MH Exam 2 prax Q's with correct A’s
already passed
A client with a diagnosis of major 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
demonstrates therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - correct answer ✔✔ 4. "You've been feeling
like a failure for a while?"
When the community health nurse visits a client at home, the client states, "I haven't slept at all
the last couple of nights." Which response b the nurse illustrates a therapeutic communication
response to this client?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. Sometimes, I have trouble sleeping, too." - correct answer ✔✔ 3. "You're having difficulty
sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned.
Which communication technique should the nurse use to encourage the client to eat?
1. Using open-ended questions and silence.
2. Sharing personal preference regarding food choices.
3. Documenting reasons why the client does not want to eat.
,4. Offering opinions about the necessity of adequate nutrition. - correct answer ✔✔ 1. Using
open-ended questions and silence.
A client admitted to a mental health unit for treatment of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong
here." What defense mechanism is the client implementing?
1. Denial
2. Projection
3. Regression
4. Rationalization - correct answer ✔✔ 1. Denial
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and 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?
1. "Have you shared your feelings with your family?"
2. "I think we should talk more about your anger with your family."
3. You're feeling angry that your family continues to hope for you to be cured?"
4. "You are probably very depressed, which is understandable with such a diagnosis." - correct
answer ✔✔ 3. You're feeling angry that your family continues to hope for you to be cured?"
A client admitted voluntarily for treatment of an anxiety disorder demands to be released from
the hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay for "only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - correct answer
✔✔ 1. Contact the client's health care provider (HCP).
,The nurse is preparing a client for the termination phase of the nurse-client relationship. The
nurse prepares to implement which nursing task is most appropriate for this phase?
1. Planning short-term goals
2. Making appropriate referrals
3. Developing realistic solutions
4. Identifying expected outcomes - correct answer ✔✔ 2. Making appropriate referrals
The nurse calls security and has physical restraints applied when a client who was admitted
voluntarily becomes both physically and verbally abusive while demanding to be discharged
from the hospital. Which represents the possible legal ramifications for the nurse associated
with these interventions (select all that apply)?
1. Libel
2. Battery
3. Assault
4. Slander
5. False Imprisonment - correct answer ✔✔ 2, 3, 5
The nurse in the mental health unit recognizes which as bring therapeutic communication
techniques (select all that apply)?
1. Restating.
2. Listening.
3. Asking the client, "Why?"
4. Maintaining neutral responses.
5. Providing acknowledgment and feedback.
6. Giving advice and approval and disapproval. - correct answer ✔✔ 1, 2, 4, & 5
, A client being seen in the emergency department immediately after being sexually assaulted
appears calm and controlled. The nurse analyzes this behavior is indicating which defense
mechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization - correct answer ✔✔ 1. Denial
A client's unresolved feelings related to loss would be most likely observed during which phase
of the therapeutic nurse-client relationship?
1. Trusting
2. Working
3. Orientation
4. Termination - correct answer ✔✔ 4. Termination
Rationale: In the termination phase, the relationship comes to a close. Ending treatment
sometimes may be traumatic for clients who have come to value the relationship and the help.
Because loss is an issue, any unresolved feelings related to loss may resurface during this phase.
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in during
the working phase of the nurse-client relationship?
1. Exploring the client's ability to function.
2. Exploring the client's potential for self-harm.
3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful.
4. Inquiring about and examining the client's feelings for any that may block adaptive coping. -
correct answer ✔✔ 4. Inquiring about and examining the client's feelings for any that may block
adaptive coping.
already passed
A client with a diagnosis of major 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
demonstrates therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - correct answer ✔✔ 4. "You've been feeling
like a failure for a while?"
When the community health nurse visits a client at home, the client states, "I haven't slept at all
the last couple of nights." Which response b the nurse illustrates a therapeutic communication
response to this client?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. Sometimes, I have trouble sleeping, too." - correct answer ✔✔ 3. "You're having difficulty
sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned.
Which communication technique should the nurse use to encourage the client to eat?
1. Using open-ended questions and silence.
2. Sharing personal preference regarding food choices.
3. Documenting reasons why the client does not want to eat.
,4. Offering opinions about the necessity of adequate nutrition. - correct answer ✔✔ 1. Using
open-ended questions and silence.
A client admitted to a mental health unit for treatment of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong
here." What defense mechanism is the client implementing?
1. Denial
2. Projection
3. Regression
4. Rationalization - correct answer ✔✔ 1. Denial
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and 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?
1. "Have you shared your feelings with your family?"
2. "I think we should talk more about your anger with your family."
3. You're feeling angry that your family continues to hope for you to be cured?"
4. "You are probably very depressed, which is understandable with such a diagnosis." - correct
answer ✔✔ 3. You're feeling angry that your family continues to hope for you to be cured?"
A client admitted voluntarily for treatment of an anxiety disorder demands to be released from
the hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay for "only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - correct answer
✔✔ 1. Contact the client's health care provider (HCP).
,The nurse is preparing a client for the termination phase of the nurse-client relationship. The
nurse prepares to implement which nursing task is most appropriate for this phase?
1. Planning short-term goals
2. Making appropriate referrals
3. Developing realistic solutions
4. Identifying expected outcomes - correct answer ✔✔ 2. Making appropriate referrals
The nurse calls security and has physical restraints applied when a client who was admitted
voluntarily becomes both physically and verbally abusive while demanding to be discharged
from the hospital. Which represents the possible legal ramifications for the nurse associated
with these interventions (select all that apply)?
1. Libel
2. Battery
3. Assault
4. Slander
5. False Imprisonment - correct answer ✔✔ 2, 3, 5
The nurse in the mental health unit recognizes which as bring therapeutic communication
techniques (select all that apply)?
1. Restating.
2. Listening.
3. Asking the client, "Why?"
4. Maintaining neutral responses.
5. Providing acknowledgment and feedback.
6. Giving advice and approval and disapproval. - correct answer ✔✔ 1, 2, 4, & 5
, A client being seen in the emergency department immediately after being sexually assaulted
appears calm and controlled. The nurse analyzes this behavior is indicating which defense
mechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization - correct answer ✔✔ 1. Denial
A client's unresolved feelings related to loss would be most likely observed during which phase
of the therapeutic nurse-client relationship?
1. Trusting
2. Working
3. Orientation
4. Termination - correct answer ✔✔ 4. Termination
Rationale: In the termination phase, the relationship comes to a close. Ending treatment
sometimes may be traumatic for clients who have come to value the relationship and the help.
Because loss is an issue, any unresolved feelings related to loss may resurface during this phase.
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in during
the working phase of the nurse-client relationship?
1. Exploring the client's ability to function.
2. Exploring the client's potential for self-harm.
3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful.
4. Inquiring about and examining the client's feelings for any that may block adaptive coping. -
correct answer ✔✔ 4. Inquiring about and examining the client's feelings for any that may block
adaptive coping.
