Advantage for Townsend’s Essentials of
Psychiatric Mental Health Nursing 9th
Edition, All Chapters 1 - 32, Verified
Newest Version 2025
_____________________________________________________________________________________
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the
following actions should the nurse include in the plan of care?
Discussing ways to use new behaviors
The nurse states to a client on an in-patient unit,
"Tell me what's been on your mind. "Which describes the purpose of this therapeutic communication
technique?
A. To have the client initiate the conversation.
B. To present new ideas for consideration.
C. To convey interest in what the client is saying.
D. To provide time for the nurse and client to gather thoughts and reflect.
To have the client initiate the conversation.
The nurse's lack of verbal communication for therapeutic reasons is to "silence" as the nurse's ability
to process information and examine reactions to the messages received is to:
A. "Focusing."
B. "Offering self."
C. "Restating."
D. "Listening."
D. "Listening"
A health-care team, an Asian American client, and several members of the client's family are meeting
together to discuss the client's imminent discharge. During this time, the client does not speak and
makes eye contact only with family members. arcurately despere the die nts charing assessment
A. The client has a lack of understanding of the disease process.
B. The client is experiencing denial related to the client's condition.
figures.
C. The client is experiencing paranoid thoughts toward authority
team.
D. The client has respect for members of the health-care team
D. The client has respect for members of the health-care team
,The nurse is in the process of developing a therapeutic nurse-client relationship with a newly
admitted client. Which is the most important behavior the nurse demonstrates to enhance the
relationship?
A. Confrontation
B. Empathy
C. Humor
D. Reframing
B. Empathy
The nurse is initiating a therapeutic relationship with a client. Which information will the nurse
include when explaining the purpose of this relationship to the client?
A. Alleviating stressors in lifeB. Allowing the client to know the nurse's feelings
C. Establishing a friendship
D. Facilitating a positive change
D. Facilitating a positive change
The client tells the nurse, "I don't think you can help me. Every time I talk to you, I am reminded of my
mother, and I hated her." How does the nurse interpret this behavior?
A. ConfrontationB. Countertransference
C. Incongruence
D. Transference
D. Transference
The client is in the working phase of the nurse-client relationship. Which statement made by the client
indicates that the client is successfully working toward completion of the outcomes in this phase?
A. "When I become angry and feel as though I could lose control, I walk away and take deep breaths."
B. "I appreciate all that you have done to help me in this process and will require no further
assistance."
C. "I have been able to use so much of what you have taught me in handling my emotions in a
productive manner."
D. "Can you tell me on which days and times that my appointments will be and how long my therapy
is projected to be?"
"When I become angry and feel as though I could lose control, I walk away and take deep
breaths."
The client is in the working phase of the therapeutic nurse–client relationship. Which action by the
nurse would best help the client to explore problems?
A. Comparing past and present coping strategies
,B. Encouraging the client to clarify feelings and behavior
C. Identifying possible solutions for the client’s problems
D. Referring the client to a self-help group
B. Encouraging the client to clarify feelings and behavior
During a regular home health visit to an older adult client the client states, “I’m old, and my life has no
purpose anymore. But promise me you won’t tell anyone.” Which is the best response by the nurse?
A. “Don’t worry, I won’t tell anyone else.”
B. “I’m sorry, but I can’t keep that kind of secret.”
C. “Let’s talk about something to cheer you up.”
D. “What can we do to help you feel better?”
B. "I'm sorry, but I can't keep that kind of secret."
A client being discharged demonstrates anger with the nurse when the nurse attempts to review
discharge instructions with the client. The nurse can best assist the client in this stage of the
relationship with which response?
A. “We have to go over these instructions before you can go. Please try to listen.”
B. “Would you rather not be discharged today? You should be ready to leave now.”
C. “I can sense you are angry this morning. Tell me how you feel about being discharged today.”
D. “You should be able to regulate your feelings better by now. Why are you angry?”
C. "I can sense you are angry this morning. Tell me how you feel about being discharged today."
he nurse observes a client begins to cry after a visitor leaves. Which question is best to ask the client
to take the initiative in discussing what is bothering them?
A. “Is there something you would like to talk about?”
B. “What is happening with you?”
C. “I notice that you are crying.”
D. “Would it be alright if I sit here with you?”
"Is there something you would like to talk about?
The client expresses frustration that the health care provider does not spend enough time with the
client when making rounds. The nurse replies, "The providers are very busy. What can I help you
with?" Which nontherapeutic technique is the nurse using in response to the client?
A. Belittling
B. Defending
, C. Disagreeing
D. Introducing an unrelated topic
B. Defending
During a conversation with a client, the client asks the nurse what should be done about the client's
"cheating" spouse. The nurse replies, "You should divorce. You deserve better than that." Which
nontherapeutic communication technique did the nurse use in the response to the client?
A. Giving information
B. Verbalizing the implied
C. Giving advice
D. Agreeing
C. Giving advice
While the nurse and client are in a therapy session, the nurse says to the client, "You become very
anxious when we start talking about your drinking." Which technique is the nurse using with this
statement?
A. Confronting behavior
B. Making an observation
C. Translating into feelings
D. Verbalizing the implied
B. Making an observation
The nurse asks the client, "What was it like for you when you first realized you had no place to go?"
The client looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
A. Divert the subject to something the client will readily discuss.
B. Encourage the client to express any unpleasant feelings.
C. Apologize for asking such a personal and intrusive question. D. Sit quietly until the client responds.
D. Sit quietly until the client responds.
A client states, "Right before I got here I was doing all right. My job was going well, my spouse and I
were happy, and we just moved into a new apartment." The nurse responds, "You said you and your
spouse were happy. Tell me more about that." Which therapeutic communication is the nurse using
with the client?
A. Encouraging comparison
B. General lead
C. Restating
D. Exploring
D. Exploring
Psychiatric Mental Health Nursing 9th
Edition, All Chapters 1 - 32, Verified
Newest Version 2025
_____________________________________________________________________________________
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the
following actions should the nurse include in the plan of care?
Discussing ways to use new behaviors
The nurse states to a client on an in-patient unit,
"Tell me what's been on your mind. "Which describes the purpose of this therapeutic communication
technique?
A. To have the client initiate the conversation.
B. To present new ideas for consideration.
C. To convey interest in what the client is saying.
D. To provide time for the nurse and client to gather thoughts and reflect.
To have the client initiate the conversation.
The nurse's lack of verbal communication for therapeutic reasons is to "silence" as the nurse's ability
to process information and examine reactions to the messages received is to:
A. "Focusing."
B. "Offering self."
C. "Restating."
D. "Listening."
D. "Listening"
A health-care team, an Asian American client, and several members of the client's family are meeting
together to discuss the client's imminent discharge. During this time, the client does not speak and
makes eye contact only with family members. arcurately despere the die nts charing assessment
A. The client has a lack of understanding of the disease process.
B. The client is experiencing denial related to the client's condition.
figures.
C. The client is experiencing paranoid thoughts toward authority
team.
D. The client has respect for members of the health-care team
D. The client has respect for members of the health-care team
,The nurse is in the process of developing a therapeutic nurse-client relationship with a newly
admitted client. Which is the most important behavior the nurse demonstrates to enhance the
relationship?
A. Confrontation
B. Empathy
C. Humor
D. Reframing
B. Empathy
The nurse is initiating a therapeutic relationship with a client. Which information will the nurse
include when explaining the purpose of this relationship to the client?
A. Alleviating stressors in lifeB. Allowing the client to know the nurse's feelings
C. Establishing a friendship
D. Facilitating a positive change
D. Facilitating a positive change
The client tells the nurse, "I don't think you can help me. Every time I talk to you, I am reminded of my
mother, and I hated her." How does the nurse interpret this behavior?
A. ConfrontationB. Countertransference
C. Incongruence
D. Transference
D. Transference
The client is in the working phase of the nurse-client relationship. Which statement made by the client
indicates that the client is successfully working toward completion of the outcomes in this phase?
A. "When I become angry and feel as though I could lose control, I walk away and take deep breaths."
B. "I appreciate all that you have done to help me in this process and will require no further
assistance."
C. "I have been able to use so much of what you have taught me in handling my emotions in a
productive manner."
D. "Can you tell me on which days and times that my appointments will be and how long my therapy
is projected to be?"
"When I become angry and feel as though I could lose control, I walk away and take deep
breaths."
The client is in the working phase of the therapeutic nurse–client relationship. Which action by the
nurse would best help the client to explore problems?
A. Comparing past and present coping strategies
,B. Encouraging the client to clarify feelings and behavior
C. Identifying possible solutions for the client’s problems
D. Referring the client to a self-help group
B. Encouraging the client to clarify feelings and behavior
During a regular home health visit to an older adult client the client states, “I’m old, and my life has no
purpose anymore. But promise me you won’t tell anyone.” Which is the best response by the nurse?
A. “Don’t worry, I won’t tell anyone else.”
B. “I’m sorry, but I can’t keep that kind of secret.”
C. “Let’s talk about something to cheer you up.”
D. “What can we do to help you feel better?”
B. "I'm sorry, but I can't keep that kind of secret."
A client being discharged demonstrates anger with the nurse when the nurse attempts to review
discharge instructions with the client. The nurse can best assist the client in this stage of the
relationship with which response?
A. “We have to go over these instructions before you can go. Please try to listen.”
B. “Would you rather not be discharged today? You should be ready to leave now.”
C. “I can sense you are angry this morning. Tell me how you feel about being discharged today.”
D. “You should be able to regulate your feelings better by now. Why are you angry?”
C. "I can sense you are angry this morning. Tell me how you feel about being discharged today."
he nurse observes a client begins to cry after a visitor leaves. Which question is best to ask the client
to take the initiative in discussing what is bothering them?
A. “Is there something you would like to talk about?”
B. “What is happening with you?”
C. “I notice that you are crying.”
D. “Would it be alright if I sit here with you?”
"Is there something you would like to talk about?
The client expresses frustration that the health care provider does not spend enough time with the
client when making rounds. The nurse replies, "The providers are very busy. What can I help you
with?" Which nontherapeutic technique is the nurse using in response to the client?
A. Belittling
B. Defending
, C. Disagreeing
D. Introducing an unrelated topic
B. Defending
During a conversation with a client, the client asks the nurse what should be done about the client's
"cheating" spouse. The nurse replies, "You should divorce. You deserve better than that." Which
nontherapeutic communication technique did the nurse use in the response to the client?
A. Giving information
B. Verbalizing the implied
C. Giving advice
D. Agreeing
C. Giving advice
While the nurse and client are in a therapy session, the nurse says to the client, "You become very
anxious when we start talking about your drinking." Which technique is the nurse using with this
statement?
A. Confronting behavior
B. Making an observation
C. Translating into feelings
D. Verbalizing the implied
B. Making an observation
The nurse asks the client, "What was it like for you when you first realized you had no place to go?"
The client looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
A. Divert the subject to something the client will readily discuss.
B. Encourage the client to express any unpleasant feelings.
C. Apologize for asking such a personal and intrusive question. D. Sit quietly until the client responds.
D. Sit quietly until the client responds.
A client states, "Right before I got here I was doing all right. My job was going well, my spouse and I
were happy, and we just moved into a new apartment." The nurse responds, "You said you and your
spouse were happy. Tell me more about that." Which therapeutic communication is the nurse using
with the client?
A. Encouraging comparison
B. General lead
C. Restating
D. Exploring
D. Exploring
