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Exam 1 - Psychiatric/Mental Health Nursing practice questions with correct answers | rationales
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Exam 1 - Psychiatric/Mental Health Nursing practice questions with correct answers | rationales A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment...

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  • November 4, 2024
  • 138
  • 2024/2025
  • Exam (elaborations)
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  • exam 1 psychiatricmental health nursing practic

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




Exam 1 - Psychiatric/Mental Health

Nursing practice questions with correct

answers | rationales


A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as

though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?


a. "It sounds as though you were uncomfortable with the content of your dream."


b. "I understand what you're saying. Bad dreams leave me feeling tired, too."


c. "So you feel as though you did not get enough quality sleep last night?"


d. "Can you give me an example of what you mean by 'stoned'?" - ANSWER✔✔-ANS: D


The technique of clarification is therapeutic and helps the nurse examine the meaning of the patient's

statement. Asking for a definition of "stoned" directly asks for clarification. Restating that the patient is

uncomfortable with the dream's content is parroting, a non-therapeutic technique. The other responses

fail to clarify the meaning of the patient's comment.


A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent

lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?


a. "Let's talk about something other than the CIA."


b. "It sounds like you're concerned about your privacy."


c. "The CIA is prohibited from operating in health care facilities."

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d. "You have lost touch with reality, which is a symptom of your illness." - ANSWER✔✔-ANS: B


It is important not to challenge the patient's beliefs, even if they are unrealistic. Challenging undermines

the patient's trust in the nurse. The nurse should try to understand the underlying feelings or thoughts

the patient's message conveys. The correct response uses the therapeutic technique of reflection. The

other comments are non-therapeutic. Asking to talk about something other than the concern at hand is

changing the subject. Saying that the CIA is prohibited from operating in health care facilities gives false

reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.


The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the

patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can

draw is that the patient's communication is:


a. clear.


b. mixed.


c. precise.


d. inadequate. - ANSWER✔✔-ANS: B


Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The

patient's verbal message that all was well in the relationship was modified by the nonverbal behaviors

denoting anxiety. Data are not present to support the choice of the verbal message being clear, explicit,

or inadequate.


A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the

communication technique of "offering self."


a. "I've also had traumatic life experiences. Maybe it would help if I told you about them."


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b. "Why do you think you had so much difficulty adjusting to this change in your life?"


c. "I hope you will feel better after getting accustomed to how this unit operates."


d. "I'd like to sit with you for a while to help you get comfortable talking to me." - ANSWER✔✔-ANS: D


"Offering self" is a technique that should be used in the orientation phase of the nurse-patient

relationship. Sitting with the patient, an example of "offering self," helps to build trust and convey that

the nurse cares about the patient. Two incorrect responses are ineffective and non-therapeutic. The

other incorrect response is therapeutic but is an example of "offering hope."


Which technique will best communicate to a patient that the nurse is interested in listening?


a. Restating a feeling or thought the patient has expressed.


b. Asking a direct question, such as "Did you feel angry?"


c. Making a judgment about the patient's problem.


d. Saying, "I understand what you're saying." - ANSWER✔✔-ANS: A


Restating allows the patient to validate the nurse's understanding of what has been communicated.

Restating is an active listening technique. Judgments should be suspended in a nurse-patient

relationship. Close-ended questions such as "Did you feel angry?" ask for specific information rather than

showing understanding. When the nurse simply states that he or she understands the patient's words,

the patient has no way of measuring the understanding.


A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification,

which comment would be appropriate?


a. "What are the common elements here?"



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b. "Tell me again about your experiences."


c. "Am I correct in understanding that . . ."


d. "Tell me everything from the beginning." - ANSWER✔✔-ANS: C


Asking, "Am I correct in understanding that..." permits clarification to ensure that both the nurse and

patient share mutual understanding of the communication. Asking about common elements encourages

comparison rather than clarification. The remaining responses are implied questions that suggest the

nurse was not listening.


A patient tells the nurse, "I don't think I'll ever get out of here." Select the nurse's most therapeutic

response.


a. "Don't talk that way. Of course you will leave here!"


b. "Keep up the good work, and you certainly will."


c. "You don't think you're making progress?"


d. "Everyone feels that way sometimes." - ANSWER✔✔-ANS: C


By asking if the patient does not believe that progress has been made, the nurse is reflecting by putting

into words what the patient is hinting. By making communication more explicit, issues are easier to

identify and resolve. The remaining options are non-therapeutic techniques. Telling the patient not to

"talk that way" is disapproving. Saying that everyone feels that way at times minimizes feelings. Telling

the patient that good work will always result in success is falsely reassuring.


Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and

tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy

spending time with you.'" Which analysis is most accurate?


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