NU 160 Exam 1 V1 | NU 160 Mental Health
Concepts | NCLEX (NGN) Q&A with
Rationale (NU160 Exam 1)
1. A client is scheduled for a procedure and expresses doubt, saying, ‘I don’t think I should do
this.’ The nurse responds, ‘You’re worried about the procedure?’ Which therapeutic
communication technique is the nurse using?
A. Focusing
B. Restating
C. Summarizing
D. Presenting reality
Correct Answer: B
Explanation: Restating involves repeating the main idea expressed by the client to verify
the nurse’s understanding. This technique encourages the client to continue talking and
clarifies the message being conveyed. It is an effective way to facilitate further exploration
of the client’s feelings without giving advice.
2. A nurse is caring for a client who is being admitted involuntarily to a psychiatric unit.
Which right does the client still maintain despite the involuntary status?
A. The right to leave the facility against medical advice.
B. The right to unrestricted access to the internet.
,C. The right to keep all personal belongings in their room.
D. The right to refuse psychotropic medications.
Correct Answer: D
Explanation: Involuntary admission does not automatically strip a client of the right to
refuse treatment, including medications, unless a court has ruled otherwise or an
emergency exists. The client’s civil rights remain intact except for the right to leave the
facility. Nurses must obtain informed consent for treatments unless a life-threatening
situation occurs.
3. Which ethical principle is the nurse demonstrating when they spend extra time with a
client who is feeling lonely?
A. Beneficence
B. Autonomy
C. Justice
D. Veracity
Correct Answer: A
Explanation: Beneficence is the duty to act in a way that benefits others and promotes
good. By spending time with a lonely client, the nurse is actively working to improve the
client’s well-being and emotional state. This principle is fundamental to nursing practice
and therapeutic relationships.
, 4. During the orientation phase of the nurse-client relationship, which of the following
actions should the nurse prioritize?
A. Promoting the client’s problem-solving skills.
B. Establishing rapport and a contract for the relationship.
C. Evaluating the progress toward goal attainment.
D. Exploring the client’s deeper emotional traumas.
Correct Answer: B
Explanation: The orientation phase is focused on establishing trust, rapport, and the
boundaries of the relationship. It is during this time that the nurse and client set goals and
define how they will work together. Without a strong foundation of trust built in this phase,
later therapeutic work becomes difficult.
5. A client blames their spouse for their own alcohol use disorder, stating, ‘I only drink
because she nags me all the time.’ The nurse identifies this as which defense mechanism?
A. Rationalization
B. Projection
C. Displacement
D. Sublimation
Correct Answer: B
Concepts | NCLEX (NGN) Q&A with
Rationale (NU160 Exam 1)
1. A client is scheduled for a procedure and expresses doubt, saying, ‘I don’t think I should do
this.’ The nurse responds, ‘You’re worried about the procedure?’ Which therapeutic
communication technique is the nurse using?
A. Focusing
B. Restating
C. Summarizing
D. Presenting reality
Correct Answer: B
Explanation: Restating involves repeating the main idea expressed by the client to verify
the nurse’s understanding. This technique encourages the client to continue talking and
clarifies the message being conveyed. It is an effective way to facilitate further exploration
of the client’s feelings without giving advice.
2. A nurse is caring for a client who is being admitted involuntarily to a psychiatric unit.
Which right does the client still maintain despite the involuntary status?
A. The right to leave the facility against medical advice.
B. The right to unrestricted access to the internet.
,C. The right to keep all personal belongings in their room.
D. The right to refuse psychotropic medications.
Correct Answer: D
Explanation: Involuntary admission does not automatically strip a client of the right to
refuse treatment, including medications, unless a court has ruled otherwise or an
emergency exists. The client’s civil rights remain intact except for the right to leave the
facility. Nurses must obtain informed consent for treatments unless a life-threatening
situation occurs.
3. Which ethical principle is the nurse demonstrating when they spend extra time with a
client who is feeling lonely?
A. Beneficence
B. Autonomy
C. Justice
D. Veracity
Correct Answer: A
Explanation: Beneficence is the duty to act in a way that benefits others and promotes
good. By spending time with a lonely client, the nurse is actively working to improve the
client’s well-being and emotional state. This principle is fundamental to nursing practice
and therapeutic relationships.
, 4. During the orientation phase of the nurse-client relationship, which of the following
actions should the nurse prioritize?
A. Promoting the client’s problem-solving skills.
B. Establishing rapport and a contract for the relationship.
C. Evaluating the progress toward goal attainment.
D. Exploring the client’s deeper emotional traumas.
Correct Answer: B
Explanation: The orientation phase is focused on establishing trust, rapport, and the
boundaries of the relationship. It is during this time that the nurse and client set goals and
define how they will work together. Without a strong foundation of trust built in this phase,
later therapeutic work becomes difficult.
5. A client blames their spouse for their own alcohol use disorder, stating, ‘I only drink
because she nags me all the time.’ The nurse identifies this as which defense mechanism?
A. Rationalization
B. Projection
C. Displacement
D. Sublimation
Correct Answer: B
