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NSG 3450 MENTAL HEALTH EXAM 2
GALEN COLLEGE 2024/2025 WITH 100
PRACTICE QUESTIONS AND CORRECT
ANSWERS/ GALEN NSG 3450 EXAM 2
PREP LATEST 20224(NEW!!)
A nurse interacts with patients diagnosed with various mental illnesses. Which statements reflect use of therapeutic communication? (Select all that apply.)
A:“Tell me more about that situation.”
B: “Let’s talk about something else.”
C: “I notice you are pacing a lot.”
D: “I’ll stay with you a while.”
E: “Why did you do that?”
A, C, D
A patient cries as the nurse explores the patient’s feelings about the death of a close friend. The patient sobs, “I shouldn’t be crying like this. It happened a long time ago.” Which responses by the nurse facilitate communication? (Select all that apply.)
A: “Why do you think you are so upset?”
B: “I can see that you feel sad about this situation.”
C: “The loss of a close friend is very painful for you.”
D: “Crying is a way of expressing the hurt you are experiencing.”
E: “Let’s talk about something else because this subject is upsetting you.”
B, C, D 1 / 4
pg. 2 The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is incongruous A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?Prescribe psychotropic medication.What information is conveyed by nursing diagnoses? (Select all that apply.)
A: Medical judgments about the disorder
B: Unmet patient needs currently present
C: Goals and outcomes for the plan of care
D: Supporting data that validate the diagnoses
E: Probable causes that will be targets for nursing interventions
B, D, E
A patient diagnosed with schizophrenia tells the nurse, "The Central Intelligence Agency is monitoring us through the fluorescent lights in this room. The CIA is everywhere, so be careful what you say." Which response by the nurse is most therapeutic?"It sounds like you're concerned about your privacy." A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response."Tell me more about how you feel." A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self." "I'd like to sit with you for a while to help you get comfortable talking to me." What is incongruous conflicting messages by the speaker 2 / 4
pg. 3 A group has two more sessions before it ends. One member was previously vocal and has shown much progress but has now grown silent. What explanation most likely underlies this behavior? The silent member...is having trouble dealing with feelings about termination of this group Which remark by a group participant would the nurse expect during the working stage of group therapy?"I don't think I agree with your action. It might help you, but it seems like it would upset your family." During a therapy group that uses existential/Gestalt theory, patients shared feelings that occurred at the time of their admission. After a brief silence, one member says, "Several people have described feeling angry. I would like to hear from members who had other feelings." Which group role is evident by this comment?Encourager A patient says, "Please don't share information about me with the other people." How should the nurse respond?"I will not share information with your family or friends without your permission, but I will share information about you with other staff." A nurse assessed a patient who reluctantly participated in activities, answered questions with minimal responses, and rarely made eye contact. What information should be included when documenting the assessment? (Select all that apply.)
A: The patient was uncooperative
B: The patient’s subjective responses
C: Only data obtained from the patient’s verbal responses
D: A description of the patient’s behavior during the interview
E: Analysis of why the patient was unresponsive during the interview
B, D Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect? 3 / 4
pg. 4 Some members are acting as a subgroup instead of as members of the main group.During a group therapy session, a newly admitted patient suddenly says to the nurse, "How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response."You are wondering whether I have enough experience to lead this group?" A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I will be glad when I can help someone else." This statement reflects altruism.Which behavior shows that a nurse values autonomy? The nurse...discusses options and helps the patient weigh the consequences.A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?Begin at the orientation phase.As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?Recognize the effectiveness of the relationship and patient's thoughtfulness. Accept the card.Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?"I hear evil voices that tell me to do bad things." When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in milieu management.What is milieu a person's social environment A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
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