NRSG 2350 EXAM 2 STUDY GUIDE 2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS <LATEST VERSION>

NRSG 2350 EXAM 2 STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED
PASS <LATEST VERSION>
NRSG 2350 EXAM 2 STUDY GUIDE: 100 QUESTIONS & ANSWERS

Therapeutic Communication & The Nurse-Client Relationship

1. What is the primary goal of the therapeutic nurse-client relationship?
A) To become friends with the client
B) To provide advice and solutions to the client's problems
C) To help the client explore their feelings and develop coping strategies
D) To ensure the client follows all unit rules without question
Answer: C) To help the client explore their feelings and develop coping strategies
The relationship is client-centered, focused on the client's needs, and aims to foster insight and
independent problem-solving, not socializing or giving direct advice.

2. A client says, "I'm just so useless. No one cares about me." Which response by the nurse
demonstrates therapeutic communication?
A) "That's not true. You have a family who loves you."
B) "Tell me more about feeling useless and uncared for."
C) "You shouldn't think like that. It's negative."
D) "I care about you. Now, let's talk about something happier."
Answer: B) "Tell me more about feeling useless and uncared for."
This response uses exploring, which encourages the client to elaborate and express feelings,
validating their experience and providing an opportunity for assessment.

3. Which technique is the nurse using when they state, "You say you're angry, but you are
smiling"?
A) Presenting Reality
B) Making Observations
C) Voicing Doubt
D) Focusing
Answer: B) Making Observations

,The nurse is pointing out an inconsistency between the client's verbal and nonverbal
communication, which can help the client become more self-aware.

4. What is a non-therapeutic communication technique that gives approval and may hinder
client expression?
A) Exploring
B) Reflecting
C) Approving/Disapproving
D) Summarizing
Answer: C) Approving/Disapproving
This imposes the nurse's own values and judgments on the client, which can discourage the
client from expressing true feelings for fear of disapproval.

5. During the orientation phase of the nurse-client relationship, the most important task is to:
A) Establish trust and set boundaries and expectations.
B) Work on resolving the client's core conflicts.
C) Prepare the client for termination of the relationship.
D) Confront the client about maladaptive behaviors.
Answer: A) Establish trust and set boundaries and expectations.
The orientation phase sets the foundation for the entire relationship. Without trust and clear
boundaries, therapeutic progress is unlikely.

Legal & Ethical Issues

6. A client with schizophrenia who is refusing medication says, "I'm not crazy, and I don't need
that poison." Under which circumstance can the client be medicated against their will?
A) The nurse determines the medication is in the client's best interest.
B) The client's family demands it.
C) The client poses a serious, imminent threat to self or others.
D) The client is simply being difficult and uncooperative.
Answer: C) The client poses a serious, imminent threat to self or others.
The ethical principle of autonomy can be overridden by the principle of beneficence (to do good)
and justice (protecting society) only when there is a clear and present danger.

7. What is the primary purpose of informed consent in a psychiatric setting?
A) To protect the hospital from lawsuits.
B) To ensure the client understands the risks, benefits, and alternatives of a treatment.
C) To transfer all decision-making power to the physician.
D) To speed up the admission process.
Answer: B) To ensure the client understands the risks, benefits, and alternatives of a

, treatment.
Informed consent is an ethical and legal obligation that respects the client's autonomy and right
to make decisions about their own body and care.

8. A client on a voluntary admission status tells the nurse, "I want to leave right now." The
nurse's best action is to:
A) Inform the client they are not allowed to leave.
B) Immediately initiate an involuntary hold (e.g., a 72-hour hold).
C) Explore the client's reasons for wanting to leave and inform them of the discharge process.
D) Restrain the client to ensure their safety.
Answer: C) Explore the client's reasons for wanting to leave and inform them of the discharge
process.
A voluntary client generally has the right to leave. The nurse should assess the situation, ensure
the client understands the potential risks of leaving against medical advice, and follow the
facility's procedures for discharge.

9. The legal doctrine that protects a nurse from being held liable for acting in good faith to
protect a client or others is known as:
A) Informed Consent
B) Malpractice
C) Qualified Immunity
D) Duty to Warn (Tarasoff Duty)
Answer: C) Qualified Immunity
This doctrine provides legal protection for healthcare professionals when they act in good faith,
such as when placing a client in seclusion or restraints to prevent harm.

10. Confidentiality in the therapeutic relationship can be breached ethically and legally when:
A) The client shares information the nurse finds interesting.
B) The client discloses a plan to harm a specific, identifiable person.
C) The client admits to a past crime that is unrelated to their current safety.
D) The nurse needs to discuss the case with a colleague out of curiosity.
Answer: B) The client discloses a plan to harm a specific, identifiable person.
This falls under the "Duty to Warn" or Tarasoff ruling, which mandates healthcare providers to
breach confidentiality to protect third parties from a credible threat.

Depressive Disorders

11. Which symptom is a core vegetative sign of major depressive disorder (MDD)?
A) Anxiety
B) Psychomotor Agitation