QUESTIONS & ANSWERS WITH MULTIPLE
CHOICES AND SIMPLIFIED RATIONALES |
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Which response by the nurse is most therapeutic when a client expresses anger about
family hope during terminal illness?
A. Have you shared your feelings with your family?
B. I think we should explore your anger further
C. You’re feeling angry that your family continues to hope for a cure
D. Your family is just trying to stay positive
Correct Answer: C. You’re feeling angry that your family continues to hope for a cure
Expert Rationale:
This is reflection, a therapeutic communication technique that validates and mirrors the
client’s emotional state without judgment. It helps the client feel understood and
encourages deeper exploration of feelings.
Why the other options are incorrect:
• A shifts focus away from emotion exploration.
• B is directive and can feel intrusive.
• D is dismissive and minimizes the client’s experience.
A client with voluntary admission is most likely to demonstrate which behavior?
A. Fearfulness of treatment
B. Aggression toward staff
C. Understanding of diagnosis pathology
D. Willingness to participate in care planning
Correct Answer: D. Willingness to participate in care planning
,Expert Rationale:
Voluntary admission indicates the client sought treatment willingly, suggesting higher
motivation and cooperation in care planning.
Why the other options are incorrect:
• Fear and aggression are not characteristic of voluntary admission.
• Diagnostic understanding is not guaranteed.
What is the priority nursing task in the termination phase of a therapeutic relationship?
A. Planning short-term goals
B. Making appropriate referrals
C. Developing solutions
D. Identifying outcomes
Correct Answer: B. Making appropriate referrals
Expert Rationale:
Termination focuses on ending the relationship safely and ensuring continuity of care
through referrals and support systems.
Which legal issues may apply when a voluntary client is physically restrained? (Select all
that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False imprisonment
Correct Answer: B, C, E
Expert Rationale:
Improper restraint may lead to:
• Assault (threat of harm)
• Battery (unwanted physical contact)
• False imprisonment (restriction of freedom)
, What is the priority nursing focus for a client experiencing traumatic grief after rescuing a
fire victim?
A. Functioning level
B. Risk of self-harm
C. Perception of event
D. Barriers to adaptive coping
Correct Answer: D. Barriers to adaptive coping
Expert Rationale:
The working phase focuses on identifying emotional barriers that prevent healing and
coping.
A calm client after sexual assault is most likely using which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization
Correct Answer: A. Denial
Expert Rationale:
Emotional numbing or calmness immediately after trauma often reflects denial as a
temporary protective response.
Unresolved grief is most likely addressed in which phase of the nurse-client relationship?
A. Working
B. Orientation
C. Termination
D. Trusting
Correct Answer: C. Termination
Expert Rationale:
Termination often triggers reflection on unresolved emotions and loss patterns.
Which statement best reflects nurse advocacy for client rights?