4 Written Questions

1. Axis I: all mental health diagnosis except for those found in Axis II
   Axis II: any personality disorder diagnosis and mental retardation
   Axis III: any general medical diagnosis, such as asthma
   Axis IV: pertinent psychosocial problems and problems that may affect diagnosis, treatment, and prognosis of mental disorders
   Axis V: global assessment of functioning (GAF) an assessment of present and past-year functioning that rates the clients level of functioning in the areas of work performance, social abilities, and psychological ability on a scale of 1 to 100
2. Deal with intense feelings regarding the experience
   Summarize goals and objectives achieved
   Review client's plan for the future and ways to implement new coping strategies into every day life
   Finalize termination
3. Maintain relationship
   Gather further data
   Promote client's: problem solving skills, self esteem, use of language and communication skills
   Facilitate behavioral change
   Overcome resistant behaviors
   Evaluate problems and goals
   Promote practice and expression of alternative adaptive behaviors
   *The nurse and the patient together identify and explore areas that are causing problems in the patient's life
   *Transference and countertransference typically happen here
4. False imprisonment- confining a client to a specific area, such as a seclusion room, if the reason for confinement is for the convenience of the staff
   Assault- Making a threat to a client's person, approaching a client in a threatening manner with a syringe in hand
   Battery- touching a client a harmful or offensive way- if the nurse threatening the client with a syringe grabbed the client's arm and gave an injection

4 Multiple Choice Questions

1. first time the nurse and patient meet
   Establish: trust, parameters of relationship (nurse's role and responsibilities of both), formal and informal contract (time, place, date, duration), confidentiality, mutual goals, discuss termination
   Patient problems are articulated and mutually agreed upon goals are established
   1. Working Phase
   2. Termination Phase
   3. Intentional Tort
   4. Orientation Phase
2. Implementation
   - Problem solving
   - Support
   - Action Plans
   *The client collaborates with the nurse and takes personal risks to make desired changes and take action in his/her life
   1. Stage I
   2. DSMV-IV Axis
   3. Stage III
   4. Stage II
3. the nurse displaces feelings onto the client related to others in the nurse's past
   1. Intentional Tort
   2. Termination Phase
   3. Working Phase
   4. Counter-transference
4. Privacy
   Autonomy
   Safety
   Group-Well being
   Restrictiveness
   Program Structure
   Social Climate
   1. Orientation Phase
   2. Mental Status Examination
   3. Intentional Tort
   4. External Therapeutic Environments

4 True/False Questions

1. Dual Diagnosis → Axis I: all mental health diagnosis except for those found in Axis II
   Axis II: any personality disorder diagnosis and mental retardation
   Axis III: any general medical diagnosis, such as asthma
   Axis IV: pertinent psychosocial problems and problems that may affect diagnosis, treatment, and prognosis of mental disorders
   Axis V: global assessment of functioning (GAF) an assessment of present and past-year functioning that rates the clients level of functioning in the areas of work performance, social abilities, and psychological ability on a scale of 1 to 100

   True        False

2. Stage I → Building the therapeutic working relationship through:
   - Empathy- relating to patient
   - Respect
   - Genuineness
   -Concreteness
   * In this stage, the client explores him/herself

   True        False

3. Mental Status Examination → Affect
   Physical Appearance
   Behavior- mood and affect
   Cognitive and intellectual abilities- orientation to time and place, remote, and recent memory, level of knowledge, ability to calculate (count back in 7s), abstract thinking, judgement, and rate and volume of speech

   True        False

4. Stage II → Deeper exploration through:
   - Additive Empathy
   - Self disclosure (typically only helpful with abused & raped
   - Feedback
   - Confrontation
   - Immediacy- "what I need from you right now"
   *The client learns to listen non-defensively and attempts to understand his/her own personal patterns

   True        False