Psychiatric/Mental Health Nursing, Mental health nursing
PSYCHIATRIC/MENTAL HEALTH NURSING, MENTAL HEALTH
NURSING CHAPTER 1-10, CONTEMPORARY PSYCHIATRIC-MENTAL
HEALTH NURSING (TEST 1) CHAPS 1-5 8-10, 13, 23, PSYCHIATRIC
NURSING - PRELIMS, MIDTERM: PSYCHIATRIC NURSING,
PSYCHIATRIC NURSING FINAL STUDY GUIDE NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
1|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
When a female Mexican American patient and a female nurse sit together, the
patient often holds the nurse's hand. The patient also links arms with the nurse
when they walk. The nurse is uncomfortable with this behavior. Which analysis is
most accurate?
a. The patient is accustomed to touch during conversation, as are members of
many Hispanic subcultures.
b. The patient understands that touch makes the nurse uncomfortable and
controls the relationship based on that factor.
c. The patient is afraid of being alone. When touching the nurse, the patient is
reassured and comforted.
d. The patient is trying to manipulate the nurse using nonverbal techniques. -
Correct Answer-ANS: A
The most likely answer is that the patient's behavior is culturally influenced.
Hispanic women frequently touch women they consider to be their friends.
Although the other options are possible, they are less likely.
A Puerto Rican American patient uses dramatic body language when describing
emotional discomfort. Which analysis most likely explains the patient's behavior?
The patient:
a. has a histrionic personality disorder.
b. believes dramatic body language is sexually appealing.
c. wishes to impress staff with the degree of emotional pain.
d. belongs to a culture in which dramatic body language is the norm. - Correct
Answer-ANS: D
2|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
Members of Hispanic American subcultures tend to use high affect and dramatic
body language as they communicate. The other options are more remote
possibilities.
During an interview, a patient attempts to shift the focus from self to the nurse by
asking personal questions. The nurse should respond by saying:
a. "Why do you keep asking about me?"
b. "Nurses direct the interviews with patients."
c. "Do not ask questions about my personal life."
d. "The time we spend together is to discuss your concerns." - Correct Answer-
ANS: D
When a patient tries to focus on the nurse, the nurse should refocus the
discussion back onto the patient. Telling the patient that interview time should
be used to discuss patient concerns refocuses discussion in a neutral way. Telling
patients not to ask about the nurse's personal life shows indignation. Saying
that nurses prefer to direct the interview reflects superiority. "Why" questions
are probing and non-therapeutic.
Which principle should guide the nurse in determining the extent of silence to use
during patient interview sessions?
a. A nurse is responsible for breaking silences.
b. Patients withdraw if silences are prolonged.
c. Silence can provide meaningful moments for reflection.
d. Silence helps patients know that what they said was understood. - Correct
Answer-ANS: C
Silence can be helpful to both participants by giving each an opportunity to
contemplate what has transpired, weigh alternatives, and formulate ideas. A
3|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
nurse breaking silences is not a principle related to silences. It is inaccurate to
say that patients withdraw during long silences or that silence helps patients
know that they are understood. Feedback helps patients know they have been
understood.
A patient is having difficulty making a decision. The nurse has mixed feelings about
whether to provide advice. Which principle usually applies? Giving advice:
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the patient develop feelings of personal adequacy. - Correct Answer-ANS:
A
Giving advice fosters dependence on the nurse and interferes with the patient's
right to make personal decisions. It robs patients of the opportunity to weigh
alternatives and develop problem-solving skills. Furthermore, it contributes to
patient feelings of personal inadequacy. It also keeps the nurse in control and
feeling powerful.
A school age child tells the school nurse, "Other kids call me mean names and will
not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic
response.
a. "Just ignore them and they will leave you alone."
b. "You should make friends with other children."
c. "Call them names if they do that to you."
d. "Tell me more about how you feel." - Correct Answer-ANS: D
The correct response uses exploring, a therapeutic technique. The distracters
give advice, a non-therapeutic technique.
4|Page
PSYCHIATRIC/MENTAL HEALTH NURSING, MENTAL HEALTH
NURSING CHAPTER 1-10, CONTEMPORARY PSYCHIATRIC-MENTAL
HEALTH NURSING (TEST 1) CHAPS 1-5 8-10, 13, 23, PSYCHIATRIC
NURSING - PRELIMS, MIDTERM: PSYCHIATRIC NURSING,
PSYCHIATRIC NURSING FINAL STUDY GUIDE NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
1|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
When a female Mexican American patient and a female nurse sit together, the
patient often holds the nurse's hand. The patient also links arms with the nurse
when they walk. The nurse is uncomfortable with this behavior. Which analysis is
most accurate?
a. The patient is accustomed to touch during conversation, as are members of
many Hispanic subcultures.
b. The patient understands that touch makes the nurse uncomfortable and
controls the relationship based on that factor.
c. The patient is afraid of being alone. When touching the nurse, the patient is
reassured and comforted.
d. The patient is trying to manipulate the nurse using nonverbal techniques. -
Correct Answer-ANS: A
The most likely answer is that the patient's behavior is culturally influenced.
Hispanic women frequently touch women they consider to be their friends.
Although the other options are possible, they are less likely.
A Puerto Rican American patient uses dramatic body language when describing
emotional discomfort. Which analysis most likely explains the patient's behavior?
The patient:
a. has a histrionic personality disorder.
b. believes dramatic body language is sexually appealing.
c. wishes to impress staff with the degree of emotional pain.
d. belongs to a culture in which dramatic body language is the norm. - Correct
Answer-ANS: D
2|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
Members of Hispanic American subcultures tend to use high affect and dramatic
body language as they communicate. The other options are more remote
possibilities.
During an interview, a patient attempts to shift the focus from self to the nurse by
asking personal questions. The nurse should respond by saying:
a. "Why do you keep asking about me?"
b. "Nurses direct the interviews with patients."
c. "Do not ask questions about my personal life."
d. "The time we spend together is to discuss your concerns." - Correct Answer-
ANS: D
When a patient tries to focus on the nurse, the nurse should refocus the
discussion back onto the patient. Telling the patient that interview time should
be used to discuss patient concerns refocuses discussion in a neutral way. Telling
patients not to ask about the nurse's personal life shows indignation. Saying
that nurses prefer to direct the interview reflects superiority. "Why" questions
are probing and non-therapeutic.
Which principle should guide the nurse in determining the extent of silence to use
during patient interview sessions?
a. A nurse is responsible for breaking silences.
b. Patients withdraw if silences are prolonged.
c. Silence can provide meaningful moments for reflection.
d. Silence helps patients know that what they said was understood. - Correct
Answer-ANS: C
Silence can be helpful to both participants by giving each an opportunity to
contemplate what has transpired, weigh alternatives, and formulate ideas. A
3|Page
, Psychiatric/Mental Health Nursing, Mental health nursing
nurse breaking silences is not a principle related to silences. It is inaccurate to
say that patients withdraw during long silences or that silence helps patients
know that they are understood. Feedback helps patients know they have been
understood.
A patient is having difficulty making a decision. The nurse has mixed feelings about
whether to provide advice. Which principle usually applies? Giving advice:
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the patient develop feelings of personal adequacy. - Correct Answer-ANS:
A
Giving advice fosters dependence on the nurse and interferes with the patient's
right to make personal decisions. It robs patients of the opportunity to weigh
alternatives and develop problem-solving skills. Furthermore, it contributes to
patient feelings of personal inadequacy. It also keeps the nurse in control and
feeling powerful.
A school age child tells the school nurse, "Other kids call me mean names and will
not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic
response.
a. "Just ignore them and they will leave you alone."
b. "You should make friends with other children."
c. "Call them names if they do that to you."
d. "Tell me more about how you feel." - Correct Answer-ANS: D
The correct response uses exploring, a therapeutic technique. The distracters
give advice, a non-therapeutic technique.
4|Page
