Psych Midterm NCLEX Questions and
answers 2026\2027 A+ Grade
A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died.
I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates
therapeutic communication?
A. "You have everything to live for"
B. "Why do you see yourself as a failure?"
C. "Feeling like this is all part of being depressed"
D. "You've been feeling like a failure for awhile?"
- correct answer D
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which
response by the nurse demonstrates therapeutic communication?
A. "I see"
B. Really?"
C. You're having difficulty sleeping?"
D. Sometimes I have trouble sleeping too"
- correct answer C
A client is experiencing disturbed thought process and believes that his food is being poisoned. Which
communication technique should the nurse use to encourage the client to eat?
A. Using open ended questions and silence
B. Sharing personal preference regarding food choices
C. Documenting reasons why the client does not want to eat
D. Offering opinions about the necessity of adequate nutrition
- correct answer A
The nurse should plan which goals of the termination stage of group development? Select all that apply.
,A. The group evaluates the experience
B. The real work of the group is accomplished
C. Group interaction involves superficial conversation
D. Group members become acquainted with one another
E. Some structuring of group norms, roles, and responsibilities takes place
F. The group explores members' feelings about the group and impending separation
- correct answer A,F
A client diagnosed with terminal cancer says to the nurse, "I'm going to die! I wish my family would stop
hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which
response by the nurse is therapeutic?
A. Have you shared your feelings with your family?
B. I think we should talk more about your anger with your family
C. You're feeling angry that your family continues to hope for you to be cured?
D. You're probably very depressed, which is understandable with such a diagnosis
- correct answer C
On review of the client's record, the nurse notes that the admission was voluntary. Based on this
information, the nurse plans care anticipating which client behavior?
A. Fearfulness regarding treatment measures
B. Anger and aggressiveness directed toward others
C. An understanding of the pathology and symptoms of the diagnosis
D. A willingness to participate in the planning of the care and treatment plan
- correct answer D
A client admitted voluntarily for treatment of an anxiety problem demands to be released from the
hospital. Which action should the nurse take initially?
A. Contact the client's healthcare provider
B. Call the client's family to arrange for transportation
C. Attempt to persuade the client to stay "for only a few more days"
D. Tell the client that leaving would likely result in an involuntary commitment
- correct answer A
, When reviewing the admission assessment, the nurse notes that the client was admitted to the mental
health unit voluntarily. Based on this type of admission, the nurse should provide which intervention for
this client?
A. Monitor closely for harm to self or others
B. Assist in completing an application for admission
C. Supply the client with written in information about his or her mental health problem
D. Provide an opportunity for the family to discuss why they felt the admission was needed
- correct answer A
A client from India states, "My uncle sinned when he slaughtered his cow for profit." Which data should
the nurse consider when assessing this client's mental health?
A. Delusions are false personal beliefs
B. The concepts of mental health and mental illness are defined and influenced by culture and religious
beliefs
C. Hallucinations are false sensory perceptions not associated with any real external stimuli and may
involve the senses
D. This client is employing the defense mechanism of projection
- correct answer B
Which of the following best exemplifies a client's use of the defense mechanism of displacement. Select
all that apply.
A. A student fails a dosage calculation test then arbitrarily picks a fight with a roommate.
B. An adolescent who feels angry and hostile towards others decides to become a therapist
C. A woman is unhappy about being a mother, although others know her as an attentive parent
D. A client is drinking 6 to 8 beers a day while still attending AA as a group leading
E. After a heated argument with his wife, a husband berates a restaurant waiter for slow service
- correct answer A, E
A nursing instructor is teaching about ego defense mechanisms. Which statement indicates a need for
further instruction?
A. Defense mechanisms are used during periods of increased anxiety and when the strength of the ego
is tested
answers 2026\2027 A+ Grade
A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died.
I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates
therapeutic communication?
A. "You have everything to live for"
B. "Why do you see yourself as a failure?"
C. "Feeling like this is all part of being depressed"
D. "You've been feeling like a failure for awhile?"
- correct answer D
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which
response by the nurse demonstrates therapeutic communication?
A. "I see"
B. Really?"
C. You're having difficulty sleeping?"
D. Sometimes I have trouble sleeping too"
- correct answer C
A client is experiencing disturbed thought process and believes that his food is being poisoned. Which
communication technique should the nurse use to encourage the client to eat?
A. Using open ended questions and silence
B. Sharing personal preference regarding food choices
C. Documenting reasons why the client does not want to eat
D. Offering opinions about the necessity of adequate nutrition
- correct answer A
The nurse should plan which goals of the termination stage of group development? Select all that apply.
,A. The group evaluates the experience
B. The real work of the group is accomplished
C. Group interaction involves superficial conversation
D. Group members become acquainted with one another
E. Some structuring of group norms, roles, and responsibilities takes place
F. The group explores members' feelings about the group and impending separation
- correct answer A,F
A client diagnosed with terminal cancer says to the nurse, "I'm going to die! I wish my family would stop
hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which
response by the nurse is therapeutic?
A. Have you shared your feelings with your family?
B. I think we should talk more about your anger with your family
C. You're feeling angry that your family continues to hope for you to be cured?
D. You're probably very depressed, which is understandable with such a diagnosis
- correct answer C
On review of the client's record, the nurse notes that the admission was voluntary. Based on this
information, the nurse plans care anticipating which client behavior?
A. Fearfulness regarding treatment measures
B. Anger and aggressiveness directed toward others
C. An understanding of the pathology and symptoms of the diagnosis
D. A willingness to participate in the planning of the care and treatment plan
- correct answer D
A client admitted voluntarily for treatment of an anxiety problem demands to be released from the
hospital. Which action should the nurse take initially?
A. Contact the client's healthcare provider
B. Call the client's family to arrange for transportation
C. Attempt to persuade the client to stay "for only a few more days"
D. Tell the client that leaving would likely result in an involuntary commitment
- correct answer A
, When reviewing the admission assessment, the nurse notes that the client was admitted to the mental
health unit voluntarily. Based on this type of admission, the nurse should provide which intervention for
this client?
A. Monitor closely for harm to self or others
B. Assist in completing an application for admission
C. Supply the client with written in information about his or her mental health problem
D. Provide an opportunity for the family to discuss why they felt the admission was needed
- correct answer A
A client from India states, "My uncle sinned when he slaughtered his cow for profit." Which data should
the nurse consider when assessing this client's mental health?
A. Delusions are false personal beliefs
B. The concepts of mental health and mental illness are defined and influenced by culture and religious
beliefs
C. Hallucinations are false sensory perceptions not associated with any real external stimuli and may
involve the senses
D. This client is employing the defense mechanism of projection
- correct answer B
Which of the following best exemplifies a client's use of the defense mechanism of displacement. Select
all that apply.
A. A student fails a dosage calculation test then arbitrarily picks a fight with a roommate.
B. An adolescent who feels angry and hostile towards others decides to become a therapist
C. A woman is unhappy about being a mother, although others know her as an attentive parent
D. A client is drinking 6 to 8 beers a day while still attending AA as a group leading
E. After a heated argument with his wife, a husband berates a restaurant waiter for slow service
- correct answer A, E
A nursing instructor is teaching about ego defense mechanisms. Which statement indicates a need for
further instruction?
A. Defense mechanisms are used during periods of increased anxiety and when the strength of the ego
is tested
