Exam 1: NUR 2459/ NUR2459| Latest 2023/ 2024 |Mental and Behavioral Health Nursing Exam| Complete Guide Questions and Verified
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QUESTION
What is the main assessment tool used in psychiatric nursing?
Answer:
Mental Status Exam (MSE)
QUESTION
What are the components of the MSE?
Answer:
-Personal information
-Appearance
-Behavior
-Speech
-Affect and mood
-Thought
-Perceptual disturbances
-Cognition:
>Orientation: time, place, person, Level of consciousness,
>Memory: remote, recent, immediate, Fund of knowledge, Attention, Abstraction, Insight Judgment
QUESTION
How to test for attention?
Answer:
performance on serial sevens, digit span tests
QUESTION
How to test for abstraction?
Answer:
performance on tests involving similarities, proverbs
QUESTION
How to test for judgement?
Answer:
stamped envelope
QUESTION
What are the stages of the nurse-client relationship?
Answer:
-Pre-orientation
-Orientation
-Working
-Termination
QUESTION
Briefly describe the pre-orientation stage.
Answer:
-examining one's feelings
*think about getting report and evaluating your response to the type of client
QUESTION
Briefly describe the orientation stage.
Answer:
-Introduction: walking rounds during report
-Introduction to each other and activities of the day
QUESTION
Briefly describe the working stage.
Answer:
-Promoting insight and problem solving
*being aware of transference and countertransference
QUESTION
Briefly describe the termination stage.
Answer:
-The end of the relationship
*Discharge
QUESTION
Describe crisis.
Answer:
an individual experience causing an inability to function, though different for everyone, there is a specific identifiable event, and considered acute in nature.
QUESTION
What are the different types of crisis.
Answer:
-Situational/external (a life event like a house fire)
-Maturational/internal/life anticipate (graduating from college or retirement)
-Crisis from Traumatic events (a violent attack)
QUESTION
Describe the phases in the development of crisis.
Answer:
-Phase 1: They experience the event
-Phase 2: When previous problem-solving doesn't work, anxiety increases further
-Phase 3: All possible resources, external and internal are used to resolve the problem and relieve discomfort
-Phase 4: If resolution does not occur, the person may feel stress beyond their capacity causing drastic disorganization (dysfunction) in the person- at risk for suicide or homicide
QUESTION
Describe the Phases of the Nurse's Role in Crisis Intervention
Answer:
-Phase 1: Assessment
-Phase 2: Planning
-Phase 3: Intervention
-Phase 4: Evaluation
QUESTION
Describe phase 1 (assessment) of the Nurse's Role in Crisis Intervention.
Answer:
Assessing the situation, having the client describe the event, prior experience with event, current coping methods, were new coping methods tried, assess suicide and homicide, support systems.
QUESTION
Describe phase 2 (planning) of the Nurse's Role in Crisis Intervention. [Show Less]