Psychiatric Mental Health
Nursing Exam 2 Practice
Questions with Rationales
(NSG 3450)
A client with a diagnosis of depression who has attempted suicide
says to the nurse, "I should have died. I've always been a failure.
Nothing ever goes right for me." Which response by the nurse
demonstrates therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - Answer 4
The nurse visits a client at home. The client states, "I haven't slept
at all the last couple of nights." Which response by the nurse
demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too." - Answer 3
A client experiencing disturbed thought processes believes that his
food is being poisoned. Which communication technique should the
nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition -
Answer 1
, A client admitted voluntarily for treatment of an anxiety disorder
demands to be released from the hospital. Which action should the
nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary
commitment. - Answer 1
When reviewing the admission assessment, the nurse notes that a
client was admitted to the mental health unit involuntarily. Based on
this type of admission, the nurse should provide which intervention
for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
3. Supply the client with written information about his or her mental
illness.
4. Provide an opportunity for the family to discuss why they felt the
admission was needed. - Answer 1
When a client is admitted to an inpatient mental health unit with the
diagnosis of anorexia nervous, a cognitive behavioral approach is
used as part of the treatment plan. The nurse plans care based on
which purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and beliefs -
Answer4
A client is preparing to attend a Gamblers Anonymous meeting for
the first time. The nurse should tell the client that which is the first
step in this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
Nursing Exam 2 Practice
Questions with Rationales
(NSG 3450)
A client with a diagnosis of depression who has attempted suicide
says to the nurse, "I should have died. I've always been a failure.
Nothing ever goes right for me." Which response by the nurse
demonstrates therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - Answer 4
The nurse visits a client at home. The client states, "I haven't slept
at all the last couple of nights." Which response by the nurse
demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too." - Answer 3
A client experiencing disturbed thought processes believes that his
food is being poisoned. Which communication technique should the
nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition -
Answer 1
, A client admitted voluntarily for treatment of an anxiety disorder
demands to be released from the hospital. Which action should the
nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary
commitment. - Answer 1
When reviewing the admission assessment, the nurse notes that a
client was admitted to the mental health unit involuntarily. Based on
this type of admission, the nurse should provide which intervention
for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
3. Supply the client with written information about his or her mental
illness.
4. Provide an opportunity for the family to discuss why they felt the
admission was needed. - Answer 1
When a client is admitted to an inpatient mental health unit with the
diagnosis of anorexia nervous, a cognitive behavioral approach is
used as part of the treatment plan. The nurse plans care based on
which purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and beliefs -
Answer4
A client is preparing to attend a Gamblers Anonymous meeting for
the first time. The nurse should tell the client that which is the first
step in this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
