MHN Unit 2 Test

College Of Nursing, Allama Iqbal Medical College, Lahore
Class: 3rd Prof Student Name: ________________

Subject: MHN Total Marks: 30
Q1: Choose Right Option.

1. A client states, “I don’t know what the pills are for or why I am taking them, so I don’t
want them.” Which is an example of the therapeutic communication technique of
“giving information”?
a. “You must take your medication to get better.”
b. “The doctor wouldn’t prescribe these pills if they were harmful.”
c. “Do you feel this way about all your medications?”
d. “Let me tell you about your medication.”
2. A depressed client discussing marital problems with the nurse says, “What will I do if
my husband asks me for a divorce?” Which response by the nurse would be an example
of therapeutic communication?
a. “Why do you think that your husband will ask you for a divorce?”
b. “You seem to be worrying over nothing. I’m sure everything will be fine.”
c. “What has happened to make you think that your husband will ask for a
divorce?”
d. “Talking about this will only make you more anxious and increase your
depression.”
3. A client states to the nurse, “I’m thinking about ending it all.” Which response by the
nurse would be an example of therapeutic communication?
a. “I’m sure you won’t hurt yourself.”
b. “Wasn’t your wife just here during visiting hours?”
c. “Why would you want to do something like that?”
d. “You must be feeling very sad right now.”
4. The nurse states to a client on an in-patient unit, “Tell me what’s been on your mind.”
Which describes the purpose of this therapeutic communication technique?
a. To have the client initiate the conversation.
b. To present new ideas for consideration.
c. To convey interest in what the client is saying.
d. To provide time for the nurse and client to gather thoughts and reflect.
5. The nurse states to the client, “You say that you are sad, but you are smiling and
laughing.”
Which describes the purpose of this therapeutic communication technique?
a. To provide suggestions for coping strategies.
b. To redirect the client to an idea of importance.
c. To bring incongruence’s or inconsistencies into awareness.
d. To provide feedback to the client.
6. Which is an example of the therapeutic communication technique of “clarification”?
a. “Can we talk more about how you feel about your father?”
b. “I’m not sure what you mean when you use the word ‘fragile.’”
c. “I notice that you seem angry today.”
d. “How does your mood today compare with yesterday?”
7. The client states, “I’m not sure the doctor has prescribed the correct medication for
my sad mood.” Which would be a therapeutic response?
a. “A lot of clients are nervous about new medications. I’ll get you some
information about it.”
b. “So you think that this medication is not right for you?”
c. “Why do you think that this medication won’t help your mood?”
d. “Your doctor has been prescribing this medication for years, and it really
does help people.”
8. Delving further into a subject, idea, experience, or relationship is to “exploring” as
taking notice of a single idea, or even a single word, is to:
a. “Broad opening.”
b. “Offering general leads.”
c. “Focusing.”
d. “Accepting.”
9. Allowing the client to take the initiative in introducing the topic is to “broad opening”
as the nurse’s making self available and presenting emotional support is to:
a. “Focusing.”
b. “Offering self.”
c. “Restating.”
d. “Giving recognition.”
10. The nurse’s lack of verbal communication for therapeutic reasons is to “silence” as
the nurse’s ability to process information and examine reactions to the messages
received is to:
a. “Focusing.”
b. “Offering self.”
c. “Restating.”
d. “Listening.”
11. A client on an in-patient psychiatric unit asks the evening shift nurse, “How do you
feel about my refusing to attend group therapy this morning?” The nurse responds,
“How did your refusing to attend group make you feel?” Which communication
technique is the nurse using in this situation?
a. Therapeutic use of “restatement.”
b. Nontherapeutic use of “probing.”
c. Therapeutic use of “reflection.”
d. Nontherapeutic use of “interpreting.”
12. Indicating that there is no cause for anxiety is to “reassuring” as sanctioning or
denouncing the client’s ideas or behaviors is to:
a. “Approving/disapproving.”
b. “Rejecting.”
c. “Interpreting.”
d. “Probing.”
13. Demanding proof from the client is to “challenging” as persistent questioning of the
client and pushing for answers the client does not wish to discuss is to:
a. “Advising.” c. “Rejecting.”
b. “Probing.” d. Defending.”
14. Which is an example of the nontherapeutic technique of “giving reassurance?”
a. “That’s good. I’m glad that you. . . .”
b. “Hang in there, every dog has his day.”
c. “Don’t worry, everything will work out.”
d. “I think you should. . . .”
15. Which is an example of the nontherapeutic technique of “requesting an
explanation”?
a. “Who made you so angry last night?”
b. “Do you still have the idea that . . .?”
c. “How could you be dead, when you’re still breathing?”
d. “Why do you feel this way?”
16. A client on a psychiatric unit says, “It’s a waste of time to be here. I can’t talk to you
or anyone.” Which would be an appropriate therapeutic nursing response?
a. “I find that hard to believe.”
b. “Are you feeling that no one understands?”
c. “I think you should calm down and look on the positive side.”
d. “Our staff here is excellent, and you are in good hands.”
17. A client on a psychiatric unit tells the nurse, “I’m all alone in the world now, and I
have no reason to live.” Which response by the nurse would encourage further
communication by the client?
a. “You sound like you’re feeling lonely and frightened.”
b. “Why do you think that suicide is the answer to your loneliness?”
c. “I live by myself and know it can be very lonely and frightening.”
d. “Just hang in there and, you’ll see, things will work out.”
18. The nurse is attempting to establish a therapeutic relationship with an angry,
depressed client on a psychiatric unit. Which is the most appropriate nursing
intervention?
a. Work on establishing a friendship with the client.
b. Use humor to defuse emotionally charged topics of discussion.
c. Show respect that is not based on the client’s behavior.
d. Sympathize with the client when the client shares sad feelings.
19. In dealing therapeutically with a variety of psychiatric clients, the nurse knows that
incorporating humor in the communication process should be used for which purpose?
a. To diminish feelings of anger.
b. To refocus the client’s attention.
c. To maintain a balanced perspective.
d. To delay dealing with the inevitable.
20. A client on an in-patient psychiatric unit has pressured speech and flight of ideas and
is extremely irritable. During an intake assessment, which is the most appropriate
nursing response?
a. “I think you need to know more about your medications.”
b. “What have you been thinking about lately?”
c. “I think we should talk more about what brought you into the hospital.”
d. “Yes, I see. And go on please.”
21. A client in an out-patient clinic states, “I am so tired of these medications.” Which
nursing response would encourage the client to elaborate further?
a. “I see you have been taking your medications.”
b. “Tired of taking your medications?”
c. “Let’s discuss different ways to deal with your problems.”
d. “How would your family feel about your stopping your medications?”
22. Which nurse-client communication-centered skill implies “genuineness”?
a. The nurse communicates regard for the client as a person of worth who is valued
and accepted without qualification.
b. The nurse communicates an understanding of the client’s world from the client’s
internal frame of reference, with sensitivity to the client’s current feelings, and
the ability to communicate this understanding in a language attuned to the
client.
c. The nurse communicates that the nurse is an open person who is self-
congruent, authentic, and transparent.
d. The nurse communicates specific terminology rather than abstractions in the
discussion of the client’s feelings, experiences, and behaviors.
23. A client diagnosed with major depression after a stroke has been admitted to the
psychiatric unit. The report indicates that the client has special communication needs
because of aphasia and dysarthria. Which communication adaptation technique by the
nurse would be most helpful to this client?
a. Using simple sentences and avoiding long explanations.
b. Speaking to the client as though the client could hear.
c. Listening attentively, allowing time, and not interrupting.
d. Providing an interpreter (translator) as needed.
24. A client who has been scheduled for electroconvulsive therapy (ECT) in the morning
tells the nurse, “I’m really nervous about having ECT tomorrow.” Which would be the
best nursing response?
a. “I’ll ask the doctor for a little medication to help you relax.”
b. “It’s okay to be nervous. What are your concerns about the procedure?”
c. “Clients who have had ECT say there’s nothing to it.”
d. “Your doctor is excellent and has done hundreds of these procedures.”
25. An instructor overhears the nursing student ask a client, “This is your third
admission.
Why did you stop taking your medications?” Which statement by the instructor would
be appropriately related to the student’s question?
a. “Your question implied criticism and could have the effect of making the client
feel defensive.”
b. “Your question invited the client to share thoughts and feelings regarding the
client’s noncompliance.”
c. “Your question recognized and acknowledged the client’s reasons for his or her
actions.”
d. “Your question pursued the topic to make the client’s intentions clear.”
Q2: what are the phases of therapeutic nurse patient relationship?

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College Of Nursing, Allama Iqbal Medical College, Lahore

Class: 3rd Prof Student Name: ________________

Q1: Choose Right Option.

Q2: what are the phases of therapeutic nurse patient relationship?

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