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PSYCHIATRIC-MENTAL HEALTH NURSING EXAM 1
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HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 62
Unit 1: Foundations of Therapeutic Communication
Unit 2: Professional Boundaries and Nurse-Patient Relationships
Which nursing action demonstrate cultural competence? Select all that apply
A. Planning mealtime around the patient's prayer schedule.
B. Helping a patient to visit with the hospital chaplain.
C. Researching foods that a lacto-ovo-vegetarian patient will eat.
D. Providing time for a patient's spiritual healer to visit.
E. Ordering standard meal trays to be delivered three times daily.
A. Planning mealtime around the patient's prayer schedule.
B. Helping a patient to visit with the hospital chaplain.
C. Researching foods that a lacto-ovo-vegetarian patient will eat.
D. Providing time for a patient's spiritual healer to visit.
Which statement made by either the nurse or the patient demonstrates an
ineffective patient-nurse relationship?
A. "I've given a lot of thought about what triggers me to be so angry."
B. "Why do you think it's acceptable for you to be so disrespectful to staff?"
C. "Will your spouse be available to attend tomorrow's family group session?"
D. "I wanted you to know that the medication seems to be helping me feel less
anxious."
B. "Why do you think it's acceptable for you to be so disrespectful to staff?"
The patient expresses sadness at "being all alone with no one to share my life
with." Which response by the nurse demonstrates the existence of a
therapeutic relationship?
A. "Loneliness can be a very painful and difficult emotion."
B. "Let's talk and see if you and I have any interests in common."
C. "I use Facebook to find people who share my love of cooking."
D. "Loneliness is managed by getting involved with people."
A. "Loneliness can be a very painful and difficult emotion."
Which patient outcome is directly associated with the goals of therapeutic
nurse-patient relationship?
, Page 3 of 62
A. Patient will be respectful of other patients on the unit.
B. Patient will identify suicidal feelings to staff whenever they occur.
C. Patient will engage in at least one social interaction with the unit population
daily.
D. Patient will consume a daily diet to meet both nutritional and hydration
needs.
B. Patient will identify suicidal feelings to staff whenever they occur.
What is the greatest trigger for the development of a patient's nurse focused
transference?
A. The similarity between the nurse and someone the patient already dislikes.
B. The nature of the patient's diagnosed mental illness.
C. The history the patient has with their parents.
D. The degree of authority the nurse has over the patient.
D. The degree of authority the nurse has over the patient.
Which patient statement demonstrates a value held regarding children?
A. "Nothing is more important to me than the safety of my children."
B. "I believe my spouse wants to leave both me and our children."
C. "I don't think my child's success depends on going to college."
D. "I know my children will help me through my hard times."
A. "Nothing is more important to me than the safety of my children."
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes
that her husband, sister, and son cause her problems. Listening to Mary
describe the problems the problems the nurse displays therapeutic
communication in which response?
A. "I understand you are in a difficult situation."
B. "Thinking about being wronged repeatedly does more harm than good."
C. "I feel bad about your situation, and I am so sorry it is happening to you and
your family."
D. "It must be so difficult to live with uncaring people."
A. "I understand you are in a difficult situation."
, Page 4 of 62
A registered nurse is caring for an older male who reports depressive
symptoms since his wife of 54 years died suddenly. He cries, maintains closed
body posture, and avoids eye contact. Which nurse action describes attending
behavior?
A. Reminding the patient gently that he will "feel better over time."
B. Using a soft tone of voice for questioning.
C. Sitting with the patient and taking cues for when to talk or when to remain
silent.
D. Offering medication and bereavement services.
C. Sitting with the patient and taking cues for when to talk or when to remain silent.
A male patient frequently inquires about the female student nurse's boyfriend,
social activities, and school experiences. Which of the following initial
responses by the student best addresses the issue raised by this behavior?
A. The student requests assignment to a patient of the same gender as the
student.
B. She limits sharing personal information and stresses the patient-centered
focus of the conversation.
C. She tells him that she will not talk about her personal life.
D. She explains that if he persists in focusing on her, she cannot work with
him.
B. She limits sharing personal information and stresses the patient-centered focus of
the conversation.
Morgan is a third-year nursing student in her psychiatric clinical rotation. She
is assigned to an 80-year-old widow admitted for major depressive disorder.
The patient describes many losses and sadness. Morgan becomes teary and
says meaningfully, "I am so sorry for you." Morgan's instructor overhears the
conversation and says, "I understand that getting tearful is a human response.
Yet, sympathy isn't helpful in this field." The instructor urges Morgan to focus
on:
A. "Adopting the patient's sorrow as your own."
B. "Maintaining pure objectivity."
PSYCHIATRIC-MENTAL HEALTH NURSING EXAM 1
Download now
HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 62
Unit 1: Foundations of Therapeutic Communication
Unit 2: Professional Boundaries and Nurse-Patient Relationships
Which nursing action demonstrate cultural competence? Select all that apply
A. Planning mealtime around the patient's prayer schedule.
B. Helping a patient to visit with the hospital chaplain.
C. Researching foods that a lacto-ovo-vegetarian patient will eat.
D. Providing time for a patient's spiritual healer to visit.
E. Ordering standard meal trays to be delivered three times daily.
A. Planning mealtime around the patient's prayer schedule.
B. Helping a patient to visit with the hospital chaplain.
C. Researching foods that a lacto-ovo-vegetarian patient will eat.
D. Providing time for a patient's spiritual healer to visit.
Which statement made by either the nurse or the patient demonstrates an
ineffective patient-nurse relationship?
A. "I've given a lot of thought about what triggers me to be so angry."
B. "Why do you think it's acceptable for you to be so disrespectful to staff?"
C. "Will your spouse be available to attend tomorrow's family group session?"
D. "I wanted you to know that the medication seems to be helping me feel less
anxious."
B. "Why do you think it's acceptable for you to be so disrespectful to staff?"
The patient expresses sadness at "being all alone with no one to share my life
with." Which response by the nurse demonstrates the existence of a
therapeutic relationship?
A. "Loneliness can be a very painful and difficult emotion."
B. "Let's talk and see if you and I have any interests in common."
C. "I use Facebook to find people who share my love of cooking."
D. "Loneliness is managed by getting involved with people."
A. "Loneliness can be a very painful and difficult emotion."
Which patient outcome is directly associated with the goals of therapeutic
nurse-patient relationship?
, Page 3 of 62
A. Patient will be respectful of other patients on the unit.
B. Patient will identify suicidal feelings to staff whenever they occur.
C. Patient will engage in at least one social interaction with the unit population
daily.
D. Patient will consume a daily diet to meet both nutritional and hydration
needs.
B. Patient will identify suicidal feelings to staff whenever they occur.
What is the greatest trigger for the development of a patient's nurse focused
transference?
A. The similarity between the nurse and someone the patient already dislikes.
B. The nature of the patient's diagnosed mental illness.
C. The history the patient has with their parents.
D. The degree of authority the nurse has over the patient.
D. The degree of authority the nurse has over the patient.
Which patient statement demonstrates a value held regarding children?
A. "Nothing is more important to me than the safety of my children."
B. "I believe my spouse wants to leave both me and our children."
C. "I don't think my child's success depends on going to college."
D. "I know my children will help me through my hard times."
A. "Nothing is more important to me than the safety of my children."
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes
that her husband, sister, and son cause her problems. Listening to Mary
describe the problems the problems the nurse displays therapeutic
communication in which response?
A. "I understand you are in a difficult situation."
B. "Thinking about being wronged repeatedly does more harm than good."
C. "I feel bad about your situation, and I am so sorry it is happening to you and
your family."
D. "It must be so difficult to live with uncaring people."
A. "I understand you are in a difficult situation."
, Page 4 of 62
A registered nurse is caring for an older male who reports depressive
symptoms since his wife of 54 years died suddenly. He cries, maintains closed
body posture, and avoids eye contact. Which nurse action describes attending
behavior?
A. Reminding the patient gently that he will "feel better over time."
B. Using a soft tone of voice for questioning.
C. Sitting with the patient and taking cues for when to talk or when to remain
silent.
D. Offering medication and bereavement services.
C. Sitting with the patient and taking cues for when to talk or when to remain silent.
A male patient frequently inquires about the female student nurse's boyfriend,
social activities, and school experiences. Which of the following initial
responses by the student best addresses the issue raised by this behavior?
A. The student requests assignment to a patient of the same gender as the
student.
B. She limits sharing personal information and stresses the patient-centered
focus of the conversation.
C. She tells him that she will not talk about her personal life.
D. She explains that if he persists in focusing on her, she cannot work with
him.
B. She limits sharing personal information and stresses the patient-centered focus of
the conversation.
Morgan is a third-year nursing student in her psychiatric clinical rotation. She
is assigned to an 80-year-old widow admitted for major depressive disorder.
The patient describes many losses and sadness. Morgan becomes teary and
says meaningfully, "I am so sorry for you." Morgan's instructor overhears the
conversation and says, "I understand that getting tearful is a human response.
Yet, sympathy isn't helpful in this field." The instructor urges Morgan to focus
on:
A. "Adopting the patient's sorrow as your own."
B. "Maintaining pure objectivity."
