Exam 1 - Psychiatric/Mental Health Nursing
practice questions and answers 2025
AApatientAsaysAtoAtheAnurse,A"IAdreamedAIAwasAstoned.AWhenAIAwokeAup,AIAfeltAemotionallyA
drained,AasAthoughAIAhadn'tArestedAwell."AWhichAresponseAshouldAtheAnurseAuseAtoAclarifyA
theApatient'sAcomment?
a.A"ItAsoundsAasAthoughAyouAwereAuncomfortableAwithAtheAcontentAofAyourAdream."
b.A"IAunderstandAwhatAyou'reAsaying.ABadAdreamsAleaveAmeAfeelingAtired,Atoo."
c.A"SoAyouAfeelAasAthoughAyouAdidAnotAgetAenoughAqualityAsleepAlastAnight?"
d.A"CanAyouAgiveAmeAanAexampleAofAwhatAyouAmeanAbyA'stoned'?"A-AcorrectAanswers-
ANS:AD
TheAtechniqueAofAclarificationAisAtherapeuticAandAhelpsAtheAnurseAexamineAtheAmeaningAof
AtheApatient'sAstatement.AAskingAforAaAdefinitionAofA"stoned"AdirectlyAasksAforAclarification.A
RestatingAthatAtheApatientAisAuncomfortableAwithAtheAdream'sAcontentAisAparroting,AaAnon-
therapeuticAtechnique.ATheAotherAresponsesAfailAtoAclarifyAtheAmeaningAofAtheApatient'sAco
mment.
AApatientAdiagnosedAwithAschizophreniaAtellsAtheAnurse,A"TheACIAAisAmonitoringAusAthroug
hAtheAfluorescentAlightsAinAthisAroom.ABeAcarefulAwhatAyouAsay."AWhichAresponseAbyAtheAn
urseAwouldAbeAmostAtherapeutic?
a.A"Let'sAtalkAaboutAsomethingAotherAthanAtheACIA."
b.A"ItAsoundsAlikeAyou'reAconcernedAaboutAyourAprivacy."
c.A"TheACIAAisAprohibitedAfromAoperatingAinAhealthAcareAfacilities."
d.A"YouAhaveAlostAtouchAwithAreality,AwhichAisAaAsymptomAofAyourAillness."A-
AcorrectAanswers-ANS:AB
ItAisAimportantAnotAtoAchallengeAtheApatient'sAbeliefs,AevenAifAtheyAareAunrealistic.AChalleng
ingAunderminesAtheApatient'sAtrustAinAtheAnurse.ATheAnurseAshouldAtryAtoAunderstandAtheAu
nderlyingAfeelingsAorAthoughtsAtheApatient'sAmessageAconveys.ATheAcorrectAresponseAuse
sAtheAtherapeuticAtechniqueAofAreflection.ATheAotherAcommentsAareAnon-
therapeutic.AAskingAtoAtalkAaboutAsomethingAotherAthanAtheAconcernAatAhandAisAchangingAt
heAsubject.ASayingAthatAtheACIAAisAprohibitedAfromAoperatingAinAhealthAcareAfacilitiesAgives
AfalseAreassurance.AStatingAthatAtheApatientAhasAlostAtouchAwithArealityAisAtruthful,AbutAunco
mpassionate.
TheApatientAsays,A"MyAmarriageAisAjustAgreat.AMyAspouseAandAIAalwaysAagree."ATheAnurseA
observesAtheApatient'sAfootAmovingAcontinuouslyAasAtheApatientAtwirlsAaAshirtAbutton.ATheAc
onclusionAtheAnurseAcanAdrawAisAthatAtheApatient'sAcommunicationAis:
a.Aclear.A
b.Amixed.
c.Aprecise.
d.Ainadequate.A-AcorrectAanswers-ANS:AB
MixedAmessagesAinvolveAtheAtransmissionAofAconflictingAorAincongruentAmessagesAbyAthe
Aspeaker.ATheApatient'sAverbalAmessageAthatAallAwasAwellAinAtheArelationshipAwasAmodified
AbyAtheAnonverbalAbehaviorsAdenotingAanxiety.ADataAareAnotApresentAtoAsupportAtheAchoic
eAofAtheAverbalAmessageAbeingAclear,Aexplicit,AorAinadequate.
,AAnurseAinteractsAwithAaAnewlyAhospitalizedApatient.ASelectAtheAnurse'sAcommentAthatAapp
liesAtheAcommunicationAtechniqueAofA"offeringAself."
a.A"I'veAalsoAhadAtraumaticAlifeAexperiences.AMaybeAitAwouldAhelpAifAIAtoldAyouAaboutAthem.
"
b.A"WhyAdoAyouAthinkAyouAhadAsoAmuchAdifficultyAadjustingAtoAthisAchangeAinAyourAlife?"
c.A"IAhopeAyouAwillAfeelAbetterAafterAgettingAaccustomedAtoAhowAthisAunitAoperates."
d.A"I'dAlikeAtoAsitAwithAyouAforAaAwhileAtoAhelpAyouAgetAcomfortableAtalkingAtoAme."A-
AcorrectAanswers-ANS:AD
"OfferingAself"AisAaAtechniqueAthatAshouldAbeAusedAinAtheAorientationAphaseAofAtheAnurse-
patientArelationship.ASittingAwithAtheApatient,AanAexampleAofA"offeringAself,"AhelpsAtoAbuildAt
rustAandAconveyAthatAtheAnurseAcaresAaboutAtheApatient.ATwoAincorrectAresponsesAareAinef
fectiveAandAnon-
therapeutic.ATheAotherAincorrectAresponseAisAtherapeuticAbutAisAanAexampleAofA"offeringAh
ope."
WhichAtechniqueAwillAbestAcommunicateAtoAaApatientAthatAtheAnurseAisAinterestedAinAlisteni
ng?
a.ARestatingAaAfeelingAorAthoughtAtheApatientAhasAexpressed.
b.AAskingAaAdirectAquestion,AsuchAasA"DidAyouAfeelAangry?"
c.AMakingAaAjudgmentAaboutAtheApatient'sAproblem.
d.ASaying,A"IAunderstandAwhatAyou'reAsaying."A-AcorrectAanswers-ANS:AA
RestatingAallowsAtheApatientAtoAvalidateAtheAnurse'sAunderstandingAofAwhatAhasAbeenAcom
municated.ARestatingAisAanAactiveAlisteningAtechnique.AJudgmentsAshouldAbeAsuspendedAi
nAaAnurse-patientArelationship.AClose-
endedAquestionsAsuchAasA"DidAyouAfeelAangry?"AaskAforAspecificAinformationAratherAthanAs
howingAunderstanding.AWhenAtheAnurseAsimplyAstatesAthatAheAorAsheAunderstandsAtheApat
ient'sAwords,AtheApatientAhasAnoAwayAofAmeasuringAtheAunderstanding.
AApatientAdisclosesAseveralAconcernsAandAassociatedAfeelings.AIfAtheAnurseAwantsAtoAseek
Aclarification,AwhichAcommentAwouldAbeAappropriate?
a.A"WhatAareAtheAcommonAelementsAhere?"
b.A"TellAmeAagainAaboutAyourAexperiences."
c.A"AmAIAcorrectAinAunderstandingAthatA.A.A."
d.A"TellAmeAeverythingAfromAtheAbeginning."A-AcorrectAanswers-ANS:AC
Asking,A"AmAIAcorrectAinAunderstandingAthat..."ApermitsAclarificationAtoAensureAthatAbothAth
eAnurseAandApatientAshareAmutualAunderstandingAofAtheAcommunication.AAskingAaboutAco
mmonAelementsAencouragesAcomparisonAratherAthanAclarification.ATheAremainingArespon
sesAareAimpliedAquestionsAthatAsuggestAtheAnurseAwasAnotAlistening.
AApatientAtellsAtheAnurse,A"IAdon'tAthinkAI'llAeverAgetAoutAofAhere."ASelectAtheAnurse'sAmostAth
erapeuticAresponse.
a.A"Don'tAtalkAthatAway.AOfAcourseAyouAwillAleaveAhere!"
b.A"KeepAupAtheAgoodAwork,AandAyouAcertainlyAwill."
c.A"YouAdon'tAthinkAyou'reAmakingAprogress?"
d.A"EveryoneAfeelsAthatAwayAsometimes."A-AcorrectAanswers-ANS:AC
ByAaskingAifAtheApatientAdoesAnotAbelieveAthatAprogressAhasAbeenAmade,AtheAnurseAisArefle
ctingAbyAputtingAintoAwordsAwhatAtheApatientAisAhinting.AByAmakingAcommunicationAmoreAe
xplicit,AissuesAareAeasierAtoAidentifyAandAresolve.ATheAremainingAoptionsAareAnon-
therapeuticAtechniques.ATellingAtheApatientAnotAtoA"talkAthatAway"AisAdisapproving.ASayingAt
,hatAeveryoneAfeelsAthatAwayAatAtimesAminimizesAfeelings.ATellingAtheApatientAthatAgoodAwo
rkAwillAalwaysAresultAinAsuccessAisAfalselyAreassuring.
DocumentationAinAaApatient'sAchartAshows,A"ThroughoutAaA5-
minuteAinteraction,ApatientAfidgetedAandAtappedAleftAfoot,AperiodicallyAcoveredAfaceAwithAh
ands,AandAlookedAunderAchairAwhileAstating,A'IAenjoyAspendingAtimeAwithAyou.'"AWhichAanal
ysisAisAmostAaccurate?
a.ATheApatientAisAgivingApositiveAfeedbackAaboutAtheAnurse'sAcommunicationAtechniques.
b.ATheAnurseAisAviewingAtheApatient'sAbehaviorAthroughAaAculturalAfilter.
c.ATheApatient'sAverbalAandAnonverbalAmessagesAareAincongruent.
d.ATheApatientAisAdemonstratingApsychoticAbehaviors.A-AcorrectAanswers-ANS:AC
WhenAaAverbalAmessageAisAnotAreinforcedAwithAnonverbalAbehavior,AtheAmessageAisAconf
usingAandAincongruent.ASomeAcliniciansAcallAitAaA"mixedAmessage."AItAisAinaccurateAtoAsayA
thatAtheApatientAisAgivingApositiveAfeedbackAaboutAtheAnurse'sAcommunicationAtechniques.
ATheAconceptAofAaAculturalAfilterAisAnotArelevantAtoAtheAsituationAbecauseAaAculturalAfilterAdet
erminesAwhatAweAwillApayAattentionAtoAandAwhatAweAwillAignore.ADataAareAinsufficientAtoAdr
awAtheAconclusionAthatAtheApatientAisAdemonstratingApsychoticAbehaviors.
WhileAtalkingAwithAaApatientAdiagnosedAwithAmajorAdepression,AaAnurseAnoticesAtheApatien
tAisAunableAtoAmaintainAeyeAcontact.ATheApatient'sAchinAlowersAtoAtheAchest,AwhileAtheApati
entAlooksAatAtheAfloor.AWhichAaspectAofAcommunicationAhasAtheAnurseAassessed?
a.ANonverbalAcommunicationA
b.AAAmessageAfilter
c.AAAculturalAbarrier
d.ASocialAskillsA-AcorrectAanswers-ANS:AA
EyeAcontactAandAbodyAmovementsAareAconsideredAnonverbalAcommunication.AThereAareA
insufficientAdataAtoAdetermineAtheAlevelAofAtheApatient'sAsocialAskillsAorAwhetherAaAculturalAb
arrierAexists.
DuringAtheAfirstAinterviewAwithAaAparentAwhoseAchildAdiedAinAaAcarAaccident,AtheAnurseAfeel
sAempathicAandAreachesAoutAtoAtakeAtheApatient'sAhand.ASelectAtheAcorrectAanalysisAofAtheA
nurse'sAbehavior.
a.AItAshowsAempathyAandAcompassion.AItAwillAencourageAtheApatientAtoAcontinueAtoAexpres
sAfeelings.
b.ATheAgestureAisApremature.ATheApatient'sAculturalAandAindividualAinterpretationAofAtouchAi
sAunknown.
c.ATheApatientAwillAperceiveAtheAgestureAasAintrusiveAandAoversteppingAboundaries.
d.ATheAactionAisAinappropriate.APsychiatricApatientsAshouldAnotAbeAtouched.A-
AcorrectAanswers-ANS:AB
TouchAhasAvariousAculturalAandAindividualAinterpretations.ANursesAshouldArefrainAfromAusi
ngAtouchAuntilAanAassessmentAcanAbeAmadeAregardingAtheAwayAinAwhichAtheApatientAwillAp
erceiveAtouch.ATheAotherAoptionsApresentAprematurelyAdrawnAconclusions.
DuringAaAone-on-
oneAinteractionAwithAtheAnurse,AaApatientAfrequentlyAlooksAnervouslyAatAtheAdoor.ASelectAth
eAbestAcommentAbyAtheAnurseAregardingAthisAnonverbalAcommunication.
a.A"IAnoticeAyouAkeepAlookingAtowardAtheAdoor."
b.A"ThisAisAourAtimeAtogether.ANoAoneAisAgoingAtoAinterruptAus."
c.A"ItAlooksAasAifAyouAareAeagerAtoAendAourAdiscussionAforAtoday."
, d.A"IfAyouAareAuncomfortableAinAthisAroom,AweAcanAmoveAsomeplaceAelse."A-
AcorrectAanswers-ANS:AA
MakingAobservationsAandAencouragingAtheApatientAtoAdescribeAperceptionsAareAusefulAthe
rapeuticAcommunicationAtechniquesAforAthisAsituation.ATheAotherAresponsesAareAassumpti
onsAmadeAbyAtheAnurse.
AAblackApatientAsaysAtoAaAwhiteAnurse,A"There'sAnoAsenseAtalking.AYouAwouldn'tAunderstan
dAbecauseAyouAliveAinAaAwhiteAworld."ATheAnurse'sAbestAactionAwouldAbeAto:
a.Aexplain,A"Yes,AIAdoAunderstand.AEveryoneAgoesAthroughAtheAsameAexperiences."
b.Asay,A"PleaseAgiveAanAexampleAofAsomethingAyouAthinkAIAwouldn'tAunderstand."
c.AreassureAtheApatientAthatAnursesAinteractAwithApeopleAfromAallAcultures.
d.AchangeAtheAsubjectAtoAoneAthatAisAlessAemotionallyAdisturbing.A-AcorrectAanswers-
ANS:AB
HavingAtheApatientAspeakAinAspecificsAratherAthanAgloballyAwillAhelpAtheAnurseAunderstandA
theApatient'sAperspective.AThisAapproachAwillAhelpAtheAnurseAengageAtheApatient.AReassur
anceAandAchangingAtheAsubjectAareAnotAtherapeuticAtechniques.
AAFilipinoAAmericanApatientAhadAaAnursingAdiagnosisAofAsituationalAlowAself-
esteemArelatedAtoApoorAsocialAskillsAasAevidencedAbyAlackAofAeyeAcontact.AInterventionsAw
ereAusedAtoAraiseAtheApatient'sAself-
esteem,AbutAafterA3Aweeks,AtheApatient'sAeyeAcontactAdidAnotAimprove.AWhatAisAtheAmostAa
ccurateAanalysisAofAthisAscenario?
a.ATheApatient'sAeyeAcontactAshouldAhaveAbeenAdirectlyAaddressedAbyArole-
playingAtoAincreaseAcomfortAwithAeyeAcontact.
b.ATheAnurseAshouldAnotAhaveAindependentlyAembarkedAonAassessment,Adiagnosis,AandA
planningAforAthisApatient.
c.ATheApatient'sApoorAeyeAcontactAisAindicativeAofAangerAandAhostilityAthatAwereAunaddress
ed.
d.ATheAnurseAshouldAhaveAassessedAtheApatient'sAcultureAbeforeAmakingAthisAdiagnosisAa
ndAplan.A-AcorrectAanswers-ANS:AD
TheAamountAofAeyeAcontactAaApersonAengagesAinAisAoftenAculturallyAdetermined.AInAsomeA
cultures,AeyeAcontactAisAconsideredAinsolent,AwhereasAinAothersAeyeAcontactAisAexpected.A
AsianAAmericans,AincludingApersonsAfromAtheAPhilippines,AoftenApreferAnotAtoAengageAinAd
irectAeyeAcontact.
WhenAaAfemaleAMexicanAAmericanApatientAandAaAfemaleAnurseAsitAtogether,AtheApatientAof
tenAholdsAtheAnurse'sAhand.ATheApatientAalsoAlinksAarmsAwithAtheAnurseAwhenAtheyAwalk.AT
heAnurseAisAuncomfortableAwithAthisAbehavior.AWhichAanalysisAisAmostAaccurate?
a.ATheApatientAisAaccustomedAtoAtouchAduringAconversation,AasAareAmembersAofAmanyAHis
panicAsubcultures.
b.ATheApatientAunderstandsAthatAtouchAmakesAtheAnurseAuncomfortableAandAcontrolsAtheAr
elationshipAbasedAonAthatAfactor.
c.ATheApatientAisAafraidAofAbeingAalone.AWhenAtouchingAtheAnurse,AtheApatientAisAreassure
dAandAcomforted.
d.ATheApatientAisAtryingAtoAmanipulateAtheAnurseAusingAnonverbalAtechniques.A-
AcorrectAanswers-ANS:AA
TheAmostAlikelyAanswerAisAthatAtheApatient'sAbehaviorAisAculturallyAinfluenced.AHispanicAwo
menAfrequentlyAtouchAwomenAtheyAconsiderAtoAbeAtheirAfriends.AAlthoughAtheAotherAoption
sAareApossible,AtheyAareAlessAlikely.
practice questions and answers 2025
AApatientAsaysAtoAtheAnurse,A"IAdreamedAIAwasAstoned.AWhenAIAwokeAup,AIAfeltAemotionallyA
drained,AasAthoughAIAhadn'tArestedAwell."AWhichAresponseAshouldAtheAnurseAuseAtoAclarifyA
theApatient'sAcomment?
a.A"ItAsoundsAasAthoughAyouAwereAuncomfortableAwithAtheAcontentAofAyourAdream."
b.A"IAunderstandAwhatAyou'reAsaying.ABadAdreamsAleaveAmeAfeelingAtired,Atoo."
c.A"SoAyouAfeelAasAthoughAyouAdidAnotAgetAenoughAqualityAsleepAlastAnight?"
d.A"CanAyouAgiveAmeAanAexampleAofAwhatAyouAmeanAbyA'stoned'?"A-AcorrectAanswers-
ANS:AD
TheAtechniqueAofAclarificationAisAtherapeuticAandAhelpsAtheAnurseAexamineAtheAmeaningAof
AtheApatient'sAstatement.AAskingAforAaAdefinitionAofA"stoned"AdirectlyAasksAforAclarification.A
RestatingAthatAtheApatientAisAuncomfortableAwithAtheAdream'sAcontentAisAparroting,AaAnon-
therapeuticAtechnique.ATheAotherAresponsesAfailAtoAclarifyAtheAmeaningAofAtheApatient'sAco
mment.
AApatientAdiagnosedAwithAschizophreniaAtellsAtheAnurse,A"TheACIAAisAmonitoringAusAthroug
hAtheAfluorescentAlightsAinAthisAroom.ABeAcarefulAwhatAyouAsay."AWhichAresponseAbyAtheAn
urseAwouldAbeAmostAtherapeutic?
a.A"Let'sAtalkAaboutAsomethingAotherAthanAtheACIA."
b.A"ItAsoundsAlikeAyou'reAconcernedAaboutAyourAprivacy."
c.A"TheACIAAisAprohibitedAfromAoperatingAinAhealthAcareAfacilities."
d.A"YouAhaveAlostAtouchAwithAreality,AwhichAisAaAsymptomAofAyourAillness."A-
AcorrectAanswers-ANS:AB
ItAisAimportantAnotAtoAchallengeAtheApatient'sAbeliefs,AevenAifAtheyAareAunrealistic.AChalleng
ingAunderminesAtheApatient'sAtrustAinAtheAnurse.ATheAnurseAshouldAtryAtoAunderstandAtheAu
nderlyingAfeelingsAorAthoughtsAtheApatient'sAmessageAconveys.ATheAcorrectAresponseAuse
sAtheAtherapeuticAtechniqueAofAreflection.ATheAotherAcommentsAareAnon-
therapeutic.AAskingAtoAtalkAaboutAsomethingAotherAthanAtheAconcernAatAhandAisAchangingAt
heAsubject.ASayingAthatAtheACIAAisAprohibitedAfromAoperatingAinAhealthAcareAfacilitiesAgives
AfalseAreassurance.AStatingAthatAtheApatientAhasAlostAtouchAwithArealityAisAtruthful,AbutAunco
mpassionate.
TheApatientAsays,A"MyAmarriageAisAjustAgreat.AMyAspouseAandAIAalwaysAagree."ATheAnurseA
observesAtheApatient'sAfootAmovingAcontinuouslyAasAtheApatientAtwirlsAaAshirtAbutton.ATheAc
onclusionAtheAnurseAcanAdrawAisAthatAtheApatient'sAcommunicationAis:
a.Aclear.A
b.Amixed.
c.Aprecise.
d.Ainadequate.A-AcorrectAanswers-ANS:AB
MixedAmessagesAinvolveAtheAtransmissionAofAconflictingAorAincongruentAmessagesAbyAthe
Aspeaker.ATheApatient'sAverbalAmessageAthatAallAwasAwellAinAtheArelationshipAwasAmodified
AbyAtheAnonverbalAbehaviorsAdenotingAanxiety.ADataAareAnotApresentAtoAsupportAtheAchoic
eAofAtheAverbalAmessageAbeingAclear,Aexplicit,AorAinadequate.
,AAnurseAinteractsAwithAaAnewlyAhospitalizedApatient.ASelectAtheAnurse'sAcommentAthatAapp
liesAtheAcommunicationAtechniqueAofA"offeringAself."
a.A"I'veAalsoAhadAtraumaticAlifeAexperiences.AMaybeAitAwouldAhelpAifAIAtoldAyouAaboutAthem.
"
b.A"WhyAdoAyouAthinkAyouAhadAsoAmuchAdifficultyAadjustingAtoAthisAchangeAinAyourAlife?"
c.A"IAhopeAyouAwillAfeelAbetterAafterAgettingAaccustomedAtoAhowAthisAunitAoperates."
d.A"I'dAlikeAtoAsitAwithAyouAforAaAwhileAtoAhelpAyouAgetAcomfortableAtalkingAtoAme."A-
AcorrectAanswers-ANS:AD
"OfferingAself"AisAaAtechniqueAthatAshouldAbeAusedAinAtheAorientationAphaseAofAtheAnurse-
patientArelationship.ASittingAwithAtheApatient,AanAexampleAofA"offeringAself,"AhelpsAtoAbuildAt
rustAandAconveyAthatAtheAnurseAcaresAaboutAtheApatient.ATwoAincorrectAresponsesAareAinef
fectiveAandAnon-
therapeutic.ATheAotherAincorrectAresponseAisAtherapeuticAbutAisAanAexampleAofA"offeringAh
ope."
WhichAtechniqueAwillAbestAcommunicateAtoAaApatientAthatAtheAnurseAisAinterestedAinAlisteni
ng?
a.ARestatingAaAfeelingAorAthoughtAtheApatientAhasAexpressed.
b.AAskingAaAdirectAquestion,AsuchAasA"DidAyouAfeelAangry?"
c.AMakingAaAjudgmentAaboutAtheApatient'sAproblem.
d.ASaying,A"IAunderstandAwhatAyou'reAsaying."A-AcorrectAanswers-ANS:AA
RestatingAallowsAtheApatientAtoAvalidateAtheAnurse'sAunderstandingAofAwhatAhasAbeenAcom
municated.ARestatingAisAanAactiveAlisteningAtechnique.AJudgmentsAshouldAbeAsuspendedAi
nAaAnurse-patientArelationship.AClose-
endedAquestionsAsuchAasA"DidAyouAfeelAangry?"AaskAforAspecificAinformationAratherAthanAs
howingAunderstanding.AWhenAtheAnurseAsimplyAstatesAthatAheAorAsheAunderstandsAtheApat
ient'sAwords,AtheApatientAhasAnoAwayAofAmeasuringAtheAunderstanding.
AApatientAdisclosesAseveralAconcernsAandAassociatedAfeelings.AIfAtheAnurseAwantsAtoAseek
Aclarification,AwhichAcommentAwouldAbeAappropriate?
a.A"WhatAareAtheAcommonAelementsAhere?"
b.A"TellAmeAagainAaboutAyourAexperiences."
c.A"AmAIAcorrectAinAunderstandingAthatA.A.A."
d.A"TellAmeAeverythingAfromAtheAbeginning."A-AcorrectAanswers-ANS:AC
Asking,A"AmAIAcorrectAinAunderstandingAthat..."ApermitsAclarificationAtoAensureAthatAbothAth
eAnurseAandApatientAshareAmutualAunderstandingAofAtheAcommunication.AAskingAaboutAco
mmonAelementsAencouragesAcomparisonAratherAthanAclarification.ATheAremainingArespon
sesAareAimpliedAquestionsAthatAsuggestAtheAnurseAwasAnotAlistening.
AApatientAtellsAtheAnurse,A"IAdon'tAthinkAI'llAeverAgetAoutAofAhere."ASelectAtheAnurse'sAmostAth
erapeuticAresponse.
a.A"Don'tAtalkAthatAway.AOfAcourseAyouAwillAleaveAhere!"
b.A"KeepAupAtheAgoodAwork,AandAyouAcertainlyAwill."
c.A"YouAdon'tAthinkAyou'reAmakingAprogress?"
d.A"EveryoneAfeelsAthatAwayAsometimes."A-AcorrectAanswers-ANS:AC
ByAaskingAifAtheApatientAdoesAnotAbelieveAthatAprogressAhasAbeenAmade,AtheAnurseAisArefle
ctingAbyAputtingAintoAwordsAwhatAtheApatientAisAhinting.AByAmakingAcommunicationAmoreAe
xplicit,AissuesAareAeasierAtoAidentifyAandAresolve.ATheAremainingAoptionsAareAnon-
therapeuticAtechniques.ATellingAtheApatientAnotAtoA"talkAthatAway"AisAdisapproving.ASayingAt
,hatAeveryoneAfeelsAthatAwayAatAtimesAminimizesAfeelings.ATellingAtheApatientAthatAgoodAwo
rkAwillAalwaysAresultAinAsuccessAisAfalselyAreassuring.
DocumentationAinAaApatient'sAchartAshows,A"ThroughoutAaA5-
minuteAinteraction,ApatientAfidgetedAandAtappedAleftAfoot,AperiodicallyAcoveredAfaceAwithAh
ands,AandAlookedAunderAchairAwhileAstating,A'IAenjoyAspendingAtimeAwithAyou.'"AWhichAanal
ysisAisAmostAaccurate?
a.ATheApatientAisAgivingApositiveAfeedbackAaboutAtheAnurse'sAcommunicationAtechniques.
b.ATheAnurseAisAviewingAtheApatient'sAbehaviorAthroughAaAculturalAfilter.
c.ATheApatient'sAverbalAandAnonverbalAmessagesAareAincongruent.
d.ATheApatientAisAdemonstratingApsychoticAbehaviors.A-AcorrectAanswers-ANS:AC
WhenAaAverbalAmessageAisAnotAreinforcedAwithAnonverbalAbehavior,AtheAmessageAisAconf
usingAandAincongruent.ASomeAcliniciansAcallAitAaA"mixedAmessage."AItAisAinaccurateAtoAsayA
thatAtheApatientAisAgivingApositiveAfeedbackAaboutAtheAnurse'sAcommunicationAtechniques.
ATheAconceptAofAaAculturalAfilterAisAnotArelevantAtoAtheAsituationAbecauseAaAculturalAfilterAdet
erminesAwhatAweAwillApayAattentionAtoAandAwhatAweAwillAignore.ADataAareAinsufficientAtoAdr
awAtheAconclusionAthatAtheApatientAisAdemonstratingApsychoticAbehaviors.
WhileAtalkingAwithAaApatientAdiagnosedAwithAmajorAdepression,AaAnurseAnoticesAtheApatien
tAisAunableAtoAmaintainAeyeAcontact.ATheApatient'sAchinAlowersAtoAtheAchest,AwhileAtheApati
entAlooksAatAtheAfloor.AWhichAaspectAofAcommunicationAhasAtheAnurseAassessed?
a.ANonverbalAcommunicationA
b.AAAmessageAfilter
c.AAAculturalAbarrier
d.ASocialAskillsA-AcorrectAanswers-ANS:AA
EyeAcontactAandAbodyAmovementsAareAconsideredAnonverbalAcommunication.AThereAareA
insufficientAdataAtoAdetermineAtheAlevelAofAtheApatient'sAsocialAskillsAorAwhetherAaAculturalAb
arrierAexists.
DuringAtheAfirstAinterviewAwithAaAparentAwhoseAchildAdiedAinAaAcarAaccident,AtheAnurseAfeel
sAempathicAandAreachesAoutAtoAtakeAtheApatient'sAhand.ASelectAtheAcorrectAanalysisAofAtheA
nurse'sAbehavior.
a.AItAshowsAempathyAandAcompassion.AItAwillAencourageAtheApatientAtoAcontinueAtoAexpres
sAfeelings.
b.ATheAgestureAisApremature.ATheApatient'sAculturalAandAindividualAinterpretationAofAtouchAi
sAunknown.
c.ATheApatientAwillAperceiveAtheAgestureAasAintrusiveAandAoversteppingAboundaries.
d.ATheAactionAisAinappropriate.APsychiatricApatientsAshouldAnotAbeAtouched.A-
AcorrectAanswers-ANS:AB
TouchAhasAvariousAculturalAandAindividualAinterpretations.ANursesAshouldArefrainAfromAusi
ngAtouchAuntilAanAassessmentAcanAbeAmadeAregardingAtheAwayAinAwhichAtheApatientAwillAp
erceiveAtouch.ATheAotherAoptionsApresentAprematurelyAdrawnAconclusions.
DuringAaAone-on-
oneAinteractionAwithAtheAnurse,AaApatientAfrequentlyAlooksAnervouslyAatAtheAdoor.ASelectAth
eAbestAcommentAbyAtheAnurseAregardingAthisAnonverbalAcommunication.
a.A"IAnoticeAyouAkeepAlookingAtowardAtheAdoor."
b.A"ThisAisAourAtimeAtogether.ANoAoneAisAgoingAtoAinterruptAus."
c.A"ItAlooksAasAifAyouAareAeagerAtoAendAourAdiscussionAforAtoday."
, d.A"IfAyouAareAuncomfortableAinAthisAroom,AweAcanAmoveAsomeplaceAelse."A-
AcorrectAanswers-ANS:AA
MakingAobservationsAandAencouragingAtheApatientAtoAdescribeAperceptionsAareAusefulAthe
rapeuticAcommunicationAtechniquesAforAthisAsituation.ATheAotherAresponsesAareAassumpti
onsAmadeAbyAtheAnurse.
AAblackApatientAsaysAtoAaAwhiteAnurse,A"There'sAnoAsenseAtalking.AYouAwouldn'tAunderstan
dAbecauseAyouAliveAinAaAwhiteAworld."ATheAnurse'sAbestAactionAwouldAbeAto:
a.Aexplain,A"Yes,AIAdoAunderstand.AEveryoneAgoesAthroughAtheAsameAexperiences."
b.Asay,A"PleaseAgiveAanAexampleAofAsomethingAyouAthinkAIAwouldn'tAunderstand."
c.AreassureAtheApatientAthatAnursesAinteractAwithApeopleAfromAallAcultures.
d.AchangeAtheAsubjectAtoAoneAthatAisAlessAemotionallyAdisturbing.A-AcorrectAanswers-
ANS:AB
HavingAtheApatientAspeakAinAspecificsAratherAthanAgloballyAwillAhelpAtheAnurseAunderstandA
theApatient'sAperspective.AThisAapproachAwillAhelpAtheAnurseAengageAtheApatient.AReassur
anceAandAchangingAtheAsubjectAareAnotAtherapeuticAtechniques.
AAFilipinoAAmericanApatientAhadAaAnursingAdiagnosisAofAsituationalAlowAself-
esteemArelatedAtoApoorAsocialAskillsAasAevidencedAbyAlackAofAeyeAcontact.AInterventionsAw
ereAusedAtoAraiseAtheApatient'sAself-
esteem,AbutAafterA3Aweeks,AtheApatient'sAeyeAcontactAdidAnotAimprove.AWhatAisAtheAmostAa
ccurateAanalysisAofAthisAscenario?
a.ATheApatient'sAeyeAcontactAshouldAhaveAbeenAdirectlyAaddressedAbyArole-
playingAtoAincreaseAcomfortAwithAeyeAcontact.
b.ATheAnurseAshouldAnotAhaveAindependentlyAembarkedAonAassessment,Adiagnosis,AandA
planningAforAthisApatient.
c.ATheApatient'sApoorAeyeAcontactAisAindicativeAofAangerAandAhostilityAthatAwereAunaddress
ed.
d.ATheAnurseAshouldAhaveAassessedAtheApatient'sAcultureAbeforeAmakingAthisAdiagnosisAa
ndAplan.A-AcorrectAanswers-ANS:AD
TheAamountAofAeyeAcontactAaApersonAengagesAinAisAoftenAculturallyAdetermined.AInAsomeA
cultures,AeyeAcontactAisAconsideredAinsolent,AwhereasAinAothersAeyeAcontactAisAexpected.A
AsianAAmericans,AincludingApersonsAfromAtheAPhilippines,AoftenApreferAnotAtoAengageAinAd
irectAeyeAcontact.
WhenAaAfemaleAMexicanAAmericanApatientAandAaAfemaleAnurseAsitAtogether,AtheApatientAof
tenAholdsAtheAnurse'sAhand.ATheApatientAalsoAlinksAarmsAwithAtheAnurseAwhenAtheyAwalk.AT
heAnurseAisAuncomfortableAwithAthisAbehavior.AWhichAanalysisAisAmostAaccurate?
a.ATheApatientAisAaccustomedAtoAtouchAduringAconversation,AasAareAmembersAofAmanyAHis
panicAsubcultures.
b.ATheApatientAunderstandsAthatAtouchAmakesAtheAnurseAuncomfortableAandAcontrolsAtheAr
elationshipAbasedAonAthatAfactor.
c.ATheApatientAisAafraidAofAbeingAalone.AWhenAtouchingAtheAnurse,AtheApatientAisAreassure
dAandAcomforted.
d.ATheApatientAisAtryingAtoAmanipulateAtheAnurseAusingAnonverbalAtechniques.A-
AcorrectAanswers-ANS:AA
TheAmostAlikelyAanswerAisAthatAtheApatient'sAbehaviorAisAculturallyAinfluenced.AHispanicAwo
menAfrequentlyAtouchAwomenAtheyAconsiderAtoAbeAtheirAfriends.AAlthoughAtheAotherAoption
sAareApossible,AtheyAareAlessAlikely.
