National University NUR 350 Module 2 (pdf) | 2026/2027 | Mental
Health Nursing Q&A | Nursing
1. A nursing student is learning about the phases of the therapeutic nurse-
client relationship. Which of the following correctly identifies the four phases
of this relationship?
A) Orientation, Working, Termination, and Evaluation
B) Preorientation, Orientation, Working, and Termination
C) Assessment, Planning, Implementation, and Evaluation
D) Trust, Rapport, Empathy, and Respect
Correct Answer: Preorientation, Orientation, Working, and Termination
Rationale: The therapeutic nurse-client relationship progresses through four
phases: preorientation (preparation before meeting the client), orientation
(establishing trust and setting goals), working (implementing interventions),
and termination (ending the relationship). This structure provides a
framework for effective, goal-directed interactions.
2. During the orientation phase of the therapeutic relationship, the nurse's
primary task is to:
A) Explore the client's childhood experiences
B) Establish trust and set mutual goals
C) Evaluate the effectiveness of the interventions
D) Prepare for the client's discharge from care
Correct Answer: Establish trust and set mutual goals
Rationale: The orientation phase is focused on building trust, establishing
rapport, and collaboratively identifying goals for the therapeutic relationship.
This foundational work is essential for the success of subsequent phases.
,3. A nurse is preparing to meet a new client for the first time. The nurse
reviews the client's chart and consults with the previous healthcare team.
This activity occurs during which phase of the therapeutic relationship?
A) Orientation phase
B) Working phase
C) Preorientation phase
D) Termination phase
Correct Answer: Preorientation phase
Rationale: The preorientation phase occurs before the initial face-to-face
meeting with the client. During this phase, the nurse reviews available
information, consults with colleagues, and begins to formulate initial
impressions to prepare for a productive first encounter.
4. A client tells the nurse, "I feel like you are the only one who really listens
to me." The nurse's response should be guided by the therapeutic technique
of:
A) Giving advice
B) Active listening
C) Changing the subject
D) False reassurance
Correct Answer: Active listening
Rationale: Active listening is a core therapeutic communication technique
that involves fully concentrating on what the client is saying, understanding
their message, and responding thoughtfully. It conveys respect, validates the
client's feelings, and promotes trust.
,5. A nurse is communicating with a client who is expressing anger about
their treatment. Which of the following responses is most therapeutic?
A) "You shouldn't be angry. It's not productive."
B) "I can see that you are angry. Tell me more about what is upsetting you."
C) "Calm down. Your anger is making me uncomfortable."
D) "If you continue to be angry, I will have to leave."
Correct Answer: "I can see that you are angry. Tell me more about what is
upsetting you."
Rationale: This response uses the therapeutic technique of validation,
acknowledging the client's emotion and encouraging them to express their
feelings in a safe environment. It opens the door for further communication
and demonstrates empathy.
6. A nurse is using the therapeutic communication technique of
"clarification." Which of the following statements is an example of this
technique?
A) "Tell me more about that."
B) "I am not sure I understand what you mean. Could you explain it again?"
C) "It sounds like you are feeling frustrated."
D) "Let's focus on your immediate concerns."
Correct Answer: "I am not sure I understand what you mean. Could you
explain it again?"
Rationale: Clarification is a technique used to ensure the nurse correctly
understands the client's message. Asking the client to explain or rephrase
, their statement helps to prevent misunderstandings and promotes accurate
communication.
7. A client tells the nurse, "I feel like I'm going crazy." The nurse responds, "It
sounds like you are feeling overwhelmed and frightened." This response is an
example of:
A) Restating
B) Paraphrasing
C) Reflecting
D) Interpreting
Correct Answer: Reflecting
Rationale: Reflecting involves echoing the client's feelings or thoughts to
help them explore and clarify their emotions. By reflecting the client's
implied feelings of being overwhelmed and frightened, the nurse validates
the client's experience and encourages further discussion.
8. A client states, "I don't know what to do. My husband left me, and now I
have no one." The nurse responds, "You are feeling sad and alone." This is an
example of:
A) Restating
B) Paraphrasing
C) Reflecting feelings
D) Giving advice
Correct Answer: Reflecting feelings
Health Nursing Q&A | Nursing
1. A nursing student is learning about the phases of the therapeutic nurse-
client relationship. Which of the following correctly identifies the four phases
of this relationship?
A) Orientation, Working, Termination, and Evaluation
B) Preorientation, Orientation, Working, and Termination
C) Assessment, Planning, Implementation, and Evaluation
D) Trust, Rapport, Empathy, and Respect
Correct Answer: Preorientation, Orientation, Working, and Termination
Rationale: The therapeutic nurse-client relationship progresses through four
phases: preorientation (preparation before meeting the client), orientation
(establishing trust and setting goals), working (implementing interventions),
and termination (ending the relationship). This structure provides a
framework for effective, goal-directed interactions.
2. During the orientation phase of the therapeutic relationship, the nurse's
primary task is to:
A) Explore the client's childhood experiences
B) Establish trust and set mutual goals
C) Evaluate the effectiveness of the interventions
D) Prepare for the client's discharge from care
Correct Answer: Establish trust and set mutual goals
Rationale: The orientation phase is focused on building trust, establishing
rapport, and collaboratively identifying goals for the therapeutic relationship.
This foundational work is essential for the success of subsequent phases.
,3. A nurse is preparing to meet a new client for the first time. The nurse
reviews the client's chart and consults with the previous healthcare team.
This activity occurs during which phase of the therapeutic relationship?
A) Orientation phase
B) Working phase
C) Preorientation phase
D) Termination phase
Correct Answer: Preorientation phase
Rationale: The preorientation phase occurs before the initial face-to-face
meeting with the client. During this phase, the nurse reviews available
information, consults with colleagues, and begins to formulate initial
impressions to prepare for a productive first encounter.
4. A client tells the nurse, "I feel like you are the only one who really listens
to me." The nurse's response should be guided by the therapeutic technique
of:
A) Giving advice
B) Active listening
C) Changing the subject
D) False reassurance
Correct Answer: Active listening
Rationale: Active listening is a core therapeutic communication technique
that involves fully concentrating on what the client is saying, understanding
their message, and responding thoughtfully. It conveys respect, validates the
client's feelings, and promotes trust.
,5. A nurse is communicating with a client who is expressing anger about
their treatment. Which of the following responses is most therapeutic?
A) "You shouldn't be angry. It's not productive."
B) "I can see that you are angry. Tell me more about what is upsetting you."
C) "Calm down. Your anger is making me uncomfortable."
D) "If you continue to be angry, I will have to leave."
Correct Answer: "I can see that you are angry. Tell me more about what is
upsetting you."
Rationale: This response uses the therapeutic technique of validation,
acknowledging the client's emotion and encouraging them to express their
feelings in a safe environment. It opens the door for further communication
and demonstrates empathy.
6. A nurse is using the therapeutic communication technique of
"clarification." Which of the following statements is an example of this
technique?
A) "Tell me more about that."
B) "I am not sure I understand what you mean. Could you explain it again?"
C) "It sounds like you are feeling frustrated."
D) "Let's focus on your immediate concerns."
Correct Answer: "I am not sure I understand what you mean. Could you
explain it again?"
Rationale: Clarification is a technique used to ensure the nurse correctly
understands the client's message. Asking the client to explain or rephrase
, their statement helps to prevent misunderstandings and promotes accurate
communication.
7. A client tells the nurse, "I feel like I'm going crazy." The nurse responds, "It
sounds like you are feeling overwhelmed and frightened." This response is an
example of:
A) Restating
B) Paraphrasing
C) Reflecting
D) Interpreting
Correct Answer: Reflecting
Rationale: Reflecting involves echoing the client's feelings or thoughts to
help them explore and clarify their emotions. By reflecting the client's
implied feelings of being overwhelmed and frightened, the nurse validates
the client's experience and encourages further discussion.
8. A client states, "I don't know what to do. My husband left me, and now I
have no one." The nurse responds, "You are feeling sad and alone." This is an
example of:
A) Restating
B) Paraphrasing
C) Reflecting feelings
D) Giving advice
Correct Answer: Reflecting feelings
