WEST COAST UNIVERSITY NURS 301 BEHAVIORAL
HEALTH CASE EXAM 3 PSYCHIATRIC NURSE QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION LATEST
2025-2026
PSYCHIATRIC ASSESSMENT & COMMUNICATION (1–15)
1. The first step in psychiatric nursing assessment is:
A. Establish rapport
B. Give medication
C. Restrain patient
D. Diagnose disorder
Answer: A
Rationale: Trust is required before accurate assessment can occur.
2. Therapeutic communication focuses on:
A. Patient-centered interaction
B. Nurse opinions
C. Punishment
D. Authority
Answer: A
Rationale: Communication is focused on the patient’s needs and feelings.
3. Which is an example of open-ended question?
A. “How are you feeling today?”
B. “Are you okay?”
C. “Yes or no?”
D. “Do you feel sad?”
Answer: A
Rationale: Encourages detailed response.
,4. The nurse should avoid saying:
A. “Why did you do that?”
B. “Tell me more.”
C. “I understand.”
D. “Can you explain?”
Answer: A
Rationale: “Why” questions are judgmental.
5. Active listening means:
A. Fully focusing on patient
B. Interrupting often
C. Giving advice
D. Ignoring emotions
Answer: A
Rationale: Listening attentively improves understanding.
6. Silence in therapy is used to:
A. Encourage reflection
B. Punish patient
C. End session
D. Confuse patient
Answer: A
Rationale: Allows processing of thoughts.
7. Transference is when:
A. Patient projects feelings onto nurse
B. Nurse projects feelings
C. Medication works
D. Patient improves
Answer: A
Rationale: Emotional redirection onto caregiver.
8. Countertransference is when:
A. Nurse projects feelings onto patient
, B. Patient lies
C. Patient improves
D. Medication fails
Answer: A
Rationale: Nurse emotional response affects care.
9. Orientation includes awareness of:
A. Time, place, person
B. Only time
C. Only place
D. Only person
Answer: A
Rationale: Full orientation includes all three.
10. Affect refers to:
A. Emotional expression
B. Heart rate
C. Blood pressure
D. Temperature
Answer: A
Rationale: Observable emotion.
11. Mood refers to:
A. Internal emotional state
B. Physical strength
C. Reflex
D. Pain
Answer: A
Rationale: Subjective feeling state.
12. Insight means:
A. Awareness of illness
B. Vision ability
C. Hearing ability
HEALTH CASE EXAM 3 PSYCHIATRIC NURSE QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION LATEST
2025-2026
PSYCHIATRIC ASSESSMENT & COMMUNICATION (1–15)
1. The first step in psychiatric nursing assessment is:
A. Establish rapport
B. Give medication
C. Restrain patient
D. Diagnose disorder
Answer: A
Rationale: Trust is required before accurate assessment can occur.
2. Therapeutic communication focuses on:
A. Patient-centered interaction
B. Nurse opinions
C. Punishment
D. Authority
Answer: A
Rationale: Communication is focused on the patient’s needs and feelings.
3. Which is an example of open-ended question?
A. “How are you feeling today?”
B. “Are you okay?”
C. “Yes or no?”
D. “Do you feel sad?”
Answer: A
Rationale: Encourages detailed response.
,4. The nurse should avoid saying:
A. “Why did you do that?”
B. “Tell me more.”
C. “I understand.”
D. “Can you explain?”
Answer: A
Rationale: “Why” questions are judgmental.
5. Active listening means:
A. Fully focusing on patient
B. Interrupting often
C. Giving advice
D. Ignoring emotions
Answer: A
Rationale: Listening attentively improves understanding.
6. Silence in therapy is used to:
A. Encourage reflection
B. Punish patient
C. End session
D. Confuse patient
Answer: A
Rationale: Allows processing of thoughts.
7. Transference is when:
A. Patient projects feelings onto nurse
B. Nurse projects feelings
C. Medication works
D. Patient improves
Answer: A
Rationale: Emotional redirection onto caregiver.
8. Countertransference is when:
A. Nurse projects feelings onto patient
, B. Patient lies
C. Patient improves
D. Medication fails
Answer: A
Rationale: Nurse emotional response affects care.
9. Orientation includes awareness of:
A. Time, place, person
B. Only time
C. Only place
D. Only person
Answer: A
Rationale: Full orientation includes all three.
10. Affect refers to:
A. Emotional expression
B. Heart rate
C. Blood pressure
D. Temperature
Answer: A
Rationale: Observable emotion.
11. Mood refers to:
A. Internal emotional state
B. Physical strength
C. Reflex
D. Pain
Answer: A
Rationale: Subjective feeling state.
12. Insight means:
A. Awareness of illness
B. Vision ability
C. Hearing ability
