Pyschiatric and Mental Health D449

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Sample questions from Pyschiatric and Mental Health D449

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client says, "I feel like nobody here listens to me." Which response best demonstrates therapeutic communication?

   • A."You should give the staff more time to get to know you."
   • B."It sounds as though you feel unheard. Tell me more about that."
   • C."I am sure your family listens to you."
   • D."Why do you think nobody listens?"

   Rationale: Reflecting the client's feeling and inviting elaboration communicates attention without making assumptions. Advising the client to be patient minimizes the concern, reassurance about family is unsupported, and asking "why" can sound challenging. The exam takeaway is to use open-ended, nonjudgmental responses that focus on the client's experience.

2. 2.During a home visit, a client with limited speech after a stroke becomes frustrated while trying to answer a question. What should the nurse do first?

   • A.Allow time for a response and offer a communication board.
   • B.Finish the client's sentences to reduce effort.
   • C.Ask the family member to answer instead.
   • D.Ask several yes-or-no questions rapidly.

   Rationale: Allowing time and offering an alternate communication method supports the client's autonomy and expression. Rapid questions add pressure, completing sentences can be inaccurate and disempowering, and relying on family may exclude the client. The exam takeaway is to adapt communication while continuing to address the client directly.

3. 3.Which responses should the nurse use to support further discussion? Select all that apply.

   • A."Your partner probably did not mean to upset you."
   • B."You should try to look on the bright side."
   • C."What feels most difficult for you right now?"
   • D."I will sit with you while you decide what you want to discuss."
   • E."You seem tense as you talk about going home."

   Rationale: An open-ended question, offering presence, and reflecting an observed emotion invite the client to share at their own pace. Encouraging the client to look on the bright side minimizes distress, and defending the partner makes an unsupported assumption. The chart shows the client is tense and feels pressured, so responses should explore rather than dismiss that experience.

4. 4.Which statement by the nurse is an example of clarification?

   • A."Why did you leave the group early?"
   • B."Things will be better after you get some rest."
   • C."When you say you feel 'empty,' what does that mean to you?"
   • D."You seem angry about the meeting."

   Answer and rationale are in the full material.

5. 5.A client asks the nurse, "Do you think I should quit my job?" Which response is most therapeutic?

   • A."You need to ask your family what they think."
   • B."Yes, your job sounds unhealthy for you."
   • C."Most people would quit if they were in your situation."
   • D."I cannot make that decision for you, but we can explore what matters to you."

   Answer and rationale are in the full material.