ENA Psychiatric Emergency Is 1.1:
Therapeutic Relationship. Exam 2025
Questions And Answers
Despite best efforts, and nurse is unable to initially establish a therapeutic relationship with a
patient experiencing a psychiatric emergency. Which of the following statement by the patient
indicates a probable negative transference reaction?
A. I don't want to talk to anyone right now.
B. This medicine is Poison.
C. You are like my uncle.-mean
D. I want to leave now. You can't help me. - ANS C
Which of the following statements about patient behaviors is true and helps facilitate a
therapeutic rapport?
A. They are manipulative and intuitive.
B. They are purposeful and meaningful.
C. The patient psychiatric history determines them.
D. Nursing interventions cannot change them. - ANS B
A 27-year-old female complains that staff members have been avoiding her since her incident
of self mutilation in the triage area. What is the most appropriate response?
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, A. Tell her no one is avoiding her and reassure her that someone will be with her shortly.
B. Actively listened to her concerns, provide support, and privately explore the matter with
other staff members.
C. Tell her that if she needs attention, she is seeking it in the wrong way.
D. Explain that the emergency department staff is busy with serious medical issues, and that
someone will assist her as soon as possible. - ANS B
Why should nurses understand the stigma of psychiatric illness?
A. It accurately reflects a patient's ability to control behaviors.
B. It affects the way many people view those with diagnose mental illness.
C. Nurses can learn more about a patient imitations.
D. Nurses will be more aware of a potentially violet patient. - ANS B
A woman in her early 20s comes to the emergency department experiencing extreme anxiety
and expressing a desire to harm herself. While waiting for a psychiatric evaluation, she begins
yelling at her cell phone. Which of the following intervention is appropriate?
A. Order her to get off of her phone.
B. Offer support and sit with the patient while she's talking.
C. Ignore the yelling and come back when she's quiet.
D. Instruct her to keep her voice down. - ANS B
Why are establishing rapport and building in alliance important to building a therapeutic
relationship?
A. They create a less stressful environment, making this shift go by quickly.
B. The patient will not require restrictive interventions, such as using restraints.
C. The patient will agree to take his or her medication.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Therapeutic Relationship. Exam 2025
Questions And Answers
Despite best efforts, and nurse is unable to initially establish a therapeutic relationship with a
patient experiencing a psychiatric emergency. Which of the following statement by the patient
indicates a probable negative transference reaction?
A. I don't want to talk to anyone right now.
B. This medicine is Poison.
C. You are like my uncle.-mean
D. I want to leave now. You can't help me. - ANS C
Which of the following statements about patient behaviors is true and helps facilitate a
therapeutic rapport?
A. They are manipulative and intuitive.
B. They are purposeful and meaningful.
C. The patient psychiatric history determines them.
D. Nursing interventions cannot change them. - ANS B
A 27-year-old female complains that staff members have been avoiding her since her incident
of self mutilation in the triage area. What is the most appropriate response?
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, A. Tell her no one is avoiding her and reassure her that someone will be with her shortly.
B. Actively listened to her concerns, provide support, and privately explore the matter with
other staff members.
C. Tell her that if she needs attention, she is seeking it in the wrong way.
D. Explain that the emergency department staff is busy with serious medical issues, and that
someone will assist her as soon as possible. - ANS B
Why should nurses understand the stigma of psychiatric illness?
A. It accurately reflects a patient's ability to control behaviors.
B. It affects the way many people view those with diagnose mental illness.
C. Nurses can learn more about a patient imitations.
D. Nurses will be more aware of a potentially violet patient. - ANS B
A woman in her early 20s comes to the emergency department experiencing extreme anxiety
and expressing a desire to harm herself. While waiting for a psychiatric evaluation, she begins
yelling at her cell phone. Which of the following intervention is appropriate?
A. Order her to get off of her phone.
B. Offer support and sit with the patient while she's talking.
C. Ignore the yelling and come back when she's quiet.
D. Instruct her to keep her voice down. - ANS B
Why are establishing rapport and building in alliance important to building a therapeutic
relationship?
A. They create a less stressful environment, making this shift go by quickly.
B. The patient will not require restrictive interventions, such as using restraints.
C. The patient will agree to take his or her medication.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
