NURS 136 EXAM 2 GALEN COLLEGE NEWEST 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify
that which of the following clients requires a temporary emergency admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with a metal rod
D. a client who has bipolar disorder and paces quickly around the room while talking to himself -
(answer) C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is
very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example
of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
D. battery - (answer) B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in order to protect
myself from my roommate, who is always yelling at me and threatening me." Which of the following
actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate closely
C. tell the client that this must be reported to the health care team because it concerns the health and
safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention to do so -
(answer) C
,NURS 136 EXAM 2 GALEN COLLEGE NEWEST 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a client who is in mechanical restraints. Which of the following statements should
the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - (answer) BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another
nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - (answer) B
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses.
Which of the following aspects of communication should the nurse identify as a component of verbal
communication?
A. personal space
B. posture
C. eye contact
D. intonation - (answer) D
A nurse in an acute mental health facility is communication with a client. The client states, "I can't sleep.
I stay up all night." The nurse responds, "you are having difficulty sleeping?" which of the following
therapeutic communication techniques is the nurse demonstrating?
, NURS 136 EXAM 2 GALEN COLLEGE NEWEST 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A. offering general leads
B. summarizing
C. focusing
D. restating - (answer) D
A nurse is communicating with a client who was just admitted for treatment of a substance use disorder.
Which of the following communication techniques should the nurse identify as a barrier to therapeutic
communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - (answer) A
A nurse is caring for a client who has anorexia nervosa. Which of the following examples demonstrates
the nurse's use of interpersonal communication?
A. the nurse discusses the client's weight loss during a health care team meeting
B. the nurse examines her own personal feelings about clients who have anorexia nervosa
C. the nurse asks the client about her body image perception
D. the nurse presents an educational session about anorexia nervosa to a large group of adolescents -
(answer) C
A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood.
When the mother of the child asks the nurse for reassurance about her son's condition, which of the
following responses should the nurse make?
A. "I think your son is getting better. What have you noticed?
B. "I'm sure everything will be okay. It just takes time to heal"
C. "I'm not sure what's wrong. Have you asks the doctor about your concerns?"
CORRECT DETAILED ANSWERS
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify
that which of the following clients requires a temporary emergency admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with a metal rod
D. a client who has bipolar disorder and paces quickly around the room while talking to himself -
(answer) C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is
very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example
of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
D. battery - (answer) B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in order to protect
myself from my roommate, who is always yelling at me and threatening me." Which of the following
actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate closely
C. tell the client that this must be reported to the health care team because it concerns the health and
safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention to do so -
(answer) C
,NURS 136 EXAM 2 GALEN COLLEGE NEWEST 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a client who is in mechanical restraints. Which of the following statements should
the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - (answer) BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another
nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - (answer) B
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses.
Which of the following aspects of communication should the nurse identify as a component of verbal
communication?
A. personal space
B. posture
C. eye contact
D. intonation - (answer) D
A nurse in an acute mental health facility is communication with a client. The client states, "I can't sleep.
I stay up all night." The nurse responds, "you are having difficulty sleeping?" which of the following
therapeutic communication techniques is the nurse demonstrating?
, NURS 136 EXAM 2 GALEN COLLEGE NEWEST 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A. offering general leads
B. summarizing
C. focusing
D. restating - (answer) D
A nurse is communicating with a client who was just admitted for treatment of a substance use disorder.
Which of the following communication techniques should the nurse identify as a barrier to therapeutic
communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - (answer) A
A nurse is caring for a client who has anorexia nervosa. Which of the following examples demonstrates
the nurse's use of interpersonal communication?
A. the nurse discusses the client's weight loss during a health care team meeting
B. the nurse examines her own personal feelings about clients who have anorexia nervosa
C. the nurse asks the client about her body image perception
D. the nurse presents an educational session about anorexia nervosa to a large group of adolescents -
(answer) C
A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood.
When the mother of the child asks the nurse for reassurance about her son's condition, which of the
following responses should the nurse make?
A. "I think your son is getting better. What have you noticed?
B. "I'm sure everything will be okay. It just takes time to heal"
C. "I'm not sure what's wrong. Have you asks the doctor about your concerns?"
