NU661 EXAM 1/ NUR 661 MARYVILLE EXAM 1
2025 WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW !!!|GUARANTEED PASS
|LATEST UPDATE
A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally drained, as
though I hadn't rested well. Which response should the nurse use to clarify the patient's comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what you're saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
Answer: D
A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent
lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?
a. Let's talk about something other than the CIA.
b. It sounds like you're concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness
Answer: B
The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
draw is that the patients communication is:
a. clear.
b. mixed
c. recise
d. inadequate
Answer: B
,A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies the
communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
Answer: D
Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what you're saying
Answer: A
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification,
which comment would be appropriate?
a. What are the common elements here?
b. Tell me again about your experiences.
c. Am I correct in understanding that . . .
d. Tell me everything from the beginning
Answer: C
A patient tells the nurse, I dont think Ill ever get out of here. Select the nurses most therapeutic
response.
a. Dont talk that way. Of course you will leave here!
b. Keep up the good work, and you certainly will.
C. You dont think youre making progress?
D. Everyone feels that way sometimes.
Answer: C
Documentation in a patients chart shows, Throughout a 5-minute interaction, patient fidgeted and
tapped left foot, periodically covered face with hands, and looked under chair while stating, I enjoy
spending time with you. Which analysis is most accurate?
a. The patient is giving positive feedback about the nurses communication techniques.
b. The nurse is viewing the patients behavior through a cultural filter.
c. The patients verbal and nonverbal messages are incongruent.
d. The patient is demonstrating psychotic behaviors.
Answer: C
,While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to
maintain eye contact. The patients chin lowers to the chest, while the patient looks at the floor. Which
aspect of communication has the nurse assessed?
A. nonverbal communication
b. A message filter
c. A cultural barrier
d. social skills
Answer: A
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and
reaches out to take the patients hand. Select the correct analysis of the nurses behavior.
a. It shows empathy and compassion. It will encourage the patient to continue to express feelings.
b. The gesture is premature. The patients cultural and individual interpretation of touch is unknown.
c. The patient will perceive the gesture as intrusive and overstepping boundaries.
d. The action is inappropriate. Psychiatric patients should not be touched.
Answer: B
During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select
the best comment by the nurse regarding this nonverbal communication.
a. I notice you keep looking toward the door.
b. This is our time together. No one is going to interrupt us.
c. It looks as if you are eager to end our discussion for today.
d. If you are uncomfortable in this room, we can move someplace else.
Answer: A
A black patient says to a white nurse, Theres no sense talking. You wouldnt understand because you live
in a white world. The nurses best action would be to:
a. explain, Yes, I do understand. Everyone goes through the same experiences.
b. say, Please give an example of something you think I wouldnt understand.
c. reassure the patient that nurses interact with people from all cultures.
d. change the subject to one that is less emotionally disturbing.
Answer: B
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal
questions. The nurse should respond by saying:
a. Why do you keep asking about me?
b. Nurses direct the interviews with patients.
c. Do not ask questions about my personal life.
d. The time we spend together is to discuss your concerns.
, Answer: D
Which principle should guide the nurse in determining the extent of silence to use during patient
interview sessions?
a. A nurse is responsible for breaking silences.
b. Patients withdraw if silences are prolonged.
c. Silence can provide meaningful moments for reflection.
d. Silence helps patients know that what they said was understood
Answer: C
A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide
advice. Which principle usually applies? Giving advice:
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the patient develop feelings of personal adequacy.
Answer: A
A school age child tells the school nurse, Other kids call me mean names and will not sit with me at
lunch. Nobody likes me. Select the nurses most therapeutic response.
a. Just ignore them and they will leave you alone.
b. You should make friends with other children.
c. Call them names if they do that to you.
d. Tell me more about how you feel.
Answer: D
A patient with acute depression states, God is punishing me for my past sins. What is the nurses most
therapeutic response?
a. You sound very upset about this.
b. God always forgives us for our sins.
c. Why do you think you are being punished?
d. If you feel this way, you should talk to your minister
Answer: A
Which intervention best reflects the nursing role regarding effective implementation of behavioral
therapy goals?
a. Administering the prescribed medications accurately
b. Interacting effectively with members of the health care team
2025 WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW !!!|GUARANTEED PASS
|LATEST UPDATE
A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally drained, as
though I hadn't rested well. Which response should the nurse use to clarify the patient's comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what you're saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
Answer: D
A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent
lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?
a. Let's talk about something other than the CIA.
b. It sounds like you're concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness
Answer: B
The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
draw is that the patients communication is:
a. clear.
b. mixed
c. recise
d. inadequate
Answer: B
,A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies the
communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
Answer: D
Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what you're saying
Answer: A
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification,
which comment would be appropriate?
a. What are the common elements here?
b. Tell me again about your experiences.
c. Am I correct in understanding that . . .
d. Tell me everything from the beginning
Answer: C
A patient tells the nurse, I dont think Ill ever get out of here. Select the nurses most therapeutic
response.
a. Dont talk that way. Of course you will leave here!
b. Keep up the good work, and you certainly will.
C. You dont think youre making progress?
D. Everyone feels that way sometimes.
Answer: C
Documentation in a patients chart shows, Throughout a 5-minute interaction, patient fidgeted and
tapped left foot, periodically covered face with hands, and looked under chair while stating, I enjoy
spending time with you. Which analysis is most accurate?
a. The patient is giving positive feedback about the nurses communication techniques.
b. The nurse is viewing the patients behavior through a cultural filter.
c. The patients verbal and nonverbal messages are incongruent.
d. The patient is demonstrating psychotic behaviors.
Answer: C
,While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to
maintain eye contact. The patients chin lowers to the chest, while the patient looks at the floor. Which
aspect of communication has the nurse assessed?
A. nonverbal communication
b. A message filter
c. A cultural barrier
d. social skills
Answer: A
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and
reaches out to take the patients hand. Select the correct analysis of the nurses behavior.
a. It shows empathy and compassion. It will encourage the patient to continue to express feelings.
b. The gesture is premature. The patients cultural and individual interpretation of touch is unknown.
c. The patient will perceive the gesture as intrusive and overstepping boundaries.
d. The action is inappropriate. Psychiatric patients should not be touched.
Answer: B
During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select
the best comment by the nurse regarding this nonverbal communication.
a. I notice you keep looking toward the door.
b. This is our time together. No one is going to interrupt us.
c. It looks as if you are eager to end our discussion for today.
d. If you are uncomfortable in this room, we can move someplace else.
Answer: A
A black patient says to a white nurse, Theres no sense talking. You wouldnt understand because you live
in a white world. The nurses best action would be to:
a. explain, Yes, I do understand. Everyone goes through the same experiences.
b. say, Please give an example of something you think I wouldnt understand.
c. reassure the patient that nurses interact with people from all cultures.
d. change the subject to one that is less emotionally disturbing.
Answer: B
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal
questions. The nurse should respond by saying:
a. Why do you keep asking about me?
b. Nurses direct the interviews with patients.
c. Do not ask questions about my personal life.
d. The time we spend together is to discuss your concerns.
, Answer: D
Which principle should guide the nurse in determining the extent of silence to use during patient
interview sessions?
a. A nurse is responsible for breaking silences.
b. Patients withdraw if silences are prolonged.
c. Silence can provide meaningful moments for reflection.
d. Silence helps patients know that what they said was understood
Answer: C
A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide
advice. Which principle usually applies? Giving advice:
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the patient develop feelings of personal adequacy.
Answer: A
A school age child tells the school nurse, Other kids call me mean names and will not sit with me at
lunch. Nobody likes me. Select the nurses most therapeutic response.
a. Just ignore them and they will leave you alone.
b. You should make friends with other children.
c. Call them names if they do that to you.
d. Tell me more about how you feel.
Answer: D
A patient with acute depression states, God is punishing me for my past sins. What is the nurses most
therapeutic response?
a. You sound very upset about this.
b. God always forgives us for our sins.
c. Why do you think you are being punished?
d. If you feel this way, you should talk to your minister
Answer: A
Which intervention best reflects the nursing role regarding effective implementation of behavioral
therapy goals?
a. Administering the prescribed medications accurately
b. Interacting effectively with members of the health care team
