WEST COAST UNIVERSITY NURS 301 BEHAVIORAL
HEALTH CASE EXAM 4 PSYCHIATRI C NURSE QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION LATEST
2025-2026
PSYCHIATRIC NURSING PRINCIPLES (1–15)
1. The primary focus of psychiatric nursing is to:
A. Promote mental health and stability
B. Perform surgery
C. Diagnose independently
D. Prescribe medication
Answer: A
Rationale: Psychiatric nursing aims to improve mental functioning and well-being.
2. The most important initial step in patient interaction is:
A. Establishing trust
B. Giving medication
C. Restraining patient
D. Asking closed questions only
Answer: A
Rationale: Trust enables effective communication and assessment.
3. Therapeutic communication is:
A. Goal-directed interaction
B. Social chatting
C. Judging behavior
D. Giving advice only
Answer: A
Rationale: It is structured to help the patient.
,4. Which is a barrier to communication?
A. Judging
B. Listening
C. Clarifying
D. Reflecting
Answer: A
Rationale: Judgment blocks open communication.
5. Active listening involves:
A. Full attention
B. Interrupting
C. Ignoring feelings
D. Giving orders
Answer: A
Rationale: Focused attention improves understanding.
6. Therapeutic silence is used to:
A. Allow reflection
B. Punish patient
C. End conversation
D. Confuse patient
Answer: A
Rationale: Encourages thinking and expression.
7. Transference occurs when:
A. Patient projects feelings onto nurse
B. Nurse projects feelings
C. Medication works
D. Patient improves
Answer: A
Rationale: Emotional displacement onto caregiver.
8. Countertransference occurs when:
A. Nurse projects feelings onto patient
, B. Patient improves
C. Patient lies
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 awareness assessment.
10. Affect refers to:
A. Emotional expression
B. Heart function
C. Blood pressure
D. Temperature
Answer: A
Rationale: Observable emotional state.
11. Mood refers to:
A. Internal feeling state
B. Reflex
C. Pulse
D. Pain
Answer: A
Rationale: Subjective emotional state.
12. Insight means:
A. Awareness of illness
B. Vision
C. Hearing
HEALTH CASE EXAM 4 PSYCHIATRI C NURSE QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION LATEST
2025-2026
PSYCHIATRIC NURSING PRINCIPLES (1–15)
1. The primary focus of psychiatric nursing is to:
A. Promote mental health and stability
B. Perform surgery
C. Diagnose independently
D. Prescribe medication
Answer: A
Rationale: Psychiatric nursing aims to improve mental functioning and well-being.
2. The most important initial step in patient interaction is:
A. Establishing trust
B. Giving medication
C. Restraining patient
D. Asking closed questions only
Answer: A
Rationale: Trust enables effective communication and assessment.
3. Therapeutic communication is:
A. Goal-directed interaction
B. Social chatting
C. Judging behavior
D. Giving advice only
Answer: A
Rationale: It is structured to help the patient.
,4. Which is a barrier to communication?
A. Judging
B. Listening
C. Clarifying
D. Reflecting
Answer: A
Rationale: Judgment blocks open communication.
5. Active listening involves:
A. Full attention
B. Interrupting
C. Ignoring feelings
D. Giving orders
Answer: A
Rationale: Focused attention improves understanding.
6. Therapeutic silence is used to:
A. Allow reflection
B. Punish patient
C. End conversation
D. Confuse patient
Answer: A
Rationale: Encourages thinking and expression.
7. Transference occurs when:
A. Patient projects feelings onto nurse
B. Nurse projects feelings
C. Medication works
D. Patient improves
Answer: A
Rationale: Emotional displacement onto caregiver.
8. Countertransference occurs when:
A. Nurse projects feelings onto patient
, B. Patient improves
C. Patient lies
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 awareness assessment.
10. Affect refers to:
A. Emotional expression
B. Heart function
C. Blood pressure
D. Temperature
Answer: A
Rationale: Observable emotional state.
11. Mood refers to:
A. Internal feeling state
B. Reflex
C. Pulse
D. Pain
Answer: A
Rationale: Subjective emotional state.
12. Insight means:
A. Awareness of illness
B. Vision
C. Hearing
