✅Empathy: understands the feelings of others.
Sympathy: is feeling the feelings of others.
There are many tactics to avoid when interviewing a patient. Describe at least 3: ✅not
argue with, minimize or challenge the
patient. Do not give false reassurance. Do not question or probe.
The psychiatric client's right
to receive treatment and to have confidential medical records is legally protected
through this law. The law passed in 1996 and established national standards for the
protection of electronic medical records. Privacy breaches could lead to harm to the
nurse-patient relationship; harm to the client's well-being; grounds for corrective action;
and liabilities for the hospital and health care workers. ✅HIPAA
This legal term is based on the client's right to self-determination. Each adult of sound
mind has the right to determine what shall be done with his or her own body when a
basic understanding of risks, benefits, and options has been achieved. ✅Informed
consent
A category of civil law that commonly applies to health care practice. It is a civil wrong
for which monetary compensation may be collected by the injured party (the
plaintiff) from the wrongdoer (the defendant). ✅Tort
An act, or failure to act, that breaches the duty of due care, and results in or is
responsible for another person's injuries. ✅Negligence
An obligation that may result in a breach of confidentiality on the part of the health care
worker to warn third parties when they may be in danger from a client. ✅Duty to warn
Respecting the rights of other to make their own decisions (e.g. the right to refuse a
specific medication or treatment). ✅Autonomy
Admission to a psychiatric facility without the client's
consent. ✅Involuntary Commitment
