PSYCHIATRIC MENTAL HEALTH
NURSING: SAUNDERS NCLEX REVIEW
EXAM WITH VERIFIED SOLUTIONS
A gclient gwith ga gdiagnosis gof gdepression gwho ghas gattempted gsuicide gsays gto gthe
gnurse, g"I gshould ghave gdied. gI've galways gbeen ga gfailure. gNothing gever ggoes
gright gfor gme." gWhich gresponse gby gthe gnurse gdemon- gstrates gtherapeutic
gcommunication?
1. g"You ghave geverything gto glive gfor."
2. g"Why gdo gyou gsee gyourself gas ga gfailure?"
3. g"Feeling glike gthis gis gall gpart gof gbeing gdepressed." g
4. g"You've gbeen gfeeling glike ga gfailure gfor ga gwhile?" g- gcorrect ganswers g-4
Rationale: gResponding gto gthe gfeelings gexpressed gby ga gclient gis gan geffective
gtherapeutic gcommunication gtechnique. gThe gcorrect goption gis gan gexample gof gthe
guse gof grestating. gThe gremaining goptions gblock gcommunication gbecause gthey
, gminimize gthe gcli- gent's gexperience gand gdo gnot gfacilitate gexploration gof gthe
gclient's gexpressed gfeelings. gIn gaddition, guse gof gthe gword gwhy gis gnontherapeutic.
The gnurse gvisits ga gclient gat ghome. gThe gclient gstates, g"I ghaven't gslept gat gall gthe
glast gcouple gof gnights." gWhich gresponse gby gthe gnurse gdemonstrates gthera-
gpeutic gcommunication?
1. g"I gsee."
2. g"Really?"
3. g"You're ghaving gdifficulty gsleeping?"
4. g"Sometimes gI ghave gtrouble gsleeping gtoo." g- gcorrect ganswers g-3
Rationale: gThe gcorrect goption guses gthe gtherapeutic gcommunica- gtion gtechnique gof
grestatement. gAlthough grestatement gis ga gtech- gnique gthat ghas ga gprompting
gcomponent gto git, git grepeats gthe gclient's gmajor gtheme, gwhich gassists gthe gnurse
gto gobtain ga gmore gspecific gperception gof gthe gproblem gfrom gthe gclient. gThe
gremain- ging goptions gare gnot gtherapeutic gresponses gsince gnone gencourages gthe
gclient gto gexpand gon gthe gproblem. gOffering gpersonal gexperi- gences gmoves gthe
gfocus gaway gfrom gthe gclient gand gonto gthe gnurse.
A gclient gexperiencing gdisturbed gthought gprocesses gbelieves gthat ghis gfood gis
gbeing gpoisoned. gWhich gcommunication gtechnique gshould gthe gnurse guse gto
gencourage gthe gclient gto geat?
1. gUsing gopen-ended gquestions gand gsilence
2. gSharing gpersonal gpreference gregarding gfood gchoices
3. gDocumenting greasons gwhy gthe gclient gdoes gnot gwant gto geat
4. gOffering gopinions gabout gthe gnecessity gof gadequate gnutrition g- gcorrect ganswers
g-1
Rationale: gOpen-ended gquestions gand gsilence gare gstrategies gused gto gencourage
gclients gto gdiscuss gtheir gproblems. gSharing gpersonal gfood gpreferences gis gnot ga
gclient-centered gintervention. gThe gremaining goptions gare gnot ghelpful gto gthe gclient
gbecause gthey gdo gnot gencourage gthe gclient gto gexpress gfeelings. gThe gnurse
gshould gnot goffer gopinions gand gshould gencourage gthe gclient gto gidentify gthe
greasons gfor gthe gbehavior.
The gnurse gshould gplan gwhich ggoals gof gthe gtermina- gtion gstage gof ggroup
gdevelopment? gSelect gall gthat gapply.
1. gThe ggroup gevaluates gthe gexperience.
2. gThe greal gwork gof gthe ggroup gis gaccomplished. g
3. gGroup ginteraction ginvolves gsuperficial gconversation.
4. gGroup gmembers gbecome gacquainted gwith gone ganother.
5. gSome gstructuring gof ggroup gnorms, groles, gand gresponsibilities gtakes gplace.
NURSING: SAUNDERS NCLEX REVIEW
EXAM WITH VERIFIED SOLUTIONS
A gclient gwith ga gdiagnosis gof gdepression gwho ghas gattempted gsuicide gsays gto gthe
gnurse, g"I gshould ghave gdied. gI've galways gbeen ga gfailure. gNothing gever ggoes
gright gfor gme." gWhich gresponse gby gthe gnurse gdemon- gstrates gtherapeutic
gcommunication?
1. g"You ghave geverything gto glive gfor."
2. g"Why gdo gyou gsee gyourself gas ga gfailure?"
3. g"Feeling glike gthis gis gall gpart gof gbeing gdepressed." g
4. g"You've gbeen gfeeling glike ga gfailure gfor ga gwhile?" g- gcorrect ganswers g-4
Rationale: gResponding gto gthe gfeelings gexpressed gby ga gclient gis gan geffective
gtherapeutic gcommunication gtechnique. gThe gcorrect goption gis gan gexample gof gthe
guse gof grestating. gThe gremaining goptions gblock gcommunication gbecause gthey
, gminimize gthe gcli- gent's gexperience gand gdo gnot gfacilitate gexploration gof gthe
gclient's gexpressed gfeelings. gIn gaddition, guse gof gthe gword gwhy gis gnontherapeutic.
The gnurse gvisits ga gclient gat ghome. gThe gclient gstates, g"I ghaven't gslept gat gall gthe
glast gcouple gof gnights." gWhich gresponse gby gthe gnurse gdemonstrates gthera-
gpeutic gcommunication?
1. g"I gsee."
2. g"Really?"
3. g"You're ghaving gdifficulty gsleeping?"
4. g"Sometimes gI ghave gtrouble gsleeping gtoo." g- gcorrect ganswers g-3
Rationale: gThe gcorrect goption guses gthe gtherapeutic gcommunica- gtion gtechnique gof
grestatement. gAlthough grestatement gis ga gtech- gnique gthat ghas ga gprompting
gcomponent gto git, git grepeats gthe gclient's gmajor gtheme, gwhich gassists gthe gnurse
gto gobtain ga gmore gspecific gperception gof gthe gproblem gfrom gthe gclient. gThe
gremain- ging goptions gare gnot gtherapeutic gresponses gsince gnone gencourages gthe
gclient gto gexpand gon gthe gproblem. gOffering gpersonal gexperi- gences gmoves gthe
gfocus gaway gfrom gthe gclient gand gonto gthe gnurse.
A gclient gexperiencing gdisturbed gthought gprocesses gbelieves gthat ghis gfood gis
gbeing gpoisoned. gWhich gcommunication gtechnique gshould gthe gnurse guse gto
gencourage gthe gclient gto geat?
1. gUsing gopen-ended gquestions gand gsilence
2. gSharing gpersonal gpreference gregarding gfood gchoices
3. gDocumenting greasons gwhy gthe gclient gdoes gnot gwant gto geat
4. gOffering gopinions gabout gthe gnecessity gof gadequate gnutrition g- gcorrect ganswers
g-1
Rationale: gOpen-ended gquestions gand gsilence gare gstrategies gused gto gencourage
gclients gto gdiscuss gtheir gproblems. gSharing gpersonal gfood gpreferences gis gnot ga
gclient-centered gintervention. gThe gremaining goptions gare gnot ghelpful gto gthe gclient
gbecause gthey gdo gnot gencourage gthe gclient gto gexpress gfeelings. gThe gnurse
gshould gnot goffer gopinions gand gshould gencourage gthe gclient gto gidentify gthe
greasons gfor gthe gbehavior.
The gnurse gshould gplan gwhich ggoals gof gthe gtermina- gtion gstage gof ggroup
gdevelopment? gSelect gall gthat gapply.
1. gThe ggroup gevaluates gthe gexperience.
2. gThe greal gwork gof gthe ggroup gis gaccomplished. g
3. gGroup ginteraction ginvolves gsuperficial gconversation.
4. gGroup gmembers gbecome gacquainted gwith gone ganother.
5. gSome gstructuring gof ggroup gnorms, groles, gand gresponsibilities gtakes gplace.
