NUR208 MENTAL HEALTH NURSING
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR208 / NUR 208 (Latest Update 2026/2027) Mental Health
Nursing | Questions and Verified Answers | 100% Correct - Fortis
2026/2027
A+ Verified Passing Score: 75%
2026/2027 Edition
COVER PAGE - 1
, SECTIONS COVERED
1. Therapeutic Communication and Nurse-Patient Relationship
2. Anxiety, Mood, and Depressive Disorders
3. Psychotic Disorders and Schizophrenia
4. Psychopharmacology and Medication Management
5. Crisis Intervention, Safety, and Psychiatric Emergencies
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT RELATIONSHIP
Q1
A client diagnosed with major depressive disorder sits silently during the initial assessment and responds to questions with one-word
answers. The nurse wants to encourage further expression without pressuring the client. Which therapeutic communication technique
is most appropriate at this moment?
A. Asking a series of closed-ended questions to obtain more facts quickly
B. Using silence and remaining present to convey acceptance and allow the client time to gather thoughts
C. Changing the subject to a lighter topic to reduce the client's discomfort
D. Sharing a personal story about overcoming sadness to build rapport
Correct Answer: B
Rationale: Silence is a therapeutic technique that communicates acceptance and gives the client space to process and respond. Closed-ended
questions, subject changes, and self-disclosure can interrupt the client's readiness and shift focus away from the client's needs.
Q2
During a one-to-one interaction, a client states, "I feel like nobody would even notice if I disappeared." The nurse responds, "It sounds
as if you are feeling very alone and unimportant right now." Which communication technique is the nurse using?
A. Giving advice to help the client feel less isolated
B. Reflecting the client's feelings to demonstrate understanding and encourage elaboration
C. Minimizing the client's concern by suggesting the feeling is temporary
D. Probing for details about past relationships that caused the feeling
Correct Answer: B
Rationale: Reflection restates the emotional content of the client's message, validating the experience and inviting further exploration. Advice,
minimization, and probing can shut down communication or shift the focus prematurely.
Q3
A nurse is establishing a therapeutic relationship with a newly admitted client who has a history of distrust toward healthcare
providers. The client asks multiple questions about the nurse's personal life. How should the nurse respond to maintain professional
boundaries?
A. Answer all personal questions fully to build trust quickly
B. Redirect the focus back to the client's concerns while briefly acknowledging the question without extensive self-disclosure
C. Ignore the questions and continue with the assessment checklist
D. Tell the client that personal questions are never allowed under any circumstances
Correct Answer: B
Rationale: Limited, purposeful self-disclosure is acceptable only when it benefits the client; otherwise the focus must return to the client. Extensive
personal sharing or abrupt refusal can damage the developing relationship.
Q4
A client becomes angry and raises their voice after learning that a requested pass has been denied. The nurse remains calm and
states, "I can see you are frustrated about the decision. Let's talk about what is most upsetting right now." What is the primary goal of
this response?
A. To punish the client for inappropriate tone of voice
B. To de-escalate the situation by acknowledging feelings and inviting problem-solving discussion
C. To immediately call security for potential aggression
D. To change the subject to unit rules and consequences
Correct Answer: B
Rationale: Acknowledging the emotion and inviting dialogue reduces escalation and models constructive expression of anger. Punishment, premature
security involvement, or rule lectures can intensify the conflict.
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR208 / NUR 208 (Latest Update 2026/2027) Mental Health
Nursing | Questions and Verified Answers | 100% Correct - Fortis
2026/2027
A+ Verified Passing Score: 75%
2026/2027 Edition
COVER PAGE - 1
, SECTIONS COVERED
1. Therapeutic Communication and Nurse-Patient Relationship
2. Anxiety, Mood, and Depressive Disorders
3. Psychotic Disorders and Schizophrenia
4. Psychopharmacology and Medication Management
5. Crisis Intervention, Safety, and Psychiatric Emergencies
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT RELATIONSHIP
Q1
A client diagnosed with major depressive disorder sits silently during the initial assessment and responds to questions with one-word
answers. The nurse wants to encourage further expression without pressuring the client. Which therapeutic communication technique
is most appropriate at this moment?
A. Asking a series of closed-ended questions to obtain more facts quickly
B. Using silence and remaining present to convey acceptance and allow the client time to gather thoughts
C. Changing the subject to a lighter topic to reduce the client's discomfort
D. Sharing a personal story about overcoming sadness to build rapport
Correct Answer: B
Rationale: Silence is a therapeutic technique that communicates acceptance and gives the client space to process and respond. Closed-ended
questions, subject changes, and self-disclosure can interrupt the client's readiness and shift focus away from the client's needs.
Q2
During a one-to-one interaction, a client states, "I feel like nobody would even notice if I disappeared." The nurse responds, "It sounds
as if you are feeling very alone and unimportant right now." Which communication technique is the nurse using?
A. Giving advice to help the client feel less isolated
B. Reflecting the client's feelings to demonstrate understanding and encourage elaboration
C. Minimizing the client's concern by suggesting the feeling is temporary
D. Probing for details about past relationships that caused the feeling
Correct Answer: B
Rationale: Reflection restates the emotional content of the client's message, validating the experience and inviting further exploration. Advice,
minimization, and probing can shut down communication or shift the focus prematurely.
Q3
A nurse is establishing a therapeutic relationship with a newly admitted client who has a history of distrust toward healthcare
providers. The client asks multiple questions about the nurse's personal life. How should the nurse respond to maintain professional
boundaries?
A. Answer all personal questions fully to build trust quickly
B. Redirect the focus back to the client's concerns while briefly acknowledging the question without extensive self-disclosure
C. Ignore the questions and continue with the assessment checklist
D. Tell the client that personal questions are never allowed under any circumstances
Correct Answer: B
Rationale: Limited, purposeful self-disclosure is acceptable only when it benefits the client; otherwise the focus must return to the client. Extensive
personal sharing or abrupt refusal can damage the developing relationship.
Q4
A client becomes angry and raises their voice after learning that a requested pass has been denied. The nurse remains calm and
states, "I can see you are frustrated about the decision. Let's talk about what is most upsetting right now." What is the primary goal of
this response?
A. To punish the client for inappropriate tone of voice
B. To de-escalate the situation by acknowledging feelings and inviting problem-solving discussion
C. To immediately call security for potential aggression
D. To change the subject to unit rules and consequences
Correct Answer: B
Rationale: Acknowledging the emotion and inviting dialogue reduces escalation and models constructive expression of anger. Punishment, premature
security involvement, or rule lectures can intensify the conflict.
