PSYCHIATRIC MENTAL HEALTH
NURSING-EXAM SET QUESTIONS
WITH COMPLETE ANSWERS
territorality - ANSWER -the innate tendency to own space
intimate distance - ANSWER -the closest distance that individuals allow between
themselves and others
personal distance - ANSWER -the distance for interactions that are personal in nature,
such as close conversation
with friends
social distance - ANSWER -the distance for conversation with strangers or
acquaintances
public distance - ANSWER -the distance for speaking in public or yelling to someone
some distance away
The unit manager needs to meet with a client who is exhibiting escalating hostility.
Which would be the most appropriate location for the nurse to meet with this client?
A) The client's room with the door shut
B) A quiet corner of the day room
C) The nurse's station
D) The unit's treatment room - ANSWER -Correct answer: B
•A quiet corner of the day room provides for some privacy in a neutral space while not
limiting access to help if safety issues arise.
paralanguage - ANSWER -increasing pitch, tone, loudness to place emphasis on
certain words
Therapeutic communication techniques - ANSWER -using silence
giving recognition
offering self
giving broad openings
offering general leads
placing the event in time or sequence
making observations
encouraging description or perceptions
Encourages client to continue. "Go on." "And after that?" - ANSWER -offering general
leads
,asking client to verbalize what is being perceived. "Are you hearing the voices again?"
"Tell me what is happening now." - ANSWER -encouraging description of perceptions
lets client know whether an expressed statement has or has not been understood.
Client: "I can't take that new job. What if I can't do it?" Nurse: "You're afraid you will fail
in this new position." - ANSWER -Restating
directs questions or feelings back to client so that they may be recognized and
accepted. Client: "What do you think I should do about my wife's drinking problem?"
Nurse: "What do YOU think you should do?" Client: "My sister won't help a bit with my
mother's care. I have to do it all!" Nurse: "You feel angry when she doesn't help." -
ANSWER -Reflecting
asking client to compare similarities and differences in ideas, experiences, or
interpersonal relationships. "What was your response the last time this situation
occurred." - ANSWER -Encouraging comparison
•clarifying misconceptions that client may be expressing. "I understand that the voices
seem real to you, but I do not hear any voices." "There is no one else in the room but
you and me." - ANSWER -presenting reality
Striving to explain what is vague and searching for mutual understanding. "Do I
understand correctly that you said..." "I'm not sure that I understand. Would you please
explain?" - ANSWER -seeking clarification and validation
Taking notice of a single idea or even a single word works well with a client who is
moving rapidly from one thought to another. (This is NOT necessarily therapeutic, but it
should be used with a client who is very anxious until the anxiety subsides) - ANSWER -
focusing
Delving further into a subject, idea, experience, or relationship. "Tell me more about that
particular situation." - ANSWER -exploring
•striving to prevent anger or anxiety from escalating to an unmanageable level the next
time the stressor occurs. "Next time this comes up, what might you do to handle it more
appropriately?" - ANSWER -Formulating a plan of action
Putting into words the feelings the client has expressed only indirectly. Client: "I'm way
out in the ocean." Nurse: "You must be feeling very lonely right now." - ANSWER -
Attempting to translate words into feelings
Expressing uncertainty as to the reality of client's perception. "I understand that you
believe that to be true, but I see the situation differently." "That seems rather doubtful to
me." - ANSWER -voicing doubt
, Putting into words what client has only implied. Client: "It's a waste of time to be here. I
can't talk to you or anyone." Nurse: "Are you feeling that no one understands?" -
ANSWER -verbalizing the implied
Allows client to select the topic. "Tell me what you are thinking." - ANSWER -Giving
broad openings
Non-therapeutic communication - ANSWER -agreeing or disagreeing
giving approval or disapproval
giving reassurance
rejecting
giving advice
probing
defending
requesting and explanation
indicating the existence of God (or other power)
belittling feelings expressed
using denial
making stereotype comments
interpreting
introducing unrelated topics
The nurse is performing an initial assessment on a newly admitted client who is oriented
times four. Which of the following communication techniques would best facilitate
obtaining accurate and complete client data?
A) Closed-ended questions
B) Requesting an explanation
C) Open-ended questions
D) Interpreting - ANSWER -Correct answer: C
•Open-ended questions are phrased in a way that gathers as much information as
possible. By the use of phrases such as "Tell me about..." or "Describe to me..." a
varied and rich body of information can be assessed.
Active Listening - SOLER - ANSWER -•S - Sit Squarely facing the client
•O - Observe an Open Posture
•L - Lean forward toward the client
•E - Establish eye contact
•R - Relax
written reports of verbal interactions with clients. - ANSWER -process recordings
A method of communication for helping the client consider behavior modification by
providing information about how he or she is perceived by others. - ANSWER -
Feedback
NURSING-EXAM SET QUESTIONS
WITH COMPLETE ANSWERS
territorality - ANSWER -the innate tendency to own space
intimate distance - ANSWER -the closest distance that individuals allow between
themselves and others
personal distance - ANSWER -the distance for interactions that are personal in nature,
such as close conversation
with friends
social distance - ANSWER -the distance for conversation with strangers or
acquaintances
public distance - ANSWER -the distance for speaking in public or yelling to someone
some distance away
The unit manager needs to meet with a client who is exhibiting escalating hostility.
Which would be the most appropriate location for the nurse to meet with this client?
A) The client's room with the door shut
B) A quiet corner of the day room
C) The nurse's station
D) The unit's treatment room - ANSWER -Correct answer: B
•A quiet corner of the day room provides for some privacy in a neutral space while not
limiting access to help if safety issues arise.
paralanguage - ANSWER -increasing pitch, tone, loudness to place emphasis on
certain words
Therapeutic communication techniques - ANSWER -using silence
giving recognition
offering self
giving broad openings
offering general leads
placing the event in time or sequence
making observations
encouraging description or perceptions
Encourages client to continue. "Go on." "And after that?" - ANSWER -offering general
leads
,asking client to verbalize what is being perceived. "Are you hearing the voices again?"
"Tell me what is happening now." - ANSWER -encouraging description of perceptions
lets client know whether an expressed statement has or has not been understood.
Client: "I can't take that new job. What if I can't do it?" Nurse: "You're afraid you will fail
in this new position." - ANSWER -Restating
directs questions or feelings back to client so that they may be recognized and
accepted. Client: "What do you think I should do about my wife's drinking problem?"
Nurse: "What do YOU think you should do?" Client: "My sister won't help a bit with my
mother's care. I have to do it all!" Nurse: "You feel angry when she doesn't help." -
ANSWER -Reflecting
asking client to compare similarities and differences in ideas, experiences, or
interpersonal relationships. "What was your response the last time this situation
occurred." - ANSWER -Encouraging comparison
•clarifying misconceptions that client may be expressing. "I understand that the voices
seem real to you, but I do not hear any voices." "There is no one else in the room but
you and me." - ANSWER -presenting reality
Striving to explain what is vague and searching for mutual understanding. "Do I
understand correctly that you said..." "I'm not sure that I understand. Would you please
explain?" - ANSWER -seeking clarification and validation
Taking notice of a single idea or even a single word works well with a client who is
moving rapidly from one thought to another. (This is NOT necessarily therapeutic, but it
should be used with a client who is very anxious until the anxiety subsides) - ANSWER -
focusing
Delving further into a subject, idea, experience, or relationship. "Tell me more about that
particular situation." - ANSWER -exploring
•striving to prevent anger or anxiety from escalating to an unmanageable level the next
time the stressor occurs. "Next time this comes up, what might you do to handle it more
appropriately?" - ANSWER -Formulating a plan of action
Putting into words the feelings the client has expressed only indirectly. Client: "I'm way
out in the ocean." Nurse: "You must be feeling very lonely right now." - ANSWER -
Attempting to translate words into feelings
Expressing uncertainty as to the reality of client's perception. "I understand that you
believe that to be true, but I see the situation differently." "That seems rather doubtful to
me." - ANSWER -voicing doubt
, Putting into words what client has only implied. Client: "It's a waste of time to be here. I
can't talk to you or anyone." Nurse: "Are you feeling that no one understands?" -
ANSWER -verbalizing the implied
Allows client to select the topic. "Tell me what you are thinking." - ANSWER -Giving
broad openings
Non-therapeutic communication - ANSWER -agreeing or disagreeing
giving approval or disapproval
giving reassurance
rejecting
giving advice
probing
defending
requesting and explanation
indicating the existence of God (or other power)
belittling feelings expressed
using denial
making stereotype comments
interpreting
introducing unrelated topics
The nurse is performing an initial assessment on a newly admitted client who is oriented
times four. Which of the following communication techniques would best facilitate
obtaining accurate and complete client data?
A) Closed-ended questions
B) Requesting an explanation
C) Open-ended questions
D) Interpreting - ANSWER -Correct answer: C
•Open-ended questions are phrased in a way that gathers as much information as
possible. By the use of phrases such as "Tell me about..." or "Describe to me..." a
varied and rich body of information can be assessed.
Active Listening - SOLER - ANSWER -•S - Sit Squarely facing the client
•O - Observe an Open Posture
•L - Lean forward toward the client
•E - Establish eye contact
•R - Relax
written reports of verbal interactions with clients. - ANSWER -process recordings
A method of communication for helping the client consider behavior modification by
providing information about how he or she is perceived by others. - ANSWER -
Feedback
