NCLEX Mental Health Exam 2
The preferred seating arrangement for a nurse-client interview should incorporate which positioning?
The nurse and client sitting at a 90-degree angle to each other.
What is the focus during clinical supervision? The nurse's behavior in the nurse-client relationship
The client makes the decision to sit about 5 feet away from the nurse during the assessment interview.
The nurse can accurately make what assumption about the client's perception of the nurse? They view
the nurse as a stranger.
A recent immigrant to the United States from which country would tend to display little facial emotion
when dealing with emotional stress? Germany
Of the following environments, which would be most conducive to a therapeutic session? A quiet
section of the day room
Which communication techniques should the nurse use with a client who has been identified as having
difficulty expressing thoughts and feelings? Asking open-ended questions and seeking clarification
What therapeutic communication technique is the nurse using by asking a newly admitted client, "Can
you tell me what was happening to you that led to your being hospitalized here?" Using an open-ended
question
A client is sitting with arms crossed over their chest, with their left leg is rapidly moving up and down,
and there is an angry facial expression. When approached by the nurse, the client states harshly, "I'm
fine! Everything's great." Which statement related to communication should the nurse focus on when
working with this client? Nonverbal and verbal communication may be different; nurses must pay
attention to the nonverbal communication being presented to get an accurate message.
, A client is presenting with behaviors that indicate anger. When approached, the client states harshly,
"I'm fine! Everything's great." Which response should the nurse provide to the client? "It looks as though
you are saying one thing but feeling another. Can you tell me what may be upsetting you?"
A 55-year-old client recently came to the United States from England on a work visa. The client was
admitted for severe depression following the death of a life partner weeks ago. While discussing the
death and its effects the client shows little emotion. Which of the following explanations is most
plausible for this lack of emotion? The response may reflect cultural norms.
When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing
the client with their knees almost touching. When the nurse leans in close to speak, the client becomes
visibly flustered and gets up and leaves the room. What is the most likely explanation for client's
behavior? The nurse violated the client's personal space by physically being too close.
Which of the following statements represent a nontherapeutic communication technique? (Select all
that apply.) "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you
in some way?"
"Why didn't you attend group this morning?"
"If I were you, I would quit the stressful job and find something else."
"I'm really proud of you for the way you stood up to your brother when he visited today."
When discussing her husband, a client shares that "I would be better off alone. At least I would be able
to come and go as I please and not have to be interrogated all the time." What therapeutic
communication technique is the nurse using when responding, "Are you saying that things would be
better if you left your husband?" Clarification
During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of
communication. What is the rationale for this? Content of messages may be contradicted by process.
During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you
spoke of your father. Tell me about that." What communication techniques is the nurse using?
Reflecting and exploring
The preferred seating arrangement for a nurse-client interview should incorporate which positioning?
The nurse and client sitting at a 90-degree angle to each other.
What is the focus during clinical supervision? The nurse's behavior in the nurse-client relationship
The client makes the decision to sit about 5 feet away from the nurse during the assessment interview.
The nurse can accurately make what assumption about the client's perception of the nurse? They view
the nurse as a stranger.
A recent immigrant to the United States from which country would tend to display little facial emotion
when dealing with emotional stress? Germany
Of the following environments, which would be most conducive to a therapeutic session? A quiet
section of the day room
Which communication techniques should the nurse use with a client who has been identified as having
difficulty expressing thoughts and feelings? Asking open-ended questions and seeking clarification
What therapeutic communication technique is the nurse using by asking a newly admitted client, "Can
you tell me what was happening to you that led to your being hospitalized here?" Using an open-ended
question
A client is sitting with arms crossed over their chest, with their left leg is rapidly moving up and down,
and there is an angry facial expression. When approached by the nurse, the client states harshly, "I'm
fine! Everything's great." Which statement related to communication should the nurse focus on when
working with this client? Nonverbal and verbal communication may be different; nurses must pay
attention to the nonverbal communication being presented to get an accurate message.
, A client is presenting with behaviors that indicate anger. When approached, the client states harshly,
"I'm fine! Everything's great." Which response should the nurse provide to the client? "It looks as though
you are saying one thing but feeling another. Can you tell me what may be upsetting you?"
A 55-year-old client recently came to the United States from England on a work visa. The client was
admitted for severe depression following the death of a life partner weeks ago. While discussing the
death and its effects the client shows little emotion. Which of the following explanations is most
plausible for this lack of emotion? The response may reflect cultural norms.
When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing
the client with their knees almost touching. When the nurse leans in close to speak, the client becomes
visibly flustered and gets up and leaves the room. What is the most likely explanation for client's
behavior? The nurse violated the client's personal space by physically being too close.
Which of the following statements represent a nontherapeutic communication technique? (Select all
that apply.) "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you
in some way?"
"Why didn't you attend group this morning?"
"If I were you, I would quit the stressful job and find something else."
"I'm really proud of you for the way you stood up to your brother when he visited today."
When discussing her husband, a client shares that "I would be better off alone. At least I would be able
to come and go as I please and not have to be interrogated all the time." What therapeutic
communication technique is the nurse using when responding, "Are you saying that things would be
better if you left your husband?" Clarification
During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of
communication. What is the rationale for this? Content of messages may be contradicted by process.
During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you
spoke of your father. Tell me about that." What communication techniques is the nurse using?
Reflecting and exploring
