Study Guide for Exam 1
NUR 423 Mental Health and Psychiatric Nursing
Components of the nursing process (nursing care plan)
The concept of stress (biological response, as environmental event, as transaction
Between individual and environment)
General adaptation syndrome – initial response and sustained response
Characteristics of each level of anxiety (HESI review manual or textbook)
Adaptive and maladaptive coping mechanisms
Defense mechanisms (study those in the HESI review manual or textbook)
Legal issues (Dr. Lawyer’s lecture handout)
Ethical principles (Dr. Lawyer’s lecture handout)
Johari Window
Transference/Countertransference
Active listening
Nonverbal Communication
Assertive, Aggressive, Passive, Passive-Aggressive communication styles (handout)
Assertive “I feel ____ because ______” statement (handout)
Therapeutic and nontherapeutic communication skills (handout)
Essential elements of the therapeutic relationship (handout)
Empathic “You feel ____ because_____” statement (handout)
Phases of the therapeutic relationship (handout)
Useful phrases box in HESI review manual
Forbidden phrases box in HESI review manual
Anger/Aggression definitions of each, predisposing factors to anger and aggression,
Management (textbook and handout)
**Remember to keep the HESI specialty exam in mind. Study the content related to this
first exam that is in your HESI including the HESI HINTS – Therapeutic
Communication, Levels of Anxiety and the HESI HINTs (we will cover the anxiety
disorders later)
Mark 10:27 With God all things are possible.