NR 326 MENTAL HEALTH EXAM 1 LATEST VERSION 2023-2024
/NUR 326 MENTAL HEALTH EXAM 1 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES| ALREADY GRADED A+|| CHAMBERLAINE
- A client who is angry with his psychiatrist says to the nurse, “He doesn’t know
what he is doing. That medication isn’t helping a thing!” The nurse responds, “He
has been a doctor for many years and has helped many people.” This is an example
of what nontherapeutic technique?
a. Rejecting
b. Disapproving
c. Probing
d. Defending – ANSWER- d. Defending
A client says to the nurse, “I’ve been offered a promotion, but I don’t know if I can
handle it.” The nurse replies, “You’re afraid you may fail in the new position.” This
is an example of which therapeutic technique?
a. Restating
b. Making observations
c. Focusing
d. Verbalizing the implied – ANSWER- a. Restating
The environment in which communication takes place influences the outcome of
the interaction. Which of the following are aspects of the environment that
influence communication? (Select all that apply.)
a. Territoriality
b. Density
c. Dimension
d. Distance
e. Intensity – ANSWER- a. Territoriality
b. Density
d. Distance
. The nurse says to a client, “You are being readmitted to the hospital. Why did you
stop taking your medication?” What communication technique does this represent?
a. Disapproving
b. Requesting an explanation
c. Disagreeing
d. Probing – ANSWER- b. Requesting an explanation
A client who has been in rehabilitation for alcohol dependence returns from a visit
to his home and tells the nurse, “We were having a celebration and I did have one
drink, but it really wasn’t a problem.” The nurse notices that his breath smells of
alcohol. Which of the following responses by the nurse demonstrates a
motivational interviewing style of communication?
a. “You are obviously not motivated to change, so perhaps we should discuss your
discharge from the treatment program.”
b. “You need to abstain from alcohol in order to recover, so let me talk to the
doctor about the consequences of your behavior.”
c. “Why would you destroy everything you’ve worked so hard to achieve?”
d. “What do you mean when you say, ‘It really wasn’t a problem’?” – ANSWER- d.
“What do you mean when you say, ‘It really wasn’t a problem’?”
A client who has been diagnosed with schizophrenia and has been on medication
for several months states, “I’m not taking that stupid medication anymore.” Which
of the following responses by the nurse demonstrates a motivational interviewing
style of communication?
a. “Don’t you know that if you don’t take your medication you will never recover?”
b. “Why won’t you cooperate with the treatment your doctor prescribed?”
c. “Bill, the medication is not stupid.”
d. “Tell me more about why you don’t want to take the medication.” – ANSWERd. “Tell me more about why you don’t want to take the medication.”
A client states, “I refuse to shower in this room. I must be very cautious. The FBI
has placed a camera in here to monitor my every move.” Which of the following is
the most therapeutic response?
a. “That’s not true.”
b. “I have a hard time believing that is true.”
c. “Surely you don’t really believe that.”
d. “I will help you search this room so that you can see there is no camera.” –
ANSWER- b. “I have a hard time believing that is true.”
A depressed client who has been unkempt and untidy for weeks comes to group
therapy today wearing makeup and a clean dress with hair washed and combed.
Which of the following responses by the nurse is most appropriate?
a. “I see you have put on a clean dress and combed your hair.”
b. “You look wonderful today!”
c. “I’m sure everyone will appreciate that you have cleaned up for the group today.”
d. “Now that you see how important it is, I hope you will do this every day.” –
ANSWER- a. “I see you have put on a clean dress and combed your hair.”
A client was involved in an automobile accident while under the influence of
alcohol. She swerved her car into a tree and narrowly missed hitting a child on a
bicycle. She is in the hospital with multiple abrasions and contusions. She is
talking about the accident with the nurse. Which of the following statements by the
nurse is most appropriate?
a. “Now that you know what can happen when you drink and drive, I’m sure you
won’t let it happen again.”
b. “You know that was a terrible thing you did. That child could have been killed.”
c. “I’m sure everything is going to be okay now that you understand the possible
consequences of such behavior.”
d. “How are you feeling about what happened?” – ANSWER- d. “How are you
feeling about what happened?”
A client, who has been in the hospital for 3 weeks, has used Valium “to settle her
nerves” for the past 15 years. She was admitted by her psychiatrist for safe
withdrawal from the drug. She has passed the physical symptoms of withdrawal at
this time but states to the nurse, “I don’t know if I will be able to make it without
Valium after I go home. I’m already starting to feel nervous. I have so many
personal problems.” Which is the most appropriate response by the nurse?
a. “Why do you think you need drugs to deal with your problems?”
b. “Everybody has problems, but not everybody uses drugs to deal with them.
You’ll just have to do the best that you can.”
c. “Let’s explore some things you can do to decrease your anxiety without resorting
to drugs.”
d. “Just hang in there. I’m sure everything is going to be okay.” – ANSWER- c.
“Let’s explore some things you can do to decrease your anxiety without resorting to
drugs.”
A client asks the nurse, “Do you think I should tell my husband about my affair
with my boss?” Which is the most appropriate response by the nurse?
a. “What do you think would be best for you to do?”
b. “Of course you should. Marriage has to be based on truth.”
c. “Of course not. That would only make things worse.”
d. “I can’t tell you what to do. You have to decide for yourself.” – ANSWER- a.
“What do you think would be best for you to do?”