NSG 3450 Mental Health Exam 2, Unit 3 EXAM
QUESTIONS AND VERIFIED CORRECT ANSWERS
LATEST 2026-2027 NEW VERSION
A nurse assessed a client who reluctantly participated in activities, answered
questions with minimal responses, and rarely made eye contact. What information
should be included when documenting the assessment? (Select all that apply.)
a. The client was uncooperative
b. The client's subjective responses
c. Only data obtained from the client's verbal responses
d. A description of the client's behavior during the interview
e. Analysis of why the client was unresponsive during the interview - answer>>>b.
The client's subjective responses
d. A description of the client's behavior during the interview
A nurse performing an assessment interview for a client with a substance use
disorder decides to use a standardized rating scale. Which scales are appropriate?
(Select all that apply.)
a. Addiction Severity Index (ASI)
b. Brief Drug Abuse Screen Test (B-DAST)
c. Abnormal Involuntary Movement Scale (AIMS)
d. Cognitive Capacity Screening Examination (CCSE)
e. Recovery Attitude and Treatment Evaluator (RAATE) - answer>>>a. Addiction
Severity Index (ASI)
b. Brief Drug Abuse Screen Test (B-DAST)
e. Recovery Attitude and Treatment Evaluator (RAATE)
What information is conveyed by nursing diagnoses? (Select all that apply.)
a. Medical judgments about the disorder
b. Unmet client needs currently present
, -
c. Goals and outcomes for the plan of care
d. Supporting data that validate the diagnoses
e. Probable causes that will be targets for nursing interventions - answer>>>b.
Unmet client needs currently present
d. Supporting data that validate the diagnoses
e. Probable causes that will be targets for nursing interventions
A client is very suspicious and states, "The FBI has me under surveillance." Which
strategies should a nurse use when gathering initial assessment data about this
client? (Select all that apply.)
a. Tell the client that medication will help this type of thinking.
b. Ask the client, "Tell me about the problem as you see it."
c. Seek information about when the problem began.
d. Tell the client, "Your ideas are not realistic."
e. Reassure the client, "You are safe here." - answer>>>b. Ask the client, "Tell me
about the problem as you see it."
c. Seek information about when the problem began.
e. Reassure the client, "You are safe here."
A nurse assesses a confused older adult. The nurse experiences sadness and reflects,
"This patient is like one of my grandparents ... so helpless." Which response is the
nurse demonstrating?
a. Transference
b. Countertransference
c. Catastrophic reaction
d. Defensive coping reaction - answer>>>b. Countertransference
,Which statement shows a nurse has empathy for a patient who made a suicide
attempt?
a. "You must have been very upset when you tried to hurt yourself."
b. "It makes me sad to see you going through such a difficult experience."
c. "If you tell me what is troubling you, I can help you solve your problems."
d. "Suicide is a drastic solution to a problem that may not be such a serious matter."
- answer>>>a. "You must have been very upset when you tried to hurt yourself."
After several therapeutic encounters with a patient who recently attempted suicide,
which occurrence should cause the nurse to consider the possibility of
countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The patient states, "Talking to you feels like talking to my parents."
c. The nurse feels unusually happy when the patient's mood begins to lift.
d. The nurse develops a trusting relationship with the patient. - answer>>>c. The
nurse feels unusually happy when the patient's mood begins to lift.
A patient says, "Please don't share information about me with the other people."
How should the nurse respond?
a. "I will not share information with your family or friends without your permission,
but I will share information about you with other staff."
b. "A therapeutic relationship is just between the nurse and the patient. It is up to
you
to tell others what you want them to know."
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 others."
d. "I cannot tell anyone about you. It will be as though I am talking about my own
problems, and we can help each other by keeping it between us." - answer>>>a. "I
will not share information with your family or friends without your permission,
but I will share information about you with other staff."
, -
A nurse is talking with a patient, and 5 minutes remain in the session. The patient
has been silent most of the session. Another patient comes to the door of the room,
interrupts, and says to the nurse, "I really need to talk to you." What action should
nurse take?
a. Invite the interrupting patient to join in the session with the current patient.
b. Tell the interrupting patient, "I am not available to talk with you at the present
time."
c. End the unproductive session with the current patient and spend time with the
interrupting patient.
d. Tell the interrupting patient, "This session is 5 more minutes; then I will talk with
you." - answer>>>d. Tell the interrupting patient, "This session is 5 more minutes;
then I will talk with you."
Termination of a therapeutic nurse-patient relationship has been successful when
the
nurse engages in what activity?
a. Avoids upsetting the patient by shifting focus to other patients before the
discharge.
b. Gives the patient a personal telephone number and permission to call after
discharge.
c. Discusses with the patient changes that happened during the relationship and
evaluates outcomes.
d. Offers to meet the patient for coffee and conversation three times a week after
discharge. - answer>>>c. Discusses with the patient changes that happened during
the relationship and
evaluates outcomes.
QUESTIONS AND VERIFIED CORRECT ANSWERS
LATEST 2026-2027 NEW VERSION
A nurse assessed a client who reluctantly participated in activities, answered
questions with minimal responses, and rarely made eye contact. What information
should be included when documenting the assessment? (Select all that apply.)
a. The client was uncooperative
b. The client's subjective responses
c. Only data obtained from the client's verbal responses
d. A description of the client's behavior during the interview
e. Analysis of why the client was unresponsive during the interview - answer>>>b.
The client's subjective responses
d. A description of the client's behavior during the interview
A nurse performing an assessment interview for a client with a substance use
disorder decides to use a standardized rating scale. Which scales are appropriate?
(Select all that apply.)
a. Addiction Severity Index (ASI)
b. Brief Drug Abuse Screen Test (B-DAST)
c. Abnormal Involuntary Movement Scale (AIMS)
d. Cognitive Capacity Screening Examination (CCSE)
e. Recovery Attitude and Treatment Evaluator (RAATE) - answer>>>a. Addiction
Severity Index (ASI)
b. Brief Drug Abuse Screen Test (B-DAST)
e. Recovery Attitude and Treatment Evaluator (RAATE)
What information is conveyed by nursing diagnoses? (Select all that apply.)
a. Medical judgments about the disorder
b. Unmet client needs currently present
, -
c. Goals and outcomes for the plan of care
d. Supporting data that validate the diagnoses
e. Probable causes that will be targets for nursing interventions - answer>>>b.
Unmet client needs currently present
d. Supporting data that validate the diagnoses
e. Probable causes that will be targets for nursing interventions
A client is very suspicious and states, "The FBI has me under surveillance." Which
strategies should a nurse use when gathering initial assessment data about this
client? (Select all that apply.)
a. Tell the client that medication will help this type of thinking.
b. Ask the client, "Tell me about the problem as you see it."
c. Seek information about when the problem began.
d. Tell the client, "Your ideas are not realistic."
e. Reassure the client, "You are safe here." - answer>>>b. Ask the client, "Tell me
about the problem as you see it."
c. Seek information about when the problem began.
e. Reassure the client, "You are safe here."
A nurse assesses a confused older adult. The nurse experiences sadness and reflects,
"This patient is like one of my grandparents ... so helpless." Which response is the
nurse demonstrating?
a. Transference
b. Countertransference
c. Catastrophic reaction
d. Defensive coping reaction - answer>>>b. Countertransference
,Which statement shows a nurse has empathy for a patient who made a suicide
attempt?
a. "You must have been very upset when you tried to hurt yourself."
b. "It makes me sad to see you going through such a difficult experience."
c. "If you tell me what is troubling you, I can help you solve your problems."
d. "Suicide is a drastic solution to a problem that may not be such a serious matter."
- answer>>>a. "You must have been very upset when you tried to hurt yourself."
After several therapeutic encounters with a patient who recently attempted suicide,
which occurrence should cause the nurse to consider the possibility of
countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The patient states, "Talking to you feels like talking to my parents."
c. The nurse feels unusually happy when the patient's mood begins to lift.
d. The nurse develops a trusting relationship with the patient. - answer>>>c. The
nurse feels unusually happy when the patient's mood begins to lift.
A patient says, "Please don't share information about me with the other people."
How should the nurse respond?
a. "I will not share information with your family or friends without your permission,
but I will share information about you with other staff."
b. "A therapeutic relationship is just between the nurse and the patient. It is up to
you
to tell others what you want them to know."
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 others."
d. "I cannot tell anyone about you. It will be as though I am talking about my own
problems, and we can help each other by keeping it between us." - answer>>>a. "I
will not share information with your family or friends without your permission,
but I will share information about you with other staff."
, -
A nurse is talking with a patient, and 5 minutes remain in the session. The patient
has been silent most of the session. Another patient comes to the door of the room,
interrupts, and says to the nurse, "I really need to talk to you." What action should
nurse take?
a. Invite the interrupting patient to join in the session with the current patient.
b. Tell the interrupting patient, "I am not available to talk with you at the present
time."
c. End the unproductive session with the current patient and spend time with the
interrupting patient.
d. Tell the interrupting patient, "This session is 5 more minutes; then I will talk with
you." - answer>>>d. Tell the interrupting patient, "This session is 5 more minutes;
then I will talk with you."
Termination of a therapeutic nurse-patient relationship has been successful when
the
nurse engages in what activity?
a. Avoids upsetting the patient by shifting focus to other patients before the
discharge.
b. Gives the patient a personal telephone number and permission to call after
discharge.
c. Discusses with the patient changes that happened during the relationship and
evaluates outcomes.
d. Offers to meet the patient for coffee and conversation three times a week after
discharge. - answer>>>c. Discusses with the patient changes that happened during
the relationship and
evaluates outcomes.
