NSG 3450 EXAM 2 - MENTAL HEALTH NURSING WITH
QUESTIONS AND WELL VERIFIED ANSWERS ALREADY GRADED
A+ REAL 2026!!!!Comprehensive Examination with ANSWERS
and Rationales
Question 1
A nurse is caring for a client who appears anxious. Which statement by the nurse demonstrates
the use of a broad opening?
A. "Are you feeling anxious about your surgery tomorrow?"
B. "Tell me about what you are thinking right now."
C. "You seem worried. Is it about your test results?"
D. "Don't worry, everything will be fine."
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Broad openings allow the client to take the initiative in introducing the topic
and demonstrate that the nurse is waiting for the client to set the direction. "Tell me about
what you are thinking" is an open-ended statement that invites the client to share without
directing the conversation.
www.ncbi.nlm.nih.gov
Option A (Incorrect): This is a closed-ended question that limits the client's response to yes or
no and assumes the topic (surgery), which is not a broad opening.
Option C (Incorrect): This makes assumptions about the cause of anxiety and directs the
conversation toward test results, which is not a broad opening technique.
Option D (Incorrect): This is giving false reassurance, which is a non-therapeutic communication
technique that minimizes the client's feelings.
Question 2
During a conversation with a client, the nurse sits quietly and maintains eye contact while the
client discusses their feelings about a recent diagnosis. The nurse is utilizing which therapeutic
communication technique?
,A. Active listening
B. Using silence
C. Restating
D. Reflecting
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Using silence allows the client to control the conversation and demonstrates
that the nurse is giving the client time to think and organize their thoughts. Silence can be
therapeutic when used appropriately.
www.rivier.edu
Option A (Incorrect): While active listening is occurring, the specific technique being described
is the use of silence. Active listening encompasses multiple behaviors including attending,
observing, and responding.
Option C (Incorrect): Restating involves repeating the main idea expressed by the client, which
is not what is described in this scenario.
Option D (Incorrect): Reflecting involves directing back to the client their feelings or content,
which is not occurring in this scenario.
Question 3
A client states, "I feel so overwhelmed with everything that's happening." Which response by
the nurse demonstrates active listening?
A. "I understand how you feel. Many patients feel that way."
B. "You're feeling overwhelmed. Tell me more about what's bothering you."
C. "Let me get you some medication to help you relax."
D. "You shouldn't feel overwhelmed. Try to stay positive."
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): This response demonstrates active listening by acknowledging the client's
feelings, restating what was heard, and inviting the client to share more information. Active
listening involves paying attention to what the client is saying both verbally and nonverbally.
nightingale.edu
,Option A (Incorrect): This response minimizes the client's feelings by comparing them to others
and shifts focus away from the client's unique experience.
Option C (Incorrect): This response avoids addressing the client's feelings and jumps to a
solution without fully understanding the problem.
Option D (Incorrect): This is giving disapproval and false reassurance, which are non-therapeutic
techniques that invalidate the client's feelings.
Question 4
A nurse is working with a client who has schizophrenia. The client states, "The voices are telling
me to hurt myself." Which response by the nurse demonstrates presenting reality?
A. "I don't hear any voices. You're imagining things."
B. "The voices aren't real. Try to ignore them."
C. "I understand that you hear voices, but I don't hear them. You are safe here."
D. "Why do you think the voices want you to hurt yourself?"
ANSWER✨✨✔-: C
Rationale:
Option C (Correct): Presenting reality involves clarifying misconceptions without arguing or
belittling the client's experience. This response acknowledges what the client is experiencing
while gently presenting the nurse's different perception and providing reassurance of safety.
www.masmedicalstaffing.com
Option A (Incorrect): This response is argumentative and belittles the client's experience, which
is non-therapeutic and can damage the therapeutic relationship.
Option B (Incorrect): This denies the client's experience and gives advice, which are non-
therapeutic techniques.
Option D (Incorrect): Asking "why" questions can put clients on the defensive and imply that
they need to justify their feelings or experiences.
Question 5
A client says, "My life is empty. It has no meaning." The nurse responds, "You're saying that
your life feels empty and meaningless." Which therapeutic communication technique is the
nurse using?
A. Reflecting
B. Restating
, C. Exploring
D. Clarifying
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Restating involves repeating the main idea expressed by the client using the
same or similar words. This demonstrates that the nurse is listening and validates the client's
message. The nurse repeated the client's statement almost verbatim.
www.ncbi.nlm.nih.gov
Option A (Incorrect): Reflecting would involve directing the client's feelings or content back to
them, often by asking a question like "Do you feel your life is empty?"
Option C (Incorrect): Exploring would involve asking the client to elaborate, such as "Tell me
more about what makes your life feel empty."
Option D (Incorrect): Clarifying would involve seeking to understand unclear statements, such
as "I'm not sure I understand. Can you explain what you mean by empty?"
Question 6
A nurse is caring for a client who is depressed. Which statement by the nurse is considered non-
therapeutic?
A. "Tell me more about how you're feeling."
B. "You should try to think more positively."
C. "I notice you seem sad today."
D. "What would you like to talk about?"
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): This statement is giving advice and implying that the client should feel
differently, which is non-therapeutic. It minimizes the client's feelings and imposes the nurse's
values on the client.
www.ncbi.nlm.nih.gov
Option A (Incorrect): This is exploring, a therapeutic technique that encourages the client to
elaborate on their feelings.
QUESTIONS AND WELL VERIFIED ANSWERS ALREADY GRADED
A+ REAL 2026!!!!Comprehensive Examination with ANSWERS
and Rationales
Question 1
A nurse is caring for a client who appears anxious. Which statement by the nurse demonstrates
the use of a broad opening?
A. "Are you feeling anxious about your surgery tomorrow?"
B. "Tell me about what you are thinking right now."
C. "You seem worried. Is it about your test results?"
D. "Don't worry, everything will be fine."
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Broad openings allow the client to take the initiative in introducing the topic
and demonstrate that the nurse is waiting for the client to set the direction. "Tell me about
what you are thinking" is an open-ended statement that invites the client to share without
directing the conversation.
www.ncbi.nlm.nih.gov
Option A (Incorrect): This is a closed-ended question that limits the client's response to yes or
no and assumes the topic (surgery), which is not a broad opening.
Option C (Incorrect): This makes assumptions about the cause of anxiety and directs the
conversation toward test results, which is not a broad opening technique.
Option D (Incorrect): This is giving false reassurance, which is a non-therapeutic communication
technique that minimizes the client's feelings.
Question 2
During a conversation with a client, the nurse sits quietly and maintains eye contact while the
client discusses their feelings about a recent diagnosis. The nurse is utilizing which therapeutic
communication technique?
,A. Active listening
B. Using silence
C. Restating
D. Reflecting
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Using silence allows the client to control the conversation and demonstrates
that the nurse is giving the client time to think and organize their thoughts. Silence can be
therapeutic when used appropriately.
www.rivier.edu
Option A (Incorrect): While active listening is occurring, the specific technique being described
is the use of silence. Active listening encompasses multiple behaviors including attending,
observing, and responding.
Option C (Incorrect): Restating involves repeating the main idea expressed by the client, which
is not what is described in this scenario.
Option D (Incorrect): Reflecting involves directing back to the client their feelings or content,
which is not occurring in this scenario.
Question 3
A client states, "I feel so overwhelmed with everything that's happening." Which response by
the nurse demonstrates active listening?
A. "I understand how you feel. Many patients feel that way."
B. "You're feeling overwhelmed. Tell me more about what's bothering you."
C. "Let me get you some medication to help you relax."
D. "You shouldn't feel overwhelmed. Try to stay positive."
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): This response demonstrates active listening by acknowledging the client's
feelings, restating what was heard, and inviting the client to share more information. Active
listening involves paying attention to what the client is saying both verbally and nonverbally.
nightingale.edu
,Option A (Incorrect): This response minimizes the client's feelings by comparing them to others
and shifts focus away from the client's unique experience.
Option C (Incorrect): This response avoids addressing the client's feelings and jumps to a
solution without fully understanding the problem.
Option D (Incorrect): This is giving disapproval and false reassurance, which are non-therapeutic
techniques that invalidate the client's feelings.
Question 4
A nurse is working with a client who has schizophrenia. The client states, "The voices are telling
me to hurt myself." Which response by the nurse demonstrates presenting reality?
A. "I don't hear any voices. You're imagining things."
B. "The voices aren't real. Try to ignore them."
C. "I understand that you hear voices, but I don't hear them. You are safe here."
D. "Why do you think the voices want you to hurt yourself?"
ANSWER✨✨✔-: C
Rationale:
Option C (Correct): Presenting reality involves clarifying misconceptions without arguing or
belittling the client's experience. This response acknowledges what the client is experiencing
while gently presenting the nurse's different perception and providing reassurance of safety.
www.masmedicalstaffing.com
Option A (Incorrect): This response is argumentative and belittles the client's experience, which
is non-therapeutic and can damage the therapeutic relationship.
Option B (Incorrect): This denies the client's experience and gives advice, which are non-
therapeutic techniques.
Option D (Incorrect): Asking "why" questions can put clients on the defensive and imply that
they need to justify their feelings or experiences.
Question 5
A client says, "My life is empty. It has no meaning." The nurse responds, "You're saying that
your life feels empty and meaningless." Which therapeutic communication technique is the
nurse using?
A. Reflecting
B. Restating
, C. Exploring
D. Clarifying
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): Restating involves repeating the main idea expressed by the client using the
same or similar words. This demonstrates that the nurse is listening and validates the client's
message. The nurse repeated the client's statement almost verbatim.
www.ncbi.nlm.nih.gov
Option A (Incorrect): Reflecting would involve directing the client's feelings or content back to
them, often by asking a question like "Do you feel your life is empty?"
Option C (Incorrect): Exploring would involve asking the client to elaborate, such as "Tell me
more about what makes your life feel empty."
Option D (Incorrect): Clarifying would involve seeking to understand unclear statements, such
as "I'm not sure I understand. Can you explain what you mean by empty?"
Question 6
A nurse is caring for a client who is depressed. Which statement by the nurse is considered non-
therapeutic?
A. "Tell me more about how you're feeling."
B. "You should try to think more positively."
C. "I notice you seem sad today."
D. "What would you like to talk about?"
ANSWER✨✨✔-: B
Rationale:
Option B (Correct): This statement is giving advice and implying that the client should feel
differently, which is non-therapeutic. It minimizes the client's feelings and imposes the nurse's
values on the client.
www.ncbi.nlm.nih.gov
Option A (Incorrect): This is exploring, a therapeutic technique that encourages the client to
elaborate on their feelings.
