NUR 2488 Mental Health Nursing Exam 1
EXAM COMPLETE EXAM-STYLE
QUESTIONS WITH DETAILED
RATIONALES 2026/2027 EDITION | A+
GRADED | PASS GUARANTEED GOOD
LUCK
1. Which therapeutic communication technique encourages a client to continue
talking?
A. Giving advice
B. Asking "why" questions
C. Offering general leads
D. Changing the subject
VERIFIED ANSWERS: C
Rationale: General leads such as "Tell me more" encourage exploration without directing the
conversation )
2. A client says, "Nobody cares about me." Which response is most therapeutic?
A. "That's not true."
B. "Why do you think that?"
C. "You seem to feel alone."
D. "Your family cares about you."
VERIFIED ANSWERS: C
Rationale: Reflection helps the client identify and explore feelings without judgment.
3. According to Maslow, which need must be met first?
,A. Esteem
B. Love and belonging
C. Physiological needs
D. Self-actualization
VERIFIED ANSWERS: C
Rationale: Physiological needs such as oxygen, food, water, and sleep form the foundation of
Maslow's hierarchy. ( )
4. Which component of Freud's theory operates according to the pleasure
principle?
A. Ego
B. Superego
C. Id
D. Conscience
VERIFIED ANSWERS: C
Rationale: The id seeks immediate gratification of needs and desires.
5. During which phase of the nurse-client relationship are goals established?
A. Preinteraction
B. Orientation
C. Working
D. Termination
VERIFIED ANSWERS: B
Rationale: Trust is developed and goals are identified during the orientation phase.
6. A patient unconsciously transfers feelings about a parent onto the nurse. This
is:
A. Countertransference
B. Projection
, C. Transference
D. Sublimation
VERIFIED ANSWERS: C
Rationale: Transference occurs when feelings toward a significant person are redirected to the
nurse.
7. Which neurotransmitter is commonly decreased in depression?
A. Dopamine only
B. Serotonin and norepinephrine
C. Acetylcholine only
D. GABA only
VERIFIED ANSWERS: B
Rationale: Depression is associated with decreased serotonin and norepinephrine activity. ( )
8. Which client right is protected in psychiatric care?
A. Forced medication for all patients
B. Right to refuse treatment unless legally overridden
C. Loss of all civil rights upon admission
D. Permanent hospitalization
VERIFIED ANSWERS: B
Rationale: Psychiatric patients retain rights, including refusal of treatment in many
circumstances. ( )
9. A client blames others for personal mistakes. Which defense mechanism is
demonstrated?
A. Projection
B. Regression
C. Repression
D. Sublimation
EXAM COMPLETE EXAM-STYLE
QUESTIONS WITH DETAILED
RATIONALES 2026/2027 EDITION | A+
GRADED | PASS GUARANTEED GOOD
LUCK
1. Which therapeutic communication technique encourages a client to continue
talking?
A. Giving advice
B. Asking "why" questions
C. Offering general leads
D. Changing the subject
VERIFIED ANSWERS: C
Rationale: General leads such as "Tell me more" encourage exploration without directing the
conversation )
2. A client says, "Nobody cares about me." Which response is most therapeutic?
A. "That's not true."
B. "Why do you think that?"
C. "You seem to feel alone."
D. "Your family cares about you."
VERIFIED ANSWERS: C
Rationale: Reflection helps the client identify and explore feelings without judgment.
3. According to Maslow, which need must be met first?
,A. Esteem
B. Love and belonging
C. Physiological needs
D. Self-actualization
VERIFIED ANSWERS: C
Rationale: Physiological needs such as oxygen, food, water, and sleep form the foundation of
Maslow's hierarchy. ( )
4. Which component of Freud's theory operates according to the pleasure
principle?
A. Ego
B. Superego
C. Id
D. Conscience
VERIFIED ANSWERS: C
Rationale: The id seeks immediate gratification of needs and desires.
5. During which phase of the nurse-client relationship are goals established?
A. Preinteraction
B. Orientation
C. Working
D. Termination
VERIFIED ANSWERS: B
Rationale: Trust is developed and goals are identified during the orientation phase.
6. A patient unconsciously transfers feelings about a parent onto the nurse. This
is:
A. Countertransference
B. Projection
, C. Transference
D. Sublimation
VERIFIED ANSWERS: C
Rationale: Transference occurs when feelings toward a significant person are redirected to the
nurse.
7. Which neurotransmitter is commonly decreased in depression?
A. Dopamine only
B. Serotonin and norepinephrine
C. Acetylcholine only
D. GABA only
VERIFIED ANSWERS: B
Rationale: Depression is associated with decreased serotonin and norepinephrine activity. ( )
8. Which client right is protected in psychiatric care?
A. Forced medication for all patients
B. Right to refuse treatment unless legally overridden
C. Loss of all civil rights upon admission
D. Permanent hospitalization
VERIFIED ANSWERS: B
Rationale: Psychiatric patients retain rights, including refusal of treatment in many
circumstances. ( )
9. A client blames others for personal mistakes. Which defense mechanism is
demonstrated?
A. Projection
B. Regression
C. Repression
D. Sublimation
