The nurse is engaging in the therapeutic communication technique of focusing with a client. Which of the
following statements by the nurse indicates that the nurse is trying to use this technique?
a. You say you are angry but | notice that you are smiling.
b. Why do you feel so angry about your family?
c. Lets goback and talk about the effect this had on you.
d. [canonlyimagine how hard this must be for you.
The nurse is caring for a client who was involuntarily admitted to an inpatient psych unit. The client appears
angry, is verbally abusive to the staff and is repeatedly threatening to sue various staff members. Which of the
following actions is most appropriate for the nurse to take?
a. Warn the client that threats of legal action are inappropriate and unwelcome.
b. Continue attempts to establish a good working relationship with the client.
c. Verbally redirect the client and refuse to interact on a one-on-one basis.
d. Consult the hospital’s legal advisor as soon as possible.
The mental health nurse manager and newly hired nurse are discussing the levels of psychiatric care for a client.
The nurse manager anticipates the client will need care delivered by an advanced practice registered nurse.
Which of the following levels of care should the newly hired nurse expect to be performed only by the APRN?
a. Milieu therapy
b. Pharmacological educational therapy
c. Health teaching and maintenance
d. Psychotherapy
A nurse working on an inpatient psych unit has just received the change of shift report. The nurse should first
plan to assess the client
a. Who has schizophrenia and is having visual hallucinations
b. Whose most recent lithium level was 1.0
c. Who willundergo ECT in 2 hours
d. WhohasaWBCof7.5
The nurse preceptor in a psych unit is teaching a student nurse how to identify clients experiencing mental
illness. Which of the following assessment findings reported by the student demonstrates that teaching has
been effective?
a. The client reports thoughts about whether to change to a less stressful job
b. The client reports occasional sleeplessness and anxiety
c. Theclient reports having a few moments of discouragement
d. The client reports recurrent worry about school safety so stays home for long periods
The nurse is having a discussion with a client who states, “I just don’t think my partner and | are going to make
it.” The nurse replies, “That’s hard to believe.” Which of the following therapeutic communication techniques is
being used by the nurse?
a. Restating a feeling or thought the client has expressed
b. Voicing doubt regarding the client’s perception
c. Asking the client to elaborate on a thought discussed
d. Offering of self to show interest in the client
The APRN suspects a newly hired nurse is experiencing countertransference with a client who is a narcotic
addict. Which of the following statements by the newly hired nurse reinforces the suspicion?
a. My client has an addiction problem and will improve
b. This client continues to deny problems resulting from addiction
c. The client had a bad childhood with parents who were addicted; | can relate to this
d. My client plans on attending the group therapy meeting for addicts
The nurse is working with a client who despite making a heroic effort was unable to rescue a neighbor trapped
in a house fire. Which of the following actions should the nurse take during the working phase of the nurse-
client relationship?
a. Have a discussion with the client to gather further information
b. Establish a contract and goals with the client
c. Review the learned coping strategies
d. Discuss terms of confidentiality
, The nurse preceptor is observing a newly hired nurse care for a client in the termination phase of the nurse-
client relationship. Which of the following tasks performed by the newly hired nurse requires follow up by the
preceptor?
a. Summarizing the goals achieved with the client
b. Providing initial education about the disease
c. Reviewing previous interactions that have occurred with the client
d. Reviewing ways for the client to incorporate learned coping strategies
10. The nurse is conducting an interview assessment with an adolescent client. The client asks the nurse conducting
the interview, “Why should | tell you anything? You’ll just tell my parents whatever you find out.” Which of the
following is an appropriate response by the nurse?
a. Yes, your parents may find out what you say but it is important that they know about your problems
b. What you say about feelings is private but some things, like suicidal thinking, must be reported to the
treatment team.
c. Thatisn’t true. What you tell us is private and held in strict confidence. Your parents have no right to
know.
d. Itsounds as though you are not ready to work on your problems and make changes.
11. The nurse is assigned to conduct an interview of a client. The nurse begins by stating, “What would you like to
discuss?” Which of the following therapeutic techniques did the nurse follow?
a. Broad openings
b. Collaboration
c. Exploring
d. Encouraging
12. The nurse is setting up a room to perform a nurse-client interview. Which of the following seating arrangements
is appropriate for the interview?
a. The nurse behind a desk and the client in a chair in front of the desk
b. The nurse and client sitting in chairs next to each other or at a 90-degree angle
c. The client sitting in a chair and the nurse standing a few feet away
d. The client sitting between the nurse and the door
13. The nurse and client are in the termination phase of the nurse-client relationship. Which of the following
statements by the nurse is appropriate when terminating the relationship?
a. You have accomplished a lot here. | will check on you next week and see how you are doing.
b. You have accomplished a lot here. Remember to follow up with your PCP should you need further
assistance.
c. You have attended most of the sessions. You will need to identify your goals at home.
d. lwill miss seeing you each week; send us a text message to let us know you are safe.
14, The nurse manager is preparing an in-service on Quality & Safety Education for Nurses and the treatment of
mental illness. Which components from the box below are included in the QSEN?
1) Robotics
2) Teamwork & Collaboration
3) Self-scheduling
4) Safety
5) Professional advancement
a. 2,4
b. 3,4,5
c. 1,235
d 1,3,4,5
15. A nurse is caring for a client who refuses to take the prescribed morning medications. Which of the following is
appropriate for the nurse to document?
a. 1/5/19 0800. Refused medications. PCP notified.
b. 1/5/19 0800. Refused medications. Prefers to take this afternoon. Will offer at 1400.
c. 1/5/19 0800. Refused medications due to trust issue. Documented as refused.
d. 1/5/19 0800. Refused medications. Documented and family notified.
following statements by the nurse indicates that the nurse is trying to use this technique?
a. You say you are angry but | notice that you are smiling.
b. Why do you feel so angry about your family?
c. Lets goback and talk about the effect this had on you.
d. [canonlyimagine how hard this must be for you.
The nurse is caring for a client who was involuntarily admitted to an inpatient psych unit. The client appears
angry, is verbally abusive to the staff and is repeatedly threatening to sue various staff members. Which of the
following actions is most appropriate for the nurse to take?
a. Warn the client that threats of legal action are inappropriate and unwelcome.
b. Continue attempts to establish a good working relationship with the client.
c. Verbally redirect the client and refuse to interact on a one-on-one basis.
d. Consult the hospital’s legal advisor as soon as possible.
The mental health nurse manager and newly hired nurse are discussing the levels of psychiatric care for a client.
The nurse manager anticipates the client will need care delivered by an advanced practice registered nurse.
Which of the following levels of care should the newly hired nurse expect to be performed only by the APRN?
a. Milieu therapy
b. Pharmacological educational therapy
c. Health teaching and maintenance
d. Psychotherapy
A nurse working on an inpatient psych unit has just received the change of shift report. The nurse should first
plan to assess the client
a. Who has schizophrenia and is having visual hallucinations
b. Whose most recent lithium level was 1.0
c. Who willundergo ECT in 2 hours
d. WhohasaWBCof7.5
The nurse preceptor in a psych unit is teaching a student nurse how to identify clients experiencing mental
illness. Which of the following assessment findings reported by the student demonstrates that teaching has
been effective?
a. The client reports thoughts about whether to change to a less stressful job
b. The client reports occasional sleeplessness and anxiety
c. Theclient reports having a few moments of discouragement
d. The client reports recurrent worry about school safety so stays home for long periods
The nurse is having a discussion with a client who states, “I just don’t think my partner and | are going to make
it.” The nurse replies, “That’s hard to believe.” Which of the following therapeutic communication techniques is
being used by the nurse?
a. Restating a feeling or thought the client has expressed
b. Voicing doubt regarding the client’s perception
c. Asking the client to elaborate on a thought discussed
d. Offering of self to show interest in the client
The APRN suspects a newly hired nurse is experiencing countertransference with a client who is a narcotic
addict. Which of the following statements by the newly hired nurse reinforces the suspicion?
a. My client has an addiction problem and will improve
b. This client continues to deny problems resulting from addiction
c. The client had a bad childhood with parents who were addicted; | can relate to this
d. My client plans on attending the group therapy meeting for addicts
The nurse is working with a client who despite making a heroic effort was unable to rescue a neighbor trapped
in a house fire. Which of the following actions should the nurse take during the working phase of the nurse-
client relationship?
a. Have a discussion with the client to gather further information
b. Establish a contract and goals with the client
c. Review the learned coping strategies
d. Discuss terms of confidentiality
, The nurse preceptor is observing a newly hired nurse care for a client in the termination phase of the nurse-
client relationship. Which of the following tasks performed by the newly hired nurse requires follow up by the
preceptor?
a. Summarizing the goals achieved with the client
b. Providing initial education about the disease
c. Reviewing previous interactions that have occurred with the client
d. Reviewing ways for the client to incorporate learned coping strategies
10. The nurse is conducting an interview assessment with an adolescent client. The client asks the nurse conducting
the interview, “Why should | tell you anything? You’ll just tell my parents whatever you find out.” Which of the
following is an appropriate response by the nurse?
a. Yes, your parents may find out what you say but it is important that they know about your problems
b. What you say about feelings is private but some things, like suicidal thinking, must be reported to the
treatment team.
c. Thatisn’t true. What you tell us is private and held in strict confidence. Your parents have no right to
know.
d. Itsounds as though you are not ready to work on your problems and make changes.
11. The nurse is assigned to conduct an interview of a client. The nurse begins by stating, “What would you like to
discuss?” Which of the following therapeutic techniques did the nurse follow?
a. Broad openings
b. Collaboration
c. Exploring
d. Encouraging
12. The nurse is setting up a room to perform a nurse-client interview. Which of the following seating arrangements
is appropriate for the interview?
a. The nurse behind a desk and the client in a chair in front of the desk
b. The nurse and client sitting in chairs next to each other or at a 90-degree angle
c. The client sitting in a chair and the nurse standing a few feet away
d. The client sitting between the nurse and the door
13. The nurse and client are in the termination phase of the nurse-client relationship. Which of the following
statements by the nurse is appropriate when terminating the relationship?
a. You have accomplished a lot here. | will check on you next week and see how you are doing.
b. You have accomplished a lot here. Remember to follow up with your PCP should you need further
assistance.
c. You have attended most of the sessions. You will need to identify your goals at home.
d. lwill miss seeing you each week; send us a text message to let us know you are safe.
14, The nurse manager is preparing an in-service on Quality & Safety Education for Nurses and the treatment of
mental illness. Which components from the box below are included in the QSEN?
1) Robotics
2) Teamwork & Collaboration
3) Self-scheduling
4) Safety
5) Professional advancement
a. 2,4
b. 3,4,5
c. 1,235
d 1,3,4,5
15. A nurse is caring for a client who refuses to take the prescribed morning medications. Which of the following is
appropriate for the nurse to document?
a. 1/5/19 0800. Refused medications. PCP notified.
b. 1/5/19 0800. Refused medications. Prefers to take this afternoon. Will offer at 1400.
c. 1/5/19 0800. Refused medications due to trust issue. Documented as refused.
d. 1/5/19 0800. Refused medications. Documented and family notified.
