NR576 Psychiatric & Mental Health Care — Original Latest Version Study Set

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Sample questions from NR576 Psychiatric & Mental Health Care — Original Latest Version Study Set

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

1. 1.During an outpatient visit, a client says, "I feel like nobody listens to me." Which response best demonstrates therapeutic communication?

   • A."I am listening. Tell me more about what has been happening."
   • B."You should tell your family how you feel."
   • C."I am sure your family cares about you."
   • D."Why do you think nobody listens to you?"

   Rationale: Inviting the client to elaborate communicates attention and encourages exploration without making assumptions. Giving advice, asking a why-question, or offering premature reassurance can inhibit discussion. Use open-ended responses to keep the focus on the client's experience.

2. 2.Which statement by a nurse is an example of reflection?

   • A."I know exactly how you feel."
   • B."What happened after you spoke with your supervisor?"
   • C."You should wait until you feel better before deciding."
   • D."You seem worried about returning to work."

   Rationale: Reflection identifies and returns the apparent feeling to the client for clarification. The question seeks information, advice directs the client, and claiming to know exactly how another person feels shifts focus away from the client. Reflect feelings tentatively rather than treating an inference as fact.

3. 3.In a community clinic, an adolescent gives one-word answers and looks away when asked about stress. Which response is most likely to encourage communication?

   • A."Your parents told me you have been difficult lately."
   • B."You need to make eye contact when we talk."
   • C."I notice it is hard to talk about this. We can take our time."
   • D."If you do not answer, I cannot help you."

   Rationale: Acknowledging the difficulty and allowing time reduces pressure while showing acceptance. Requiring eye contact imposes a cultural assumption, citing parental criticism can undermine trust, and threatening withdrawal is coercive. Silence and patience can be therapeutic when used attentively.

4. 4.A client says, "I am terrified about the procedure tomorrow." Which nurse responses are therapeutic? Select all that apply.

   • A."What worries you most about the procedure?"
   • B."Would it help to review what to expect?"
   • C."You sound frightened."
   • D."There is nothing to be afraid of."
   • E."I had the same procedure, and it was easy."

   Answer and rationale are in the full material.

5. 5.A client pauses for several seconds after describing a recent loss. What is the nurse's best action?

   • A.Change the subject to reduce discomfort.
   • B.Remain quietly present and allow the client time.
   • C.Ask several questions to keep the conversation moving.
   • D.Tell the client that crying will help.

   Answer and rationale are in the full material.