NU 160 / NU160 Exam 3 Galen | 2026/2027 | Mental Health Concepts — 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
NU 160 / NU160 Exam 3 Galen
| 2026/2027 | Mental Health
Concepts — 2026/2027 Official
Exam
Verified Questions & Correct Answers | Guaranteed Pass | Grade A
A+ Verified Edition: 2026/2027 Passing Score: 80%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Foundations of Mental Health Nursing and Therapeutic Communication
Section 2: Mood Disorders and Anxiety Disorders
Section 3: Psychotic Disorders and Cognitive Disorders
Section 4: Personality Disorders, Substance Use, and Eating Disorders
Section 5: Crisis Intervention, Legal and Ethical Issues, and Special Populations
Instructions:
This exam contains scenario-based multiple-choice questions. Each question is worth 1 mark.
Select the best answer (A, B, C, or D) for each question. The passing score is 80%.
Read each scenario carefully before selecting your answer. Good luck!
Section 1: Foundations of Mental Health Nursing and Therapeutic Communication
Question 1
Q1. A 22-year-old client is admitted to the psychiatric unit following a suicide attempt. During the initial
assessment, the nurse sits at eye level, maintains an open posture, and allows the client to share their
feelings without interruption. The client states, "Nobody understands what I am going through." Which
therapeutic communication response by the nurse best demonstrates empathy and invites further
exploration?
A. "I understand exactly how you feel because I have been through something similar myself."
B. "You feel that no one understands what you are going through. Tell me more about that feeling."
C. "Many people feel that way after a suicide attempt, but things usually get better with time."
D. "Have you talked to your family about how they might try to understand your situation?"
Correct Answer: B
Rationale: Restating the client's feeling and inviting further exploration demonstrates empathy while maintaining a therapeutic
focus. Self-disclosure shifts focus to the nurse, offering false reassurance minimizes the client's experience, and asking about
family deflects from the client's immediate emotional state. Therapeutic communication centers on the client's experience.
, Question 2
Q2. A client diagnosed with schizophrenia tells the nurse, "The voices are telling me not to trust you
because you are working with the FBI." The nurse wants to establish trust while acknowledging the client's
experience without reinforcing the delusion. Which response is most therapeutically appropriate?
A. "I am not with the FBI, and the voices you hear are not real. You need to stop listening to them."
B. "I hear that the voices are telling you not to trust me. I want you to know that I am here to help you."
C. "That sounds very frightening. Maybe the FBI is watching all of us and you are the only one who notices."
D. "Why would the FBI want to monitor a psychiatric hospital? That does not make any logical sense."
Correct Answer: B
Rationale: The nurse should acknowledge the client's experience without validating the delusion's content. Stating the nurse's
intent to help focuses on the therapeutic relationship. Arguing with the delusion or telling the client the voices are not real creates
defensiveness. Validating the delusion or using logic to challenge it reinforces the false belief or damages trust.
Question 3
Q3. During a group therapy session, a client with borderline personality disorder becomes visibly angry
when another member receives attention from the therapist. The client begins to shout, accuses the
therapist of favoritism, and threatens to leave the group. Which nursing intervention demonstrates the
most appropriate application of limit-setting?
A. Allowing the client to leave the group immediately to de-escalate the situation without addressing the
behavior
B. Stating firmly that shouting and threats are not acceptable in group, while offering to discuss concerns
individually after the session
C. Redirecting the entire group's attention to the angry client to address their needs before continuing
D. Dismissing the client's concerns and telling them that no one is receiving special treatment in the group
Correct Answer: B
Rationale: Limit-setting involves clearly defining acceptable behavior, stating consequences, and offering alternative ways to
express concerns. The nurse maintains group boundaries while offering an alternative for discussion. Allowing the client to leave
without addressing the behavior, redirecting the group, or dismissing the client's concerns fail to establish therapeutic boundaries
and may reinforce maladaptive behavior.
OBJECTIVE ASSESSMENT - EXAM
NU 160 / NU160 Exam 3 Galen
| 2026/2027 | Mental Health
Concepts — 2026/2027 Official
Exam
Verified Questions & Correct Answers | Guaranteed Pass | Grade A
A+ Verified Edition: 2026/2027 Passing Score: 80%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Foundations of Mental Health Nursing and Therapeutic Communication
Section 2: Mood Disorders and Anxiety Disorders
Section 3: Psychotic Disorders and Cognitive Disorders
Section 4: Personality Disorders, Substance Use, and Eating Disorders
Section 5: Crisis Intervention, Legal and Ethical Issues, and Special Populations
Instructions:
This exam contains scenario-based multiple-choice questions. Each question is worth 1 mark.
Select the best answer (A, B, C, or D) for each question. The passing score is 80%.
Read each scenario carefully before selecting your answer. Good luck!
Section 1: Foundations of Mental Health Nursing and Therapeutic Communication
Question 1
Q1. A 22-year-old client is admitted to the psychiatric unit following a suicide attempt. During the initial
assessment, the nurse sits at eye level, maintains an open posture, and allows the client to share their
feelings without interruption. The client states, "Nobody understands what I am going through." Which
therapeutic communication response by the nurse best demonstrates empathy and invites further
exploration?
A. "I understand exactly how you feel because I have been through something similar myself."
B. "You feel that no one understands what you are going through. Tell me more about that feeling."
C. "Many people feel that way after a suicide attempt, but things usually get better with time."
D. "Have you talked to your family about how they might try to understand your situation?"
Correct Answer: B
Rationale: Restating the client's feeling and inviting further exploration demonstrates empathy while maintaining a therapeutic
focus. Self-disclosure shifts focus to the nurse, offering false reassurance minimizes the client's experience, and asking about
family deflects from the client's immediate emotional state. Therapeutic communication centers on the client's experience.
, Question 2
Q2. A client diagnosed with schizophrenia tells the nurse, "The voices are telling me not to trust you
because you are working with the FBI." The nurse wants to establish trust while acknowledging the client's
experience without reinforcing the delusion. Which response is most therapeutically appropriate?
A. "I am not with the FBI, and the voices you hear are not real. You need to stop listening to them."
B. "I hear that the voices are telling you not to trust me. I want you to know that I am here to help you."
C. "That sounds very frightening. Maybe the FBI is watching all of us and you are the only one who notices."
D. "Why would the FBI want to monitor a psychiatric hospital? That does not make any logical sense."
Correct Answer: B
Rationale: The nurse should acknowledge the client's experience without validating the delusion's content. Stating the nurse's
intent to help focuses on the therapeutic relationship. Arguing with the delusion or telling the client the voices are not real creates
defensiveness. Validating the delusion or using logic to challenge it reinforces the false belief or damages trust.
Question 3
Q3. During a group therapy session, a client with borderline personality disorder becomes visibly angry
when another member receives attention from the therapist. The client begins to shout, accuses the
therapist of favoritism, and threatens to leave the group. Which nursing intervention demonstrates the
most appropriate application of limit-setting?
A. Allowing the client to leave the group immediately to de-escalate the situation without addressing the
behavior
B. Stating firmly that shouting and threats are not acceptable in group, while offering to discuss concerns
individually after the session
C. Redirecting the entire group's attention to the angry client to address their needs before continuing
D. Dismissing the client's concerns and telling them that no one is receiving special treatment in the group
Correct Answer: B
Rationale: Limit-setting involves clearly defining acceptable behavior, stating consequences, and offering alternative ways to
express concerns. The nurse maintains group boundaries while offering an alternative for discussion. Allowing the client to leave
without addressing the behavior, redirecting the group, or dismissing the client's concerns fail to establish therapeutic boundaries
and may reinforce maladaptive behavior.
