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NUR 272 Psych Exam 1 Questions & Answers | 150+ Practice Questions | Therapeutic Communication, Nurse–Client Relationship, Defense Mechanisms, Crisis Intervention & Mental Health Nursing

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Prepare for NUR 272 Psychiatric Mental Health Nursing Exam 1 with this comprehensive collection of 150+ exam-style practice questions, verified answers, and detailed rationales covering the essential principles of psychiatric-mental health nursing and therapeutic communication. This study guide provides extensive coverage of therapeutic communication techniques, phases of the nurse–client relationship, interpersonal communication, crisis intervention, grief and loss, anxiety, stress management, defense mechanisms, anger management, therapeutic milieu, cultural competence, professional boundaries, trust development, empathy, active listening, psychiatric assessment, community mental health, and evidence-based nursing interventions. It is specifically designed to strengthen clinical judgment and communication skills required for success in nursing examinations, clinical practice, and licensure preparation. Organized in a structured question-and-answer format, this resource mirrors the style of university nursing examinations while reinforcing patient-centered psychiatric care and therapeutic decision-making. Students will review orientation, working, and termination phases of the therapeutic relationship, verbal and nonverbal communication, empathy versus sympathy, active listening, reflection, clarification, focusing, summarizing, defense mechanisms such as denial, reaction formation, rationalization, and displacement, de-escalation techniques, aggression management, suicide risk communication, crisis theory, cultural sensitivity, professional ethics, therapeutic environment, mental health promotion, primary, secondary, and tertiary prevention, stress reduction strategies, interpersonal boundaries, and effective nurse–patient interactions. The inclusion of practical scenarios and exam-focused rationales makes this guide an excellent revision tool for classroom examinations, ATI, HESI, NCLEX-RN preparation, and psychiatric nursing coursework. The content aligns with evidence-based psychiatric nursing standards and leading academic references, including Varcarolis' Foundations of Psychiatric-Mental Health Nursing, Varcarolis' Essentials of Psychiatric Mental Health Nursing, Psychiatric Mental Health Nursing by Mary C. Townsend and Karyn I. Morgan, Psychiatric-Mental Health Nursing by Sheila L. Videbeck, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) published by the American Psychiatric Association (APA), and current practice guidelines from the American Psychiatric Nurses Association (APNA) and the American Nurses Association (ANA). These authoritative references provide the evidence-based foundation for therapeutic communication, psychiatric assessment, crisis intervention, nurse–client relationships, and mental health nursing care reflected throughout this study guide. Relevant for Students: NUR 272 students Psychiatric Mental Health Nursing students Mental Health Nursing students BSN students ADN students Registered Nursing (RN) students Practical Nursing (LPN/LVN) students Accelerated BSN (ABSN) students HESI Mental Health exam candidates ATI Mental Health exam candidates NCLEX-RN candidates Students preparing for NUR 272 Exam 1, psychiatric nursing midterms, and mental health nursing assessments Keywords: NUR 272, Psychiatric Mental Health Nursing, Mental Health Nursing, Psych Exam 1, Therapeutic Communication, Nurse Client Relationship, Orientation Phase, Working Phase, Termination Phase, Active Listening, Empathy, Reflection, Clarification, Focusing, Summarizing, Therapeutic Environment, Crisis Intervention, Grief and Loss, Anxiety, Stress Management, Defense Mechanisms, Denial, Reaction Formation, Rationalization, Displacement, Anger Management, Aggression, Professional Boundaries, Trust Building, Cultural Competence, Mental Health Assessment, Suicide Risk Assessment, Community Mental Health, Primary Prevention, Secondary Prevention, Tertiary Prevention, Therapeutic Milieu, Communication Skills, Psychiatric Assessment, Nursing Exam Questions, ATI Mental Health, HESI Mental Health, NCLEX Mental Health, Psychiatric Nursing Study Guide

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Institution
NUR 272 Psych
Course
NUR 272 Psych

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NUR 272 Psych Exam 1
Practice Questions 2026 Exam
All Answers and Illustrations
Given



A woman is diagnosed with a highly disseminated metastatic breast

cancer. What will the nurse expect that her initial reaction to be at the

time the physician gave her the prognosis?




A. Denial

B. Confrontation

C. Anger

,D. Acceptance - ANSWER ✔✔A


What should the nurse do when a client becomes agitated during an

admission assessment?




A. Contact hospital security.

B. Use confrontation and tell the client to relax.

C. Leave the client alone to calm down.

D. Communicate in an aggressive tone to intimidate the client. -

ANSWER ✔✔A


A nurse in a psychiatric unit observes a client kicking the furniture and

walls while yelling that no one visits her. What would be the priority

nursing intervention?




A. Call the physician for a medication to sedate the client.

B. Try to comfort the client with soothing tones and music.

C. Ask the client to describe how she can better handle her anger.

D. Firmly tell the client in a calm and clear tone of voice to stop kicking

the furniture. - ANSWER ✔✔D

, A client who has recently been diagnosed with end-stage lung cancer

states, "I feel like I am going to die very soon." What is the nurse's best

response?




A. "Can you tell me what the oncologist has told you about your

treatment plan? "

B. "Let me have the hospital chaplain talk to you about how you are

feeling? "

C. "Would you like me to check with your oncologist about taking an

antidepressant medication? ".


D. "what makes you think you will die so soon?" - ANSWER ✔✔D


After a meeting with his wife and the nurse, a client expresses that his

wife's nagging gets on his nerves. After the session, he asks the nurse if

she will talk with his wife about her nagging. Which of the following

would be the most therapeutic response to the client?"




A. "Let's talk about how you might bring up this issue to your wife."

B. "Please tell me what she specifically nags about."



3
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NUR 272 Psych

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