NUR2459/NUR 2459 Exam 1 V2 |
Mental and Behavioral Health
Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is communicating with a client who states, ‘I don’t think I can ever go back to work
again.’ The nurse responds, ‘You feel as though you won’t be able to return to your job?’
Which therapeutic communication technique is the nurse using?
A. Focusing
B. Restating
C. Summarizing
D. Giving advice
Correct Answer: B
Expert Explanation: Restating involves repeating the main idea of what the client has said
to let the client know they were heard. This technique encourages the client to continue
and provides clarity on the message. It is a key component of active listening in psychiatric
nursing.
2. Which ethical principle is defined as the duty to act in a way that benefits or promotes the
good of others?
A. Beneficence
,B. Autonomy
C. Justice
D. Veracity
Correct Answer: A
Expert Explanation: Beneficence is the duty to act in the best interest of the patient and
promote their well-being. It is one of the core ethical principles that guides decision-
making in nursing care. Nurses practice beneficence by advocating for patients and
ensuring they receive appropriate treatments.
3. A client is being admitted involuntarily to a psychiatric unit. Which of the following is a
legal requirement for this type of admission?
A. The client must be a danger to themselves or others.
B. The client must have a diagnosed personality disorder.
C. The client must sign a formal consent form for treatment.
D. The client must have failed outpatient therapy within the last month.
Correct Answer: A
Expert Explanation: Involuntary admission is based on the state’s power to protect
individuals and society. The primary criteria include the presence of a mental illness and a
risk of harm to self or others. This legal process ensures that people receive necessary care
even when they cannot recognize the need themselves.
, 4. A nurse is working with a client who is using the defense mechanism ‘displacement.’ Which
behavior should the nurse expect?
A. The client blames their spouse for their own drinking problem.
B. The client redirects their anger from their boss onto their spouse.
C. The client pretends that a stressful situation does not exist.
D. The client justifies their behavior with logical reasons.
Correct Answer: B
Expert Explanation: Displacement is the redirection of emotions or impulses to a less
threatening target. It allows the individual to discharge pent-up feelings without facing the
original source of stress. Recognizing this mechanism helps the nurse understand the root
of the client’s emotional reactions.
5. During which phase of the nurse-patient relationship does the nurse establish boundaries
and a contract?
A. Orientation phase
B. Termination phase
C. Working phase
D. Pre-orientation phase
Correct Answer: A
Mental and Behavioral Health
Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is communicating with a client who states, ‘I don’t think I can ever go back to work
again.’ The nurse responds, ‘You feel as though you won’t be able to return to your job?’
Which therapeutic communication technique is the nurse using?
A. Focusing
B. Restating
C. Summarizing
D. Giving advice
Correct Answer: B
Expert Explanation: Restating involves repeating the main idea of what the client has said
to let the client know they were heard. This technique encourages the client to continue
and provides clarity on the message. It is a key component of active listening in psychiatric
nursing.
2. Which ethical principle is defined as the duty to act in a way that benefits or promotes the
good of others?
A. Beneficence
,B. Autonomy
C. Justice
D. Veracity
Correct Answer: A
Expert Explanation: Beneficence is the duty to act in the best interest of the patient and
promote their well-being. It is one of the core ethical principles that guides decision-
making in nursing care. Nurses practice beneficence by advocating for patients and
ensuring they receive appropriate treatments.
3. A client is being admitted involuntarily to a psychiatric unit. Which of the following is a
legal requirement for this type of admission?
A. The client must be a danger to themselves or others.
B. The client must have a diagnosed personality disorder.
C. The client must sign a formal consent form for treatment.
D. The client must have failed outpatient therapy within the last month.
Correct Answer: A
Expert Explanation: Involuntary admission is based on the state’s power to protect
individuals and society. The primary criteria include the presence of a mental illness and a
risk of harm to self or others. This legal process ensures that people receive necessary care
even when they cannot recognize the need themselves.
, 4. A nurse is working with a client who is using the defense mechanism ‘displacement.’ Which
behavior should the nurse expect?
A. The client blames their spouse for their own drinking problem.
B. The client redirects their anger from their boss onto their spouse.
C. The client pretends that a stressful situation does not exist.
D. The client justifies their behavior with logical reasons.
Correct Answer: B
Expert Explanation: Displacement is the redirection of emotions or impulses to a less
threatening target. It allows the individual to discharge pent-up feelings without facing the
original source of stress. Recognizing this mechanism helps the nurse understand the root
of the client’s emotional reactions.
5. During which phase of the nurse-patient relationship does the nurse establish boundaries
and a contract?
A. Orientation phase
B. Termination phase
C. Working phase
D. Pre-orientation phase
Correct Answer: A
