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NUR354 Mental Health Exam 1 Practice Questions with Correct Answers
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NUR354 Mental Health Exam 1 Practice Questions with Correct Answers
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NUR354 Mental Health Exam 1 PracticeQuestions with Correct Answers
The nurse in the mental health unit recognizes which as being therapeutic
communication techniques? Select all that apply.
a. Restating
b. Listening
c. Asking the client, "Why?"
d. Maintaining neutral responses
e. Providing acknowledgment and feedback
f. Giving advice and approval or disapproval - Answer-a. Restating
b. Listening
d. Maintaining neutral responses
e. Providing acknowledgement and feedback
In which part of the nursing care plan would the nurse expect to find this statement:
"Patient voluntarily attends group activities but does not participate actively."
a. Evaluation
b. Assessment
c. Diagnosis
d. Planning - Answer-a. Evaluation
A nurse spends extra time with a client who has personality features similar to the
nurse's estranged spouse. Which aspect of countertransference is most likely to result?
a. Overinvolvement
b. Misuse of honesty
c. Indifference
d. Rescue - Answer-a. Overinvolvement
Overinvolvement is a reaction to countertransference; it is important for the nurse to
establish firm treatment boundaries, goals, and nursing expectations
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 by the nurse illustrates a
therapeutic communication response to this client?
a. "Sometimes I have trouble sleeping, too."
b. "You're having difficulty sleeping?"
c. "Really?"
d. "I see." - Answer-b. "You're having difficulty sleeping?"
This option uses the therapeutic communication technique of restating. Restating has a
prompting component to it, but it also repeats the client's major theme, which assists the
nurse to obtain a more specific perception of the problem from the client. The other
options are not therapeutic responses.
, Becky tells you, "I have something secret to tell you, but you can't tell anyone else." The
nurse agrees. What is the likely consequence of the nurse's action?
a. Healthy feelings of sympathy by the nurse toward the client.
b. Blurred boundaries in the nurse-client relationship.
c. Improved rapport between the nurse and client.
d. Enhanced trust between the nurse and client. - Answer-b. Burred boundaries in the
nurse-client relationship
Keeping secrets indicates that the nurse is overly involved and is one aspect of blurred
boundaries
As a nurse assesses a new client, the nurse makes sure the door remains open. Which
type of communication factor is this action?
a. Personal
b. Non-verbal
c. Relationship
d. Environmental - Answer-d. Environmental
Environmental factors that may affect communication include physical factors (e.g.
background noise, lack of privacy, uncomfortable accommodations) and societal
determinants (e.g. sociopolitical, historical, and economic factors, the presence of
others, and expectations of others)
A nurse seeks to establish a relationship with a patient readmitted to the hospital. The
patient has bipolar disorder, depressed type, and was hospitalized the preceding month.
Which statement by the nurse would contribute to establishing trust?
a. Weren't you compliant with your medication?
b. It must be discouraging to have been readmitted to the hospital so soon
c. Everyone with bipolar disorder ends up in the hospital periodically
d. You must take your medications religiously or you will be re-hospitalized - Answer-b.
It must be discouraging to have been readmitted to the hospital so soon
As you begin working with her, you notice that your patient has an uncanny
resemblance to your younger sister. As a child, this sister lied and criticized you
constantly, then screamed and cried to others if you challenged her. You realize that
you are responding negatively to this patient. What's going on here?
a. Self-actualization
b. Transference
c. Bias
d. Countertransference - Answer-d. Countertransference
Countertransference is unconscious feelings the healthcare worker has toward the
patient
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