2025 Exam 1 Comprehensive Review – Psychiatric and Mental Health Nursing Practice with 60 Questions with Detailed Rationales

• Comprehensive review for psychiatric and mental health nursing
• 60 practice questions with detailed rationales
• Designed for nursing students preparing for 2025 exams
• Enhances understanding of mental health concepts
• Supports critical thinking for exam success

Preview

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.” – – correct ans- -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?”
b. “Tell me again about your experiences.”
c. “Am I correct in understanding that . . .”
d. “Tell me everything from the beginning.” – – correct ans- -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.” – – correct ans- -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 nontherapeutic 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.