NSRG 126 Exam 1 V3 | NSRG 126 Mental
Health Nursing | Actual Q&A with
Rationale (NSRG126 Exam 1) | Ivy Tech
1. A nurse is working with a client during the orientation phase of the therapeutic
relationship. Which of the following actions is the priority for the nurse to perform?
A. Establishing the parameters of the relationship
B. Promoting the client’s problem-solving skills
C. Establishing the parameters of the relationship
D. Evaluating the client’s progress toward goals
Correct Answer: C
The orientation phase is the first stage of the nurse-client relationship where the nurse
establishes the contract and parameters of the relationship. This includes defining the time,
place, and duration of meetings to provide a sense of security and structure. Promoting
problem-solving occurs in the working phase, while evaluation occurs in the termination
phase.
2. A client diagnosed with schizophrenia refuses to take their morning medication. The nurse
respects the client’s decision based on which ethical principle?
A. Beneficence
B. Justice
,C. Autonomy
D. Veracity
Correct Answer: C
Autonomy is the ethical principle that recognizes the right of the individual to make their
own decisions regarding their health care. Even if the nurse believes the medication is
necessary, the client’s right to refuse must be upheld unless they are a danger to
themselves or others. This principle is a cornerstone of mental health law and Ivy Tech
nursing ethics.
3. Which statement by the nurse best demonstrates the therapeutic communication
technique of ‘restating’?
A. ‘I noticed you are wearing a clean shirt today.’
B. ‘Can you tell me more about that feeling?’
C. “You say that you are feeling frustrated with your family.”
D. ‘What would you like to discuss today?’
Correct Answer: C
Restating involves repeating the main idea expressed by the client to let them know the
nurse has heard what was said. This technique encourages the client to continue and
provides an opportunity for clarification if the nurse misunderstood. Other options
represent giving recognition, exploring, and offering a broad opening.
, 4. A nurse is caring for a client who was admitted involuntarily following a suicide attempt.
Which of the following statements is true regarding this client’s rights?
A. The client loses their right to vote in legal elections.
B. The client cannot refuse any psychiatric medications.
C. The client is not allowed to communicate with people outside the facility.
D. The client retains the right to refuse treatment unless a court order is obtained.
Correct Answer: D
Involuntary admission does not automatically strip a client of their civil rights, including
the right to refuse medication. While they are restricted from leaving the facility, they must
still give informed consent for specific treatments unless an emergency exists or a court
order is issued. Ivy Tech curriculum emphasizes that clients under involuntary status
maintain most of their civil liberties.
5. A client is displaying behavior where they redirect their anger about a job loss toward their
spouse. The nurse recognizes this as which defense mechanism?
A. Projection
B. Displacement
C. Reaction Formation
D. Sublimation
Correct Answer: B
Health Nursing | Actual Q&A with
Rationale (NSRG126 Exam 1) | Ivy Tech
1. A nurse is working with a client during the orientation phase of the therapeutic
relationship. Which of the following actions is the priority for the nurse to perform?
A. Establishing the parameters of the relationship
B. Promoting the client’s problem-solving skills
C. Establishing the parameters of the relationship
D. Evaluating the client’s progress toward goals
Correct Answer: C
The orientation phase is the first stage of the nurse-client relationship where the nurse
establishes the contract and parameters of the relationship. This includes defining the time,
place, and duration of meetings to provide a sense of security and structure. Promoting
problem-solving occurs in the working phase, while evaluation occurs in the termination
phase.
2. A client diagnosed with schizophrenia refuses to take their morning medication. The nurse
respects the client’s decision based on which ethical principle?
A. Beneficence
B. Justice
,C. Autonomy
D. Veracity
Correct Answer: C
Autonomy is the ethical principle that recognizes the right of the individual to make their
own decisions regarding their health care. Even if the nurse believes the medication is
necessary, the client’s right to refuse must be upheld unless they are a danger to
themselves or others. This principle is a cornerstone of mental health law and Ivy Tech
nursing ethics.
3. Which statement by the nurse best demonstrates the therapeutic communication
technique of ‘restating’?
A. ‘I noticed you are wearing a clean shirt today.’
B. ‘Can you tell me more about that feeling?’
C. “You say that you are feeling frustrated with your family.”
D. ‘What would you like to discuss today?’
Correct Answer: C
Restating involves repeating the main idea expressed by the client to let them know the
nurse has heard what was said. This technique encourages the client to continue and
provides an opportunity for clarification if the nurse misunderstood. Other options
represent giving recognition, exploring, and offering a broad opening.
, 4. A nurse is caring for a client who was admitted involuntarily following a suicide attempt.
Which of the following statements is true regarding this client’s rights?
A. The client loses their right to vote in legal elections.
B. The client cannot refuse any psychiatric medications.
C. The client is not allowed to communicate with people outside the facility.
D. The client retains the right to refuse treatment unless a court order is obtained.
Correct Answer: D
Involuntary admission does not automatically strip a client of their civil rights, including
the right to refuse medication. While they are restricted from leaving the facility, they must
still give informed consent for specific treatments unless an emergency exists or a court
order is issued. Ivy Tech curriculum emphasizes that clients under involuntary status
maintain most of their civil liberties.
5. A client is displaying behavior where they redirect their anger about a job loss toward their
spouse. The nurse recognizes this as which defense mechanism?
A. Projection
B. Displacement
C. Reaction Formation
D. Sublimation
Correct Answer: B
