NR 606 / NR606 FINAL EXAM |DIAGNOSIS & MANAGEMENT
IN PSYCHIATRIC-MENTAL HEALTH II LATEST 2025/2026 UPDATE |
CHAMBERLAIN |250 UNIQUE QUESTIONS & VERIFIED
ANSWERS WITH COMPLETE DETAILED SOLUTIONS |
GRADED A+ | 100% CORRECT
SECTION 1: FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING
(Questions 1–25)
Q1. What is the primary goal of psychiatric-mental health nursing?
A) To cure all mental illnesses
B) To promote optimal mental health and well-being through the therapeutic use
of self and evidence-based interventions
C) To prescribe medications for all psychiatric conditions
D) To institutionalize patients with severe mental illness
Correct Answer: B
Rationale: The primary goal of psychiatric-mental health nursing is to promote
optimal mental health, prevent mental illness, and assist individuals in
achieving their highest level of functioning through therapeutic interventions,
patient education, and advocacy. The therapeutic use of self is fundamental to
the nurse-patient relationship.
Q2. What is the therapeutic use of self?
A) The use of medications to treat mental illness
B) The use of the nurse's personality, experiences, and interpersonal skills to
establish a therapeutic relationship with the patient
C) The use of physical restraints to manage violent behaviour
D) The use of seclusion to manage agitation
Correct Answer: B
Rationale: The therapeutic use of self is the foundation of psychiatric
nursing. It involves the intentional and conscious use of the nurse's
personality, communication skills, empathy, and self-awareness to establish a
therapeutic relationship that promotes healing and growth in the patient.
1
,Q3. What is the most important component of the nurse-patient relationship?
A) The nurse's clinical knowledge
B) The nurse's communication skills
C) The nurse's empathy and trustworthiness
D) The nurse's use of therapeutic touch
Correct Answer: C
Rationale: Empathy and trustworthiness are the most important components of
the
nurse-patient relationship. When patients feel understood and trust their nurse,
they are more likely to engage in treatment, share important information, and
participate in their care. Trust is the foundation of all therapeutic
relationships.
Q4. What is the purpose of a therapeutic relationship?
A) To socialize with the patient
B) To establish a professional, goal-directed relationship that promotes the
patient's well-being
C) To make the patient feel better temporarily
D) To complete paperwork
Correct Answer: B
Rationale: A therapeutic relationship is a professional, goal-directed
relationship that focuses on the patient's needs and promotes their mental
health. It is not a social relationship, nor is it designed to meet the needs
of the nurse.
Q5. What is the role of the nurse in establishing boundaries in the therapeutic
relationship?
A) To become friends with the patient
B) To maintain professional boundaries and avoid dual relationships
C) To share personal information to build rapport
2
,D) To accept gifts from the patient
Correct Answer: B
Rationale: Maintaining professional boundaries is essential to protect both the
patient and the nurse from harm. Nurses should avoid dual relationships (e.g.,
personal, financial, or sexual relationships), avoid self-disclosure, and
maintain a clear professional role.
Q6. What is transference in the therapeutic relationship?
A) The nurse's unconscious feelings toward the patient
B) The patient's unconscious projection of feelings from past relationships onto
the nurse
C) The nurse's sharing of personal feelings with the patient
D) The patient's ability to understand the nurse
Correct Answer: B
Rationale: Transference occurs when a patient unconsciously projects feelings
from past significant relationships (e.g., parent, partner) onto the nurse or
therapist. These feelings may be positive (e.g., admiration) or negative (e.g.,
anger). The nurse must recognize transference and respond therapeutically.
Q7. What is countertransference in the therapeutic relationship?
A) The patient's projection of feelings onto the nurse
B) The nurse's unconscious emotional reactions to the patient
C) The patient's ability to understand the nurse
D) The nurse's use of therapeutic communication
Correct Answer: B
Rationale: Countertransference occurs when the nurse unconsciously projects
their own feelings, experiences, or unresolved conflicts onto the patient. The
nurse must be aware of their own emotional reactions and seek supervision to
manage countertransference.
3
, Q8. What is the most important skill for the psychiatric nurse to develop?
A) Medication administration
B) Therapeutic communication
C) Physical assessment
D) Wound care
Correct Answer: B
Rationale: Therapeutic communication is the most important skill for the
psychiatric nurse. It involves the use of specific verbal and non-verbal
techniques to build rapport, explore feelings, and promote patient
understanding and growth.
Q9. What is active listening in therapeutic communication?
A) Listening while planning the next response
B) Fully focusing on the patient, understanding their message, and responding
thoughtfully
C) Listening to only the patient's words
D) Listening while doing other tasks
Correct Answer: B
Rationale: Active listening involves giving the patient undivided attention,
using non-verbal cues (eye contact, nodding), and reflecting back the patient's
words and feelings to show understanding. It requires full presence and
engagement.
Q10. What is empathy in therapeutic communication?
A) Feeling sorry for the patient
B) Understanding and sharing the patient's feelings and experiences from their
perspective
C) Sympathising with the patient's situation
D) Offering advice and solutions
Correct Answer: B
4
IN PSYCHIATRIC-MENTAL HEALTH II LATEST 2025/2026 UPDATE |
CHAMBERLAIN |250 UNIQUE QUESTIONS & VERIFIED
ANSWERS WITH COMPLETE DETAILED SOLUTIONS |
GRADED A+ | 100% CORRECT
SECTION 1: FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING
(Questions 1–25)
Q1. What is the primary goal of psychiatric-mental health nursing?
A) To cure all mental illnesses
B) To promote optimal mental health and well-being through the therapeutic use
of self and evidence-based interventions
C) To prescribe medications for all psychiatric conditions
D) To institutionalize patients with severe mental illness
Correct Answer: B
Rationale: The primary goal of psychiatric-mental health nursing is to promote
optimal mental health, prevent mental illness, and assist individuals in
achieving their highest level of functioning through therapeutic interventions,
patient education, and advocacy. The therapeutic use of self is fundamental to
the nurse-patient relationship.
Q2. What is the therapeutic use of self?
A) The use of medications to treat mental illness
B) The use of the nurse's personality, experiences, and interpersonal skills to
establish a therapeutic relationship with the patient
C) The use of physical restraints to manage violent behaviour
D) The use of seclusion to manage agitation
Correct Answer: B
Rationale: The therapeutic use of self is the foundation of psychiatric
nursing. It involves the intentional and conscious use of the nurse's
personality, communication skills, empathy, and self-awareness to establish a
therapeutic relationship that promotes healing and growth in the patient.
1
,Q3. What is the most important component of the nurse-patient relationship?
A) The nurse's clinical knowledge
B) The nurse's communication skills
C) The nurse's empathy and trustworthiness
D) The nurse's use of therapeutic touch
Correct Answer: C
Rationale: Empathy and trustworthiness are the most important components of
the
nurse-patient relationship. When patients feel understood and trust their nurse,
they are more likely to engage in treatment, share important information, and
participate in their care. Trust is the foundation of all therapeutic
relationships.
Q4. What is the purpose of a therapeutic relationship?
A) To socialize with the patient
B) To establish a professional, goal-directed relationship that promotes the
patient's well-being
C) To make the patient feel better temporarily
D) To complete paperwork
Correct Answer: B
Rationale: A therapeutic relationship is a professional, goal-directed
relationship that focuses on the patient's needs and promotes their mental
health. It is not a social relationship, nor is it designed to meet the needs
of the nurse.
Q5. What is the role of the nurse in establishing boundaries in the therapeutic
relationship?
A) To become friends with the patient
B) To maintain professional boundaries and avoid dual relationships
C) To share personal information to build rapport
2
,D) To accept gifts from the patient
Correct Answer: B
Rationale: Maintaining professional boundaries is essential to protect both the
patient and the nurse from harm. Nurses should avoid dual relationships (e.g.,
personal, financial, or sexual relationships), avoid self-disclosure, and
maintain a clear professional role.
Q6. What is transference in the therapeutic relationship?
A) The nurse's unconscious feelings toward the patient
B) The patient's unconscious projection of feelings from past relationships onto
the nurse
C) The nurse's sharing of personal feelings with the patient
D) The patient's ability to understand the nurse
Correct Answer: B
Rationale: Transference occurs when a patient unconsciously projects feelings
from past significant relationships (e.g., parent, partner) onto the nurse or
therapist. These feelings may be positive (e.g., admiration) or negative (e.g.,
anger). The nurse must recognize transference and respond therapeutically.
Q7. What is countertransference in the therapeutic relationship?
A) The patient's projection of feelings onto the nurse
B) The nurse's unconscious emotional reactions to the patient
C) The patient's ability to understand the nurse
D) The nurse's use of therapeutic communication
Correct Answer: B
Rationale: Countertransference occurs when the nurse unconsciously projects
their own feelings, experiences, or unresolved conflicts onto the patient. The
nurse must be aware of their own emotional reactions and seek supervision to
manage countertransference.
3
, Q8. What is the most important skill for the psychiatric nurse to develop?
A) Medication administration
B) Therapeutic communication
C) Physical assessment
D) Wound care
Correct Answer: B
Rationale: Therapeutic communication is the most important skill for the
psychiatric nurse. It involves the use of specific verbal and non-verbal
techniques to build rapport, explore feelings, and promote patient
understanding and growth.
Q9. What is active listening in therapeutic communication?
A) Listening while planning the next response
B) Fully focusing on the patient, understanding their message, and responding
thoughtfully
C) Listening to only the patient's words
D) Listening while doing other tasks
Correct Answer: B
Rationale: Active listening involves giving the patient undivided attention,
using non-verbal cues (eye contact, nodding), and reflecting back the patient's
words and feelings to show understanding. It requires full presence and
engagement.
Q10. What is empathy in therapeutic communication?
A) Feeling sorry for the patient
B) Understanding and sharing the patient's feelings and experiences from their
perspective
C) Sympathising with the patient's situation
D) Offering advice and solutions
Correct Answer: B
4
