NUR 233 PSYCHIATRIC & MENTAL HEALTH
NURSING MASTERY EXAM PREP 200+ NCLEX-
STYLE QUESTIONS, ANSWERS, RATIONALES &
COMPREHENSIVE REVIEW
1. Which communication technique encourages a patient to continue talking?
A. "Why do you feel that way?"
B. "Tell me more."
C. "That's not true."
D. Giving advice
Answer: B
Rationale: Open-ended statements encourage patients to elaborate and express feelings.
2. The nurse says, "I notice you seem upset." This is an example of:
A. Reflection
B. Validation
C. Making observations
D. Restating
Answer: C
Rationale: Making observations helps patients become aware of behaviors or feelings.
3. Which statement is therapeutic?
A. "Everything will be fine."
B. "You shouldn't feel that way."
C. "Tell me what is troubling you."
D. "I know exactly how you feel."
Answer: C
Rationale: Encourages discussion without judgment.
4. The most important component of a therapeutic nurse-patient relationship is:
, A. Social interaction
B. Trust
C. Friendship
D. Advice
Answer: B
Rationale: Trust forms the foundation of therapeutic relationships.
5. Which phase of the nurse-patient relationship involves goal setting?
A. Preinteraction
B. Orientation
C. Working
D. Termination
Answer: B
Rationale: Goals and expectations are established during orientation.
6. A patient refuses medication. The nurse's first action is to:
A. Force administration
B. Assess the reason for refusal
C. Notify security
D. Document and leave
Answer: B
Rationale: Understanding concerns may resolve refusal.
7. The purpose of confidentiality is to:
A. Protect nurse information
B. Promote patient trust
C. Avoid legal action
D. Limit communication
Answer: B
Rationale: Confidentiality supports therapeutic relationships.
8. Which response demonstrates empathy?
NURSING MASTERY EXAM PREP 200+ NCLEX-
STYLE QUESTIONS, ANSWERS, RATIONALES &
COMPREHENSIVE REVIEW
1. Which communication technique encourages a patient to continue talking?
A. "Why do you feel that way?"
B. "Tell me more."
C. "That's not true."
D. Giving advice
Answer: B
Rationale: Open-ended statements encourage patients to elaborate and express feelings.
2. The nurse says, "I notice you seem upset." This is an example of:
A. Reflection
B. Validation
C. Making observations
D. Restating
Answer: C
Rationale: Making observations helps patients become aware of behaviors or feelings.
3. Which statement is therapeutic?
A. "Everything will be fine."
B. "You shouldn't feel that way."
C. "Tell me what is troubling you."
D. "I know exactly how you feel."
Answer: C
Rationale: Encourages discussion without judgment.
4. The most important component of a therapeutic nurse-patient relationship is:
, A. Social interaction
B. Trust
C. Friendship
D. Advice
Answer: B
Rationale: Trust forms the foundation of therapeutic relationships.
5. Which phase of the nurse-patient relationship involves goal setting?
A. Preinteraction
B. Orientation
C. Working
D. Termination
Answer: B
Rationale: Goals and expectations are established during orientation.
6. A patient refuses medication. The nurse's first action is to:
A. Force administration
B. Assess the reason for refusal
C. Notify security
D. Document and leave
Answer: B
Rationale: Understanding concerns may resolve refusal.
7. The purpose of confidentiality is to:
A. Protect nurse information
B. Promote patient trust
C. Avoid legal action
D. Limit communication
Answer: B
Rationale: Confidentiality supports therapeutic relationships.
8. Which response demonstrates empathy?
