MENTAL HEALTH EXAM 1 | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS|
GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION 2025 (JUST RELEASED)
After several therapeutic encounters with a patient who recently attempted
suicide, which behavior should cause the nurse to consider the possibility
of countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The nurse feels very happy when the patient's mood begins to lift.
c. The patient states, "Talking to you is like talking to my parents."
d. The nurse develops a trusting relationship with the patient. ---------
CORRECT ANSWER-----------------b
Strong positive or negative reactions to a patient or overidentification
with the patient signals possible countertransference. Nurses must
carefully monitor their own feelings and reactions to detect
countertransference, then seek supervision. The distracters identify
desirable outcomes or transference.
How should the nurse respond if a patient says, "Please don't share
information about me with the other people"?
a. "I cannot tell anyone about you. We can help each other by keeping it
between us."
b. "I won't share information with your family or friends without your
permission, but I will share information with other staff."
c. "It depends on what you choose to tell me. I will be glad to disclose at
the end of each session what I will report to other staff."
d. "Therapeutic relationships are between the nurse and the patient. It's up
to you to tell others what you want them to know." ---------CORRECT
ANSWER-----------------b
A patient has the right to know with whom the nurse will share
information and that confidentiality will be protected. Although the
relationship is primarily between the nurse and patient, other staff
,needs to know pertinent data. The relationship must be patient
centered and have clear boundaries.
A patient who recently attempted suicide talks with the nurse about wanting
to take a walk on hospital grounds. The nurse responds by telling the
patient, "I will talk with the psychiatrist on your behalf." Select the accurate
analysis of this interaction.
a. The nurse is behaving in an overly helpful way.
b. The nurse is showing positive regard for the patient.
c. The nurse is modeling healthy behaviors for the patient.
d. The patient has manipulated the nurse into taking this action. ---------
CORRECT ANSWER-----------------a
Being overly helpful is a classic example of role boundary blurring.
The nurse's response does not reflect the modeling of healthy
behavior. There is no data to indicate the patient has manipulated the
nurse.
Termination of a therapeutic nurse-patient relationship has been successful
when the nurse:
a. discusses with the patient changes that happened during the relationship
and evaluates outcomes.
b. gives the patient the nurse's cell phone number and permission to call
after discharge.
c. avoids upsetting the patient by shifting focus to other patients before the
patient's discharge.
d. offers to meet the patient for conversation after discharge. ---------
CORRECT ANSWER-----------------a
Summarizing and evaluating progress help validate the experience for
the patient and the nurse and facilitate closure. Termination must be
discussed; avoiding discussion by spending little time with the
patient promotes feelings of abandonment. Successful termination
requires that the relationship be brought to closure without the
possibility of dependency-producing ongoing contact.
,Select the desirable outcome for the initial stage of a nurse-patient
relationship. The patient will demonstrate behaviors that indicate:
a. a greater sense of independence.
b. rapport and trust with the nurse.
c. resolved transference.
d. self-responsibility. ---------CORRECT ANSWER-----------------b
Development of rapport and trust is necessary before the relationship
can progress to the working phase. The distracters present outcomes
associated with the working phase.
During which phase of the nurse-patient relationship can a nurse anticipate
that patient issues will be explored and resolved?
a. Pre-orientation
b. Orientation
c. Working
d. Termination ---------CORRECT ANSWER-----------------c
During the working phase, the nurse strives to assist the patient in
making connections among dysfunctional behaviors, thinking, and
emotions and offers support while alternative coping behaviors are
tried.
At what point in the nurse-patient relationship should a nurse first address
termination?
a. Preorientation phase
b. Orientation phase
c. Working phase
d. Termination phase ---------CORRECT ANSWER-----------------b
The patient has a right to know the conditions of the nurse-patient
relationship. If the relationship is to be time limited, the patient should
be informed of the number of sessions. If it is open ended, the
termination date will not be known at the outset, and the patient
, should know that the issue will be negotiated at a later date.
Termination is usually discussed during the orientation phase. The
nurse is responsible for discussing termination early in the
relationship.
Why should a nurse introduce the matter of a contract during the first
session with a new patient? Contracts:
a. specify what the nurse will do for the patient.
b. spell out participation and responsibilities of both parties.
c. are indicative of the feeling tone established between the participants.
d. are binding and prevent either party from prematurely ending the
relationship. ---------CORRECT ANSWER-----------------b
A contract emphasizes that the nurse works with the patient rather
than doing something for the patient. "Working with" is a process that
suggests each party is expected to participate and share
responsibility for outcomes.
A patient frequently asks the nurse for extra snacks, implying more
willingness to talk if these items are provided. The nurse should assess this
behavior as:
a. typical of transference reactions.
b. indicative of feelings of insecurity.
c. reflecting resistance to involvement.
d. testing the nurse's clinical competence. ---------CORRECT ANSWER------
-----------d
Patients often unconsciously use testing behaviors to determine
whether the nurse is able to set limits or will abandon them if they
behave in an unlikable way.
Which remark by a patient indicates movement from orientation to the
working phase of a nurse-patient relationship?
a. "I don't have any problems."
CORRECT ANSWERS WITH EXPLANATIONS|
GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION 2025 (JUST RELEASED)
After several therapeutic encounters with a patient who recently attempted
suicide, which behavior should cause the nurse to consider the possibility
of countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The nurse feels very happy when the patient's mood begins to lift.
c. The patient states, "Talking to you is like talking to my parents."
d. The nurse develops a trusting relationship with the patient. ---------
CORRECT ANSWER-----------------b
Strong positive or negative reactions to a patient or overidentification
with the patient signals possible countertransference. Nurses must
carefully monitor their own feelings and reactions to detect
countertransference, then seek supervision. The distracters identify
desirable outcomes or transference.
How should the nurse respond if a patient says, "Please don't share
information about me with the other people"?
a. "I cannot tell anyone about you. We can help each other by keeping it
between us."
b. "I won't share information with your family or friends without your
permission, but I will share information with other staff."
c. "It depends on what you choose to tell me. I will be glad to disclose at
the end of each session what I will report to other staff."
d. "Therapeutic relationships are between the nurse and the patient. It's up
to you to tell others what you want them to know." ---------CORRECT
ANSWER-----------------b
A patient has the right to know with whom the nurse will share
information and that confidentiality will be protected. Although the
relationship is primarily between the nurse and patient, other staff
,needs to know pertinent data. The relationship must be patient
centered and have clear boundaries.
A patient who recently attempted suicide talks with the nurse about wanting
to take a walk on hospital grounds. The nurse responds by telling the
patient, "I will talk with the psychiatrist on your behalf." Select the accurate
analysis of this interaction.
a. The nurse is behaving in an overly helpful way.
b. The nurse is showing positive regard for the patient.
c. The nurse is modeling healthy behaviors for the patient.
d. The patient has manipulated the nurse into taking this action. ---------
CORRECT ANSWER-----------------a
Being overly helpful is a classic example of role boundary blurring.
The nurse's response does not reflect the modeling of healthy
behavior. There is no data to indicate the patient has manipulated the
nurse.
Termination of a therapeutic nurse-patient relationship has been successful
when the nurse:
a. discusses with the patient changes that happened during the relationship
and evaluates outcomes.
b. gives the patient the nurse's cell phone number and permission to call
after discharge.
c. avoids upsetting the patient by shifting focus to other patients before the
patient's discharge.
d. offers to meet the patient for conversation after discharge. ---------
CORRECT ANSWER-----------------a
Summarizing and evaluating progress help validate the experience for
the patient and the nurse and facilitate closure. Termination must be
discussed; avoiding discussion by spending little time with the
patient promotes feelings of abandonment. Successful termination
requires that the relationship be brought to closure without the
possibility of dependency-producing ongoing contact.
,Select the desirable outcome for the initial stage of a nurse-patient
relationship. The patient will demonstrate behaviors that indicate:
a. a greater sense of independence.
b. rapport and trust with the nurse.
c. resolved transference.
d. self-responsibility. ---------CORRECT ANSWER-----------------b
Development of rapport and trust is necessary before the relationship
can progress to the working phase. The distracters present outcomes
associated with the working phase.
During which phase of the nurse-patient relationship can a nurse anticipate
that patient issues will be explored and resolved?
a. Pre-orientation
b. Orientation
c. Working
d. Termination ---------CORRECT ANSWER-----------------c
During the working phase, the nurse strives to assist the patient in
making connections among dysfunctional behaviors, thinking, and
emotions and offers support while alternative coping behaviors are
tried.
At what point in the nurse-patient relationship should a nurse first address
termination?
a. Preorientation phase
b. Orientation phase
c. Working phase
d. Termination phase ---------CORRECT ANSWER-----------------b
The patient has a right to know the conditions of the nurse-patient
relationship. If the relationship is to be time limited, the patient should
be informed of the number of sessions. If it is open ended, the
termination date will not be known at the outset, and the patient
, should know that the issue will be negotiated at a later date.
Termination is usually discussed during the orientation phase. The
nurse is responsible for discussing termination early in the
relationship.
Why should a nurse introduce the matter of a contract during the first
session with a new patient? Contracts:
a. specify what the nurse will do for the patient.
b. spell out participation and responsibilities of both parties.
c. are indicative of the feeling tone established between the participants.
d. are binding and prevent either party from prematurely ending the
relationship. ---------CORRECT ANSWER-----------------b
A contract emphasizes that the nurse works with the patient rather
than doing something for the patient. "Working with" is a process that
suggests each party is expected to participate and share
responsibility for outcomes.
A patient frequently asks the nurse for extra snacks, implying more
willingness to talk if these items are provided. The nurse should assess this
behavior as:
a. typical of transference reactions.
b. indicative of feelings of insecurity.
c. reflecting resistance to involvement.
d. testing the nurse's clinical competence. ---------CORRECT ANSWER------
-----------d
Patients often unconsciously use testing behaviors to determine
whether the nurse is able to set limits or will abandon them if they
behave in an unlikable way.
Which remark by a patient indicates movement from orientation to the
working phase of a nurse-patient relationship?
a. "I don't have any problems."
