Rasmussen College MDC
2 Exam 1 Questions and
Answers (Verified
Answers)
1. Therapeutic Communication
Question:
A nurse says to a client, “Tell me more about what you’re feeling.” This is an example
of:
A. Giving advice
B. Offering reassurance
C. Open-ended questioning
D. Changing the subject
Answer: C. Open-ended questioning
Rationale: Encourages the client to express feelings freely and promotes therapeutic
communication.
2. Priority Nursing Action
Question:
A client states, “I feel like life is not worth living anymore.” What is the nurse’s
priority response?
,A. “Why do you feel that way?”
B. “Do you have a plan to hurt yourself?”
C. “You shouldn’t feel like that.”
D. “Let’s talk about something positive.”
Answer: B. “Do you have a plan to hurt yourself?”
Rationale: Suicide risk assessment is the priority when a client expresses
hopelessness.
3. Legal Rights
Question:
A voluntarily admitted psychiatric client requests discharge. What is the nurse’s best
response?
A. “You cannot leave until the doctor approves.”
B. “You may leave, but we encourage you to stay.”
C. “You must stay for 72 hours.”
D. “Security will prevent you from leaving.”
Answer: B.
Rationale: Voluntary clients have the right to leave unless legally detained.
4. Defense Mechanisms
Question:
A client who was fired says, “I didn’t want that job anyway.” This is:
A. Projection
B. Rationalization
C. Denial
,D. Regression
Answer: B. Rationalization
Rationale: The client creates a logical explanation to reduce emotional distress.
5. Anxiety Levels
Question:
A client is restless, has difficulty concentrating, and reports feeling uneasy. This
reflects:
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
D. Panic
Answer: B. Moderate anxiety
Rationale: Moderate anxiety decreases concentration but allows learning with
assistance.
6. Nurse-Client Relationship Phases
Question:
Establishing trust and setting boundaries occurs in which phase?
A. Termination
B. Orientation
C. Working
D. Evaluation
Answer: B. Orientation
Rationale: This phase focuses on rapport building and role clarification.
, 7. HIPAA Violation
Question:
Which action violates confidentiality?
A. Discussing a case with the healthcare team
B. Sharing client info in a public elevator
C. Documenting in the medical record
D. Reporting abuse
Answer: B.
Rationale: Discussing patient info in public areas breaches confidentiality.
8. Hallucinations vs Delusions
Question:
Hearing voices that others cannot hear is:
A. Delusion
B. Illusion
C. Hallucination
D. Paranoia
Answer: C. Hallucination
Rationale: Hallucinations are sensory perceptions without external stimuli.
9. Appropriate Response to Hallucinations
Question:
A client says, “The voices are telling me to run.” What should the nurse say?
2 Exam 1 Questions and
Answers (Verified
Answers)
1. Therapeutic Communication
Question:
A nurse says to a client, “Tell me more about what you’re feeling.” This is an example
of:
A. Giving advice
B. Offering reassurance
C. Open-ended questioning
D. Changing the subject
Answer: C. Open-ended questioning
Rationale: Encourages the client to express feelings freely and promotes therapeutic
communication.
2. Priority Nursing Action
Question:
A client states, “I feel like life is not worth living anymore.” What is the nurse’s
priority response?
,A. “Why do you feel that way?”
B. “Do you have a plan to hurt yourself?”
C. “You shouldn’t feel like that.”
D. “Let’s talk about something positive.”
Answer: B. “Do you have a plan to hurt yourself?”
Rationale: Suicide risk assessment is the priority when a client expresses
hopelessness.
3. Legal Rights
Question:
A voluntarily admitted psychiatric client requests discharge. What is the nurse’s best
response?
A. “You cannot leave until the doctor approves.”
B. “You may leave, but we encourage you to stay.”
C. “You must stay for 72 hours.”
D. “Security will prevent you from leaving.”
Answer: B.
Rationale: Voluntary clients have the right to leave unless legally detained.
4. Defense Mechanisms
Question:
A client who was fired says, “I didn’t want that job anyway.” This is:
A. Projection
B. Rationalization
C. Denial
,D. Regression
Answer: B. Rationalization
Rationale: The client creates a logical explanation to reduce emotional distress.
5. Anxiety Levels
Question:
A client is restless, has difficulty concentrating, and reports feeling uneasy. This
reflects:
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
D. Panic
Answer: B. Moderate anxiety
Rationale: Moderate anxiety decreases concentration but allows learning with
assistance.
6. Nurse-Client Relationship Phases
Question:
Establishing trust and setting boundaries occurs in which phase?
A. Termination
B. Orientation
C. Working
D. Evaluation
Answer: B. Orientation
Rationale: This phase focuses on rapport building and role clarification.
, 7. HIPAA Violation
Question:
Which action violates confidentiality?
A. Discussing a case with the healthcare team
B. Sharing client info in a public elevator
C. Documenting in the medical record
D. Reporting abuse
Answer: B.
Rationale: Discussing patient info in public areas breaches confidentiality.
8. Hallucinations vs Delusions
Question:
Hearing voices that others cannot hear is:
A. Delusion
B. Illusion
C. Hallucination
D. Paranoia
Answer: C. Hallucination
Rationale: Hallucinations are sensory perceptions without external stimuli.
9. Appropriate Response to Hallucinations
Question:
A client says, “The voices are telling me to run.” What should the nurse say?
