Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test 2026 – All-in-One Resource to Excel in Your Exam!

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How should a nurse approach psychiatric patient assessments?

With strict questioning techniques

With sensitivity and using closed-ended questions

By maintaining a distant professional relationship

With sensitivity, using open-ended questions, and maintaining a therapeutic relationship

When assessing psychiatric patients, the approach should emphasize sensitivity and the development of a therapeutic relationship. This is crucial because psychiatric patients often experience heightened vulnerability and may have difficulty expressing their thoughts and feelings. A compassionate approach fosters trust, enabling patients to feel safe and more willing to share their experiences, which can lead to more accurate assessments.

Using open-ended questions is particularly effective in these assessments because they encourage patients to elaborate on their thoughts and feelings rather than confining them to brief responses. This open dialogue allows the nurse to gather more in-depth information regarding the patient's mental state, concerns, and experiences. The therapeutic relationship is vital; it is built on trust, empathy, and understanding, creating an environment conducive to healing and communication.

In contrast, strict questioning techniques or a focus on closed-ended questions may limit the information received and can make the patient feel cornered or pressured, which might inhibit full disclosure of their symptoms and emotional state. Maintaining a distant professional relationship can also hinder the patient's comfort and willingness to interact openly, thereby obstructing the effectiveness of the assessment. Therefore, employing a sensitive approach that includes open-ended questions and an emphasis on a therapeutic relationship ensures a holistic and compassionate assessment process.

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