Wgu D449 Mental Health

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Sample questions from Wgu D449 Mental Health

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

1. 1.During a clinic visit, a client says, "I feel like nobody understands how exhausting this grief is." Which response best demonstrates therapeutic communication?

   • A."You need to stay busy so you do not dwell on it."
   • B."It sounds as though you feel alone with this grief. Tell me more."
   • C."At least your family is still healthy."
   • D."I know exactly how you feel; I lost someone, too."

   Rationale: Reflecting the client's feelings and inviting elaboration communicates empathy and encourages expression. Advising the client to stay busy, comparing experiences, or offering reassurance can minimize the client's unique grief. A therapeutic response focuses on the client's experience rather than shifting attention to the nurse's opinions.

2. 2.A client newly admitted to an inpatient unit says, "I am afraid I will lose control." Which responses by the nurse are therapeutic? Select all that apply.

   • A."Other clients are managing, so you can too."
   • B."What does losing control mean to you?"
   • C."What usually helps you feel safer when this happens?"
   • D."You have nothing to worry about here."
   • E."I can stay with you while we talk about what is frightening you."

   Rationale: Asking what the client's words mean, offering presence, and exploring effective coping strategies invite the client to describe needs and build safety. Saying there is nothing to worry about gives false reassurance, and comparing the client with others can feel judgmental. Use open-ended questions and a calm, accepting manner.

3. 3.A client states, "The staff are talking about me, and I cannot trust anyone." Which response is most therapeutic?

   • A."Why would the staff talk about you?"
   • B."That is not true; the staff are here to help you."
   • C."You should ignore those thoughts."
   • D."You feel unsafe and unsure whom to trust. I am here with you now."

   Rationale: The response acknowledges the client's expressed feeling without agreeing that staff are talking about the client. Directly disputing the belief, asking a challenging why question, or telling the client to ignore thoughts can increase defensiveness. A calm, present-focused response supports engagement and safety.

4. 4.In a community mental health visit, a client pauses for a long time after being asked about a recent loss. What should the nurse do?

   • A.Ask several questions quickly to fill the pause.
   • B.Change the subject to avoid upsetting the client.
   • C.Allow the silence and remain attentive.
   • D.Tell the client that the visit is almost over.

   Answer and rationale are in the full material.

5. 5.At change of shift, a client says, "I am going to hurt myself tonight." What is the nurse's priority response?

   • A."Are you thinking about suicide, and do you have a plan or access to the means?"
   • B."You promised yesterday that you would stay safe."
   • C."You should think about the people who care about you."
   • D."Let's talk about something more positive."

   Answer and rationale are in the full material.