1. What is the nurse’s most important role in caring for a client
with a mental health disorder?
A. To offer advice on how a client should respond to
challenges
B. To let client realized her wrong decisions in life
C. To offer solutions to a client’s problem
D. To establish trust and rapport
2. A psychiatric nurse should know that the primary or overall
purpose of therapeutic communication in the nurse-client
relationship is:
A. To facilitate a helping relationship
B. To provide emotional support
C. To analyze client’s problem
D. To elicit cooperation
3. Which of the following is a basic safeguard to ethical
principles by the nurse in providing care to patients with
borderline personality disorders who are extremely provocative
and manipulative?
A. Observing human to human relationships
B. Seeking clinical expert opinion
C. Practicing self-awareness constantly
D. Applying person centered approach
4. Considering that a man is by nature social, it is best for the
nurse to gain self-awareness by:
A. Participating in intensive group experience
B. Individual psychotherapy
C. Hypnotherapy
D. Writing an autobiography for self-introspection
5. The nurse is about to start Nurse-Patient interaction to a
newly admitted patient. To best render her therapeutic use of,
she should be able to accomplish which action first before
initiating the nurse-patient relationship?
A. Determining if the patient’s problem result from
stressors
B. Establishing boundaries for the patient and the nurse
C. Exploring personal feelings regarding the care of the
mental health patient
D. Identifying goals and strategies
6. On an in-patient psychiatric unit, the nurse explores her own
feelings about working with a woman who has allowed her
husband to abuse her and her children physically and verbally.
This interaction would occur, in which phase of the nurse-client
relationship?
A. Pre-interaction phase
B. Orientation phase
C. Working phase
D. Termination phase
7. During the initial interview with a client, the nurse begins to
feel uncomfortable and realizes that the client’s behaviors
remind the nurse of her abusive mother. The nurse realizes the
phenomenon is known as:
A. Transference
B. Counter-transference
C. Denial
D. Reaction formation
8. During the termination phase of the nurse-client
relationship, the client continuously demonstrates bursts of
anger. The nurse interprets this as:
A. A sign that the client further treatment and is not
ready to be discharged
B. A typical behavior during termination
C. Reason for extended hospital stay
D. A urgent concern must be relayed to the psychiatrist
9. A female client has asked the nurse what she should do
about leaving her husband. The nurse replies, “I think you
should divorce your husband because it is just too stressful.”
This is an ineffective communication technique for which
reason?
A. It demands an explanation from the client
B. It disagrees with the client’s actions
C. It belittles the client’s feelings
D. It tells the client how to solve her problem
10. The nurse is caring for a client just admitted to the mental
health unit and diagnosed with catatonic stupor. The client is
lying on the bed in a fetal position. Which is the most
appropriate nursing intervention?
A. Ask direct questions to encourage talking.
B. Leave the client alone so as to minimize external
stimuli.
C. Sit beside the client in silence with simple open-ended
questions.
D. Take the client into the dayroom with other clients to
provide stimulation.
11. The client with kidney stones refuses to eat lunch and
rudely tells the nurse to get out of his room. Which of the
following responses by the nurse would be most appropriate?
A. “I’ll leave, but you need to eat”
B. “I’ll get you something for your pain.”
C. “Your anger doesn’t bother me. I’ll back later.”
D. “You sound angry. What is upsetting you?”
12. 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 a while?”
13. The spouse of a client admitted to the mental health unit
for alcohol withdrawal says to the nurse, “I should get out of
this bad situation.” Which is the most helpful response by the
nurse?
A. “Why don’t you tell your spouse about this?”
B. “What do you find difficult about this situation?”
C. “This is not the best time to make that decision.”
D. “I agree with you. You should get out of this
situation.”
14. 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.”
15. A client with paranoid schizophrenia has been experiencing
auditory hallucination for many years. One approach that has
been proven to be effective for hallucinating clients is to:
A. Take an as-needed dose of psychotropic medication
whenever they hear voices
B. Practice saying “Go away” or “Stop” when they hear
voices
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