PMH practice test 1
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? - 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 experiencing disturbed thought processes 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 clients does not want to eat
d. Offering opinions about the necessity of adequate nutrition - correct
answer ✔a
,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?
a. "Have you ever shared your feelings with you 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 are 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 health care 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 a client was
admitted to the mental health unit involuntarily.
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 information about her or his mental problem
d. Provide an opportunity for the family to discuss why they felt the admission
was needed - correct answer ✔a
When a client is admitted to a inpatient unit with the diagnosis of anorexia
nervosa, a cognitive behavioral approach is used as
part of the treatment plan. The nurse plans care based on which purpose of
this approach?
a. Providing a supportive environment
b. Examining intrapsychic conflicts and past issues
c. Emphasizing social interaction with clients who withdraw
d. Helping the clients to examine dysfunctional thoughts and belief - correct
answer ✔d
The nurse employed in a mental health clinic is greeted by a neighbor in a
local grocery store. The neighbor says to the nurse,
"How is Carol doing? She is my best friend and is seen at your clinic every
week." Which is the most appropriate nursing
response?
a. "I cannot discuss any client situation with you."
b. "If you want to know about Carol, you need to ask her yourself."
c. "Only because you're worried about a friend, I'll tell you that she is
improving."
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? - 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 experiencing disturbed thought processes 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 clients does not want to eat
d. Offering opinions about the necessity of adequate nutrition - correct
answer ✔a
,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?
a. "Have you ever shared your feelings with you 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 are 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 health care 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 a client was
admitted to the mental health unit involuntarily.
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 information about her or his mental problem
d. Provide an opportunity for the family to discuss why they felt the admission
was needed - correct answer ✔a
When a client is admitted to a inpatient unit with the diagnosis of anorexia
nervosa, a cognitive behavioral approach is used as
part of the treatment plan. The nurse plans care based on which purpose of
this approach?
a. Providing a supportive environment
b. Examining intrapsychic conflicts and past issues
c. Emphasizing social interaction with clients who withdraw
d. Helping the clients to examine dysfunctional thoughts and belief - correct
answer ✔d
The nurse employed in a mental health clinic is greeted by a neighbor in a
local grocery store. The neighbor says to the nurse,
"How is Carol doing? She is my best friend and is seen at your clinic every
week." Which is the most appropriate nursing
response?
a. "I cannot discuss any client situation with you."
b. "If you want to know about Carol, you need to ask her yourself."
c. "Only because you're worried about a friend, I'll tell you that she is
improving."
