Psychotherapy Exam P a g e | 1
Test Bank for Theory and Practice of
Counseling and Psychotherapy 4, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A client mumbles out loud regardless if anyone else is talking, and the client also mumbles in
group when others are talking. The nurse determines that the client is experiencing
hallucinations. Which action should the nurse take first?
A. Respond to the client's feelings rather than the illogical thoughts.
B. Identify beliefs and thoughts about what the client is experiencing.
C. Provide the client with hope that the voices will eventually go away.
D. Ask the client how she has previously managed the voices. –
Correct Answer :D. Ask the client how she has previously managed the voices.
P a g e 1 | 101
, Psychotherapy Exam P a g e | 2
The nurse should promote symptom management and determine how the client previously
managed the voices. Options A and B are interventions that are useful with clients who are
experiencing delusions. Option C is important, but the most important intervention is to
promote symptom management.
The emergency department nurse is assigned to a client with a blood alcohol level of 0.14%.
What questions will the nurse include in the assessment? (Select all that apply.)
A. "How much alcohol have you consumed today?"
B. "When did you last consume alcohol?"
C. "How long have you been drinking alcohol?"
D. "Did you know you are just below the legal limit for our State?"
E. "What were you thinking when you drank that much?" –
Correct Answer :A. "How much alcohol have you consumed today?"
B. "When did you last consume alcohol?"
C. "How long have you been drinking alcohol?"
There are basic questions to ask when treating a client with alcohol consumption. They are
how much, what type, for how long and when last consumed. The legal limit is generally
around 0.08%, but may differ from state to state. 0.14% is clearly over the limit for any state.
What were you thinking is a nontherapeutic blame statement.
A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells the nurse of
poisoning attempts. The client's delusions are most likely related to which factor?
A. Authority issues in childhood
B. Anger about being hospitalized
C. Low self-esteem
D. Phobia of food –
P a g e 2 | 101
, Psychotherapy Exam P a g e | 3
Correct Answer :C. Low self-esteem
Delusional clients have difficulty with trust and have low self-esteem. Nursing care should be
directed at building trust and promoting positive self-esteem. Activities with limited
concentration and no competition should be encouraged to build self-esteem. Options A, B,
and D are not specifically related to the development of delusions.
The client states to the therapy nurse, "I cannot remember a thing about any of the times my
parent would burn me with a cigarette. I know it happened because I have the scars and my
family tells me of those times." When developing the client's plan of care, which defense
mechanism will the nurse include?
A. Repression
B. Suppression
C. Displacement
D. Denial –
Correct Answer :A. Repression
Repression is the unconscious blocking of difficult thoughts. Suppression is deliberately
forgetting painful thoughts. Displacement is the act of redirecting feelings to a less
threatening object. Denial is consciously rejecting difficult thoughts.
A unit employee receives a blow to the face when attempting to deescalate a client on the
behavioral health unit. Physical restraints are placed on the client, and then the client is put
into a seclusion room. What actions must the nurse take in the next hour? (Select all that
apply.)
A. Meet the physical needs of the client.
P a g e 3 | 101
, Psychotherapy Exam P a g e | 4
B. Obtain a prescription for the restraints.
C. Objectively document the client's behaviors.
D. Tell the other clients on the unit of the events.
E. Keep the clients on the unit in their bedroom. –
Correct Answer :A. Meet the physical needs of the client.
B. Obtain a prescription for the restraints.
C. Objectively document the client's behaviors.
Physical aggression on a unit is often chaotic. There is no need to feed into the chaos by
retelling the course of events. If others did not witness the event, the nurse needs to protect
the privacy of the client. Once the client is in a secure place, there is no need for the other
residents of the unit to stay in their bedroom. The source of harm has been removed. The
remaining actions are appropriate for this situation.
The client states to the nurse on the behavioral unit, "I do not want to stay in treatment any
longer. I am feeling better, and I want to go home." What is the nurse's next action?
A. Ask the health care provider (HCP) for a discharge order.
B. Call the family and let them know the client is being discharged.
C. Review the client's chart for the type of admission to the unit.
D. State to the client, "You have 5 days left in treatment." –
Correct Answer :C. Review the client's chart for the type of admission to the unit.
With a voluntary admission to the behavioral unit, the client has the right to request discharge
and release. The nurse needs to verify the chart for the type of admission. If the client was
P a g e 4 | 101
Test Bank for Theory and Practice of
Counseling and Psychotherapy 4, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A client mumbles out loud regardless if anyone else is talking, and the client also mumbles in
group when others are talking. The nurse determines that the client is experiencing
hallucinations. Which action should the nurse take first?
A. Respond to the client's feelings rather than the illogical thoughts.
B. Identify beliefs and thoughts about what the client is experiencing.
C. Provide the client with hope that the voices will eventually go away.
D. Ask the client how she has previously managed the voices. –
Correct Answer :D. Ask the client how she has previously managed the voices.
P a g e 1 | 101
, Psychotherapy Exam P a g e | 2
The nurse should promote symptom management and determine how the client previously
managed the voices. Options A and B are interventions that are useful with clients who are
experiencing delusions. Option C is important, but the most important intervention is to
promote symptom management.
The emergency department nurse is assigned to a client with a blood alcohol level of 0.14%.
What questions will the nurse include in the assessment? (Select all that apply.)
A. "How much alcohol have you consumed today?"
B. "When did you last consume alcohol?"
C. "How long have you been drinking alcohol?"
D. "Did you know you are just below the legal limit for our State?"
E. "What were you thinking when you drank that much?" –
Correct Answer :A. "How much alcohol have you consumed today?"
B. "When did you last consume alcohol?"
C. "How long have you been drinking alcohol?"
There are basic questions to ask when treating a client with alcohol consumption. They are
how much, what type, for how long and when last consumed. The legal limit is generally
around 0.08%, but may differ from state to state. 0.14% is clearly over the limit for any state.
What were you thinking is a nontherapeutic blame statement.
A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells the nurse of
poisoning attempts. The client's delusions are most likely related to which factor?
A. Authority issues in childhood
B. Anger about being hospitalized
C. Low self-esteem
D. Phobia of food –
P a g e 2 | 101
, Psychotherapy Exam P a g e | 3
Correct Answer :C. Low self-esteem
Delusional clients have difficulty with trust and have low self-esteem. Nursing care should be
directed at building trust and promoting positive self-esteem. Activities with limited
concentration and no competition should be encouraged to build self-esteem. Options A, B,
and D are not specifically related to the development of delusions.
The client states to the therapy nurse, "I cannot remember a thing about any of the times my
parent would burn me with a cigarette. I know it happened because I have the scars and my
family tells me of those times." When developing the client's plan of care, which defense
mechanism will the nurse include?
A. Repression
B. Suppression
C. Displacement
D. Denial –
Correct Answer :A. Repression
Repression is the unconscious blocking of difficult thoughts. Suppression is deliberately
forgetting painful thoughts. Displacement is the act of redirecting feelings to a less
threatening object. Denial is consciously rejecting difficult thoughts.
A unit employee receives a blow to the face when attempting to deescalate a client on the
behavioral health unit. Physical restraints are placed on the client, and then the client is put
into a seclusion room. What actions must the nurse take in the next hour? (Select all that
apply.)
A. Meet the physical needs of the client.
P a g e 3 | 101
, Psychotherapy Exam P a g e | 4
B. Obtain a prescription for the restraints.
C. Objectively document the client's behaviors.
D. Tell the other clients on the unit of the events.
E. Keep the clients on the unit in their bedroom. –
Correct Answer :A. Meet the physical needs of the client.
B. Obtain a prescription for the restraints.
C. Objectively document the client's behaviors.
Physical aggression on a unit is often chaotic. There is no need to feed into the chaos by
retelling the course of events. If others did not witness the event, the nurse needs to protect
the privacy of the client. Once the client is in a secure place, there is no need for the other
residents of the unit to stay in their bedroom. The source of harm has been removed. The
remaining actions are appropriate for this situation.
The client states to the nurse on the behavioral unit, "I do not want to stay in treatment any
longer. I am feeling better, and I want to go home." What is the nurse's next action?
A. Ask the health care provider (HCP) for a discharge order.
B. Call the family and let them know the client is being discharged.
C. Review the client's chart for the type of admission to the unit.
D. State to the client, "You have 5 days left in treatment." –
Correct Answer :C. Review the client's chart for the type of admission to the unit.
With a voluntary admission to the behavioral unit, the client has the right to request discharge
and release. The nurse needs to verify the chart for the type of admission. If the client was
P a g e 4 | 101
