NSG 3450 MENTAL HEALTH NURSING
EXAM 2 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse responds to a client by stating, “It sounds like you’re feeling
overwhelmed by everything that’s happening.” Which communication technique is
the nurse using?
A. Giving advice
B. Restating
C. Reflecting
D. Interpreting
Correct Answer: C
Rationale: Reflecting identifies and verbalizes the client’s emotional state,
promoting further expression without judgment or interpretation.
2. A client says, “I feel like no one ever listens to me.” Which response by the
nurse best encourages therapeutic communication?
A. “That’s not true; people care about you.”
B. “Why do you think that happens?”
C. “Tell me more about times you’ve felt ignored.”
D. “You should try speaking up more.”
Correct Answer: C
Rationale: Open-ended prompts encourage elaboration and expression without
defensiveness or advice-giving.
,3. During a therapy group, the leader states, “Today we will focus on managing
anxiety triggers.” This statement reflects which leadership style?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Rationale: Autocratic leadership involves clear direction and decision-making by
the leader to maintain structure and focus.
4. A group member consistently dominates the discussion. What is the most
therapeutic action by the group leader?
A. Ask the member to remain silent
B. Redirect by asking others to share
C. End the group session early
D. Confront the member privately during group
Correct Answer: B
Rationale: Inclusive redirection maintains group cohesion and allows balanced
participation without embarrassing the individual.
5. Which action is most appropriate for the nurse during the orientation phase of
group development?
A. Challenging maladaptive behaviors
B. Establishing group purpose and rules
C. Encouraging deep emotional disclosure
D. Allowing the group to self-direct
Correct Answer: B
Rationale: The orientation phase focuses on trust-building, structure, and
clarification of expectations.
,6. A client experiencing moderate anxiety is pacing and wringing their hands.
What should the nurse do first?
A. Teach deep breathing techniques
B. Ask what triggered the anxiety
C. Administer PRN medication
D. Encourage journaling
Correct Answer: B
Rationale: Identifying the precipitating factor is the priority initial intervention for
moderate anxiety.
7. Which finding best indicates a client is experiencing severe anxiety?
A. Increased alertness
B. Difficulty concentrating
C. Panic and inability to communicate
D. Mild restlessness
Correct Answer: C
Rationale: Severe anxiety significantly impairs functioning and communication.
8. A nurse assesses stress management abilities by asking a client about hobbies
and leisure activities. What is the primary purpose of this assessment?
A. Identify avoidance behaviors
B. Determine financial status
C. Evaluate coping mechanisms
D. Assess social support
Correct Answer: C
Rationale: Hobbies often reflect healthy coping strategies used to manage stress.
, 9. Which example represents secondary prevention in mental health care?
A. Teaching stress reduction techniques
B. Suicide prevention hotlines
C. Routine drug screening
D. Rehabilitation after relapse
Correct Answer: C
Rationale: Secondary prevention focuses on early detection and intervention
through screening.
10. A 28-year-old client expresses fear of being alone and difficulty maintaining
relationships. According to Erikson, which developmental conflict is most
relevant?
A. Trust vs. Mistrust
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Generativity vs. Stagnation
Correct Answer: C
Rationale: Young adulthood centers on forming intimate relationships versus
social isolation.
11. A nurse responds, “You seem unsure about taking this medication.” This
response primarily helps the client by:
A. Providing reassurance
B. Validating feelings
C. Challenging beliefs
D. Offering education
Correct Answer: B
Rationale: Validating acknowledges the client’s emotional experience and
encourages trust.
EXAM 2 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse responds to a client by stating, “It sounds like you’re feeling
overwhelmed by everything that’s happening.” Which communication technique is
the nurse using?
A. Giving advice
B. Restating
C. Reflecting
D. Interpreting
Correct Answer: C
Rationale: Reflecting identifies and verbalizes the client’s emotional state,
promoting further expression without judgment or interpretation.
2. A client says, “I feel like no one ever listens to me.” Which response by the
nurse best encourages therapeutic communication?
A. “That’s not true; people care about you.”
B. “Why do you think that happens?”
C. “Tell me more about times you’ve felt ignored.”
D. “You should try speaking up more.”
Correct Answer: C
Rationale: Open-ended prompts encourage elaboration and expression without
defensiveness or advice-giving.
,3. During a therapy group, the leader states, “Today we will focus on managing
anxiety triggers.” This statement reflects which leadership style?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Rationale: Autocratic leadership involves clear direction and decision-making by
the leader to maintain structure and focus.
4. A group member consistently dominates the discussion. What is the most
therapeutic action by the group leader?
A. Ask the member to remain silent
B. Redirect by asking others to share
C. End the group session early
D. Confront the member privately during group
Correct Answer: B
Rationale: Inclusive redirection maintains group cohesion and allows balanced
participation without embarrassing the individual.
5. Which action is most appropriate for the nurse during the orientation phase of
group development?
A. Challenging maladaptive behaviors
B. Establishing group purpose and rules
C. Encouraging deep emotional disclosure
D. Allowing the group to self-direct
Correct Answer: B
Rationale: The orientation phase focuses on trust-building, structure, and
clarification of expectations.
,6. A client experiencing moderate anxiety is pacing and wringing their hands.
What should the nurse do first?
A. Teach deep breathing techniques
B. Ask what triggered the anxiety
C. Administer PRN medication
D. Encourage journaling
Correct Answer: B
Rationale: Identifying the precipitating factor is the priority initial intervention for
moderate anxiety.
7. Which finding best indicates a client is experiencing severe anxiety?
A. Increased alertness
B. Difficulty concentrating
C. Panic and inability to communicate
D. Mild restlessness
Correct Answer: C
Rationale: Severe anxiety significantly impairs functioning and communication.
8. A nurse assesses stress management abilities by asking a client about hobbies
and leisure activities. What is the primary purpose of this assessment?
A. Identify avoidance behaviors
B. Determine financial status
C. Evaluate coping mechanisms
D. Assess social support
Correct Answer: C
Rationale: Hobbies often reflect healthy coping strategies used to manage stress.
, 9. Which example represents secondary prevention in mental health care?
A. Teaching stress reduction techniques
B. Suicide prevention hotlines
C. Routine drug screening
D. Rehabilitation after relapse
Correct Answer: C
Rationale: Secondary prevention focuses on early detection and intervention
through screening.
10. A 28-year-old client expresses fear of being alone and difficulty maintaining
relationships. According to Erikson, which developmental conflict is most
relevant?
A. Trust vs. Mistrust
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Generativity vs. Stagnation
Correct Answer: C
Rationale: Young adulthood centers on forming intimate relationships versus
social isolation.
11. A nurse responds, “You seem unsure about taking this medication.” This
response primarily helps the client by:
A. Providing reassurance
B. Validating feelings
C. Challenging beliefs
D. Offering education
Correct Answer: B
Rationale: Validating acknowledges the client’s emotional experience and
encourages trust.
