RN Mental Health Proctored Exam 2023 Questions

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Sample questions from RN Mental Health Proctored Exam 2023 Questions

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

1. 1.A client who has just received a serious diagnosis says, "I don't know how I can handle this." Which response best demonstrates therapeutic communication?

   • A.What feels most difficult for you right now?
   • B.I know exactly how you feel.
   • C.You will feel better once you have had time to adjust.
   • D.You should focus on the treatments available.

   Rationale: Asking what feels most difficult invites the client to describe concerns without imposing an interpretation. Promising improvement, giving unsolicited advice, and claiming to know exactly how the client feels can shut down exploration. Use open-ended questions to encourage the client to express feelings and priorities.

2. 2.A nurse is interviewing a client who has become tearful while discussing a recent loss. Which actions support therapeutic communication? Select all that apply.

   • A.Ask, "What has this loss been like for you?"
   • B.Change the subject to avoid making the client more upset.
   • C.Allow a brief period of silence.
   • D.Offer a tissue and remain present.
   • E.Say, "You need to be strong for your family."

   Rationale: Silence gives the client time to experience and express feelings, and remaining present with a tissue communicates support without demanding a response. An open-ended question encourages the client to share at their own pace. Telling the client to be strong minimizes grief, and changing the subject blocks discussion.

3. 3.A client says, "I am worried about the test results." Which nurse response is an example of reflection?

   • A.Have you asked your provider about the results?
   • B.The results should be available tomorrow.
   • C.Try not to worry until you know more.
   • D.You are concerned about what the results may show.

   Rationale: Reflection restates the client's expressed feeling or meaning and encourages further exploration. Giving a timeline provides information but does not reflect the concern. Advising the client not to worry minimizes feelings, and directing the client to another person does not respond therapeutically to the expressed concern.

4. 4.During an interview, a client says, "I feel trapped in this hospital." Which response is an example of restating?

   • A.Many clients feel that way at first.
   • B.You will be discharged when you are ready.
   • C.You feel trapped here.
   • D.Why do you feel trapped?

   Answer and rationale are in the full material.

5. 5.A client experiencing acute anxiety repeatedly asks whether a minor symptom means a serious illness. Which response best uses focusing?

   • A.You ask this question every day.
   • B.Let's look at what you notice in your body when the worry starts.
   • C.You are probably healthy, so there is no reason to worry.
   • D.Why do you keep thinking something is wrong?

   Answer and rationale are in the full material.