NSRG 126 Exam 1 V2 | NSRG 126 Mental Health
Nursing | Actual Q&A with Rationale (NSRG126
Exam 1) | Ivy Tech
1. A nurse is communicating with a client who states, ‘I don’t think I can ever recover from
this addiction.’ Which response by the nurse represents the therapeutic technique of
restating?
A. ‘Why do you think you can’t recover?’
B. ‘You are concerned that you won’t be able to overcome your addiction.’
C. ‘Recovery takes time for everyone.’
D. ‘I believe you have the strength to do it.’
Correct Answer: B
Explanation: Restating involves repeating the main idea expressed by the client using
different words to confirm understanding. This technique validates that the nurse is
listening and clarifies the client’s message. It encourages the client to continue sharing their
thoughts without introducing the nurse’s personal bias.
2. Which ethical principle is the nurse upholding when they support a client’s right to refuse a
prescribed psychiatric medication?
A. Beneficence
B. Justice
,C. Fidelity
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the client’s right to make their own decisions regarding
their healthcare. In mental health nursing, this includes the right to refuse treatment unless
there is an emergency situation. The nurse must respect the client’s self-determination
even when they disagree with the choice.
3. According to Maslow’s Hierarchy of Needs, which of the following client needs should the
nurse prioritize first during the admission process?
A. Self-actualization through group therapy
B. Belongingness by introducing the client to peers
C. Self-esteem enhancement
D. Safety from self-harm impulses
E. Adequate nutrition and fluid intake
Correct Answer: E
Explanation: Maslow’s hierarchy dictates that physiological needs are the most basic and
must be met before higher-level needs. Nutrition and hydration are fundamental survival
requirements that take precedence over social or psychological needs. Once physical
stability is achieved, the nurse can address safety and then psychosocial concerns.
, 4. A client is admitted involuntarily to a psychiatric facility after threatening a neighbor.
Which legal criteria must be met for this type of admission?
A. The client must have a diagnosed personality disorder.
B. The client is unable to pay for private outpatient care.
C. The client poses a clear danger to themselves or others.
D. The family requests the admission for the client’s benefit.
Correct Answer: C
Explanation: Involuntary admission is legally permitted when a client is deemed a danger
to themselves or others, or is unable to provide for their basic needs. This process requires
judicial or professional certification depending on state laws. The primary goal is to
provide safety and stabilization during a crisis.
5. During the orientation phase of the nurse-client relationship, which of the following
actions is the nurse’s primary focus?
A. Evaluating the progress toward goal achievement
B. Developing a plan for termination of the relationship
C. Promoting the client’s insight into their behavior
D. Establishing trust and defining boundaries
Correct Answer: D
Nursing | Actual Q&A with Rationale (NSRG126
Exam 1) | Ivy Tech
1. A nurse is communicating with a client who states, ‘I don’t think I can ever recover from
this addiction.’ Which response by the nurse represents the therapeutic technique of
restating?
A. ‘Why do you think you can’t recover?’
B. ‘You are concerned that you won’t be able to overcome your addiction.’
C. ‘Recovery takes time for everyone.’
D. ‘I believe you have the strength to do it.’
Correct Answer: B
Explanation: Restating involves repeating the main idea expressed by the client using
different words to confirm understanding. This technique validates that the nurse is
listening and clarifies the client’s message. It encourages the client to continue sharing their
thoughts without introducing the nurse’s personal bias.
2. Which ethical principle is the nurse upholding when they support a client’s right to refuse a
prescribed psychiatric medication?
A. Beneficence
B. Justice
,C. Fidelity
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the client’s right to make their own decisions regarding
their healthcare. In mental health nursing, this includes the right to refuse treatment unless
there is an emergency situation. The nurse must respect the client’s self-determination
even when they disagree with the choice.
3. According to Maslow’s Hierarchy of Needs, which of the following client needs should the
nurse prioritize first during the admission process?
A. Self-actualization through group therapy
B. Belongingness by introducing the client to peers
C. Self-esteem enhancement
D. Safety from self-harm impulses
E. Adequate nutrition and fluid intake
Correct Answer: E
Explanation: Maslow’s hierarchy dictates that physiological needs are the most basic and
must be met before higher-level needs. Nutrition and hydration are fundamental survival
requirements that take precedence over social or psychological needs. Once physical
stability is achieved, the nurse can address safety and then psychosocial concerns.
, 4. A client is admitted involuntarily to a psychiatric facility after threatening a neighbor.
Which legal criteria must be met for this type of admission?
A. The client must have a diagnosed personality disorder.
B. The client is unable to pay for private outpatient care.
C. The client poses a clear danger to themselves or others.
D. The family requests the admission for the client’s benefit.
Correct Answer: C
Explanation: Involuntary admission is legally permitted when a client is deemed a danger
to themselves or others, or is unable to provide for their basic needs. This process requires
judicial or professional certification depending on state laws. The primary goal is to
provide safety and stabilization during a crisis.
5. During the orientation phase of the nurse-client relationship, which of the following
actions is the nurse’s primary focus?
A. Evaluating the progress toward goal achievement
B. Developing a plan for termination of the relationship
C. Promoting the client’s insight into their behavior
D. Establishing trust and defining boundaries
Correct Answer: D
