Question 1

A psychiatric nurse best applies the ethical principle of autonomy by:

Accepted Answer

A)  exploring alternative solutions with a patient, who then makes a choice. 
B)  suggesting that two patients who were fighting be restricted to the unit. 
C)  intervening when a self-mutilating patient attempts to harm self. 
D)  staying with a patient demonstrating a high level of anxiety. 
A)  exploring alternative solutions with a patient, who then makes a choice. 
B)  suggesting that two patients who were fighting be restricted to the unit. 
C)  intervening when a self-mutilating patient attempts to harm self. 
D)  staying with a patient demonstrating a high level of anxiety.

Question 2

A person in the community asks,"Why aren't people with mental illness kept in state institutions anymore?" Select the nurse's best response.

Accepted Answer

A)  "Less restrictive settings are available now to care for individuals with mental illness." 
B)  "There are fewer persons with mental illness, so less hospital beds are needed." 
C)  "Most people with mental illness are still in psychiatric institutions." 
D)  "Psychiatric institutions violated patients' rights." 
A)  "Less restrictive settings are available now to care for individuals with mental illness." 
B)  "There are fewer persons with mental illness, so less hospital beds are needed." 
C)  "Most people with mental illness are still in psychiatric institutions." 
D)  "Psychiatric institutions violated patients' rights."

Question 3

What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse:

Accepted Answer

A)  has been negligent. 
B)  committed malpractice. 
C)  fulfilled the standard of care. 
D)  can be charged with battery. 
A)  has been negligent. 
B)  committed malpractice. 
C)  fulfilled the standard of care. 
D)  can be charged with battery.

Question 4

A voluntarily hospitalized patient tells the nurse,"Get me the forms for discharge.I want to leave now." Select the nurse's best response.

Accepted Answer

A)  "I will get the forms for you right now and bring them to your room." 
B)  "Since you signed your consent for treatment, you may leave if you desire." 
C)  "I will get them for you, but let's talk about your decision to leave treatment." 
D)  "I cannot give you those forms without your health care provider's permission." 
A)  "I will get the forms for you right now and bring them to your room." 
B)  "Since you signed your consent for treatment, you may leave if you desire." 
C)  "I will get them for you, but let's talk about your decision to leave treatment." 
D)  "I cannot give you those forms without your health care provider's permission."

Question 5

In order to release information to another health care facility or third party regarding a patient diagnosed with a mental illness,the nurse must obtain:

Accepted Answer

A)  a signed consent by the patient for release of information stating specific information to be released. 
B)  a verbal consent for information release from the patient and the patient's guardian or next of kin. 
C)  permission from members of the health care team who participate in treatment planning. 
D)  approval from the attending psychiatrist to authorize the release of information. 
A)  a signed consent by the patient for release of information stating specific information to be released. 
B)  a verbal consent for information release from the patient and the patient's guardian or next of kin. 
C)  permission from members of the health care team who participate in treatment planning. 
D)  approval from the attending psychiatrist to authorize the release of information.

Question 6

A patient diagnosed with schizophrenia believes a local minister stirred evil spirits.The patient threatens to bomb a local church.The psychiatrist notifies the minister.Select the answer with the correct rationale.The psychiatrist:

Accepted Answer

A)  released information without proper authorization. 
B)  demonstrated the duty to warn and protect. 
C)  violated the patient's confidentiality. 
D)  avoided charges of malpractice. 
A)  released information without proper authorization. 
B)  demonstrated the duty to warn and protect. 
C)  violated the patient's confidentiality. 
D)  avoided charges of malpractice.

Question 7

An aide in a psychiatric hospital says to the nurse,"We don't have time every day to help each patient complete a menu selection.Let's tell dietary to prepare popular choices and send them to our unit." Select the nurse's best response.

Accepted Answer

A)  "Thanks for the suggestion, but that idea may not work because so many patients take MAOI (monoamine oxidase inhibitor) antidepressants." 
B)  "Thanks for the idea, but it's important to treat patients as individuals. Giving choices is one way we can respect patients' individuality." 
C)  "Thank you for the suggestion, but the patients' bill of rights requires us to allow patients to select their own diet." 
D)  "Thank you. That is a very good idea. It will make meal preparation easier for the dietary department." 
A)  "Thanks for the suggestion, but that idea may not work because so many patients take MAOI (monoamine oxidase inhibitor) antidepressants." 
B)  "Thanks for the idea, but it's important to treat patients as individuals. Giving choices is one way we can respect patients' individuality." 
C)  "Thank you for the suggestion, but the patients' bill of rights requires us to allow patients to select their own diet." 
D)  "Thank you. That is a very good idea. It will make meal preparation easier for the dietary department."

Question 8

Which nursing intervention demonstrates false imprisonment?

Accepted Answer

A)  A confused and combative patient says, "I'm getting out of here, and no one can stop me." The nurse restrains this patient without a health care provider's order and then promptly obtains an order. 
B)  A patient has been irritating and attention-seeking much of the day. A nurse escorts the patient down the hall saying, "Stay in your room, or you'll be put in seclusion." 
C)  An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit. The nurse rushes after the patient and convinces the patient to return to the unit. 
D)  An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility. A nurse calls the security team and uses established protocols to prevent the patient from leaving. 
A)  A confused and combative patient says, "I'm getting out of here, and no one can stop me." The nurse restrains this patient without a health care provider's order and then promptly obtains an order. 
B)  A patient has been irritating and attention-seeking much of the day. A nurse escorts the patient down the hall saying, "Stay in your room, or you'll be put in seclusion." 
C)  An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit. The nurse rushes after the patient and convinces the patient to return to the unit. 
D)  An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility. A nurse calls the security team and uses established protocols to prevent the patient from leaving.

Question 9

Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who:

Accepted Answer

A)  is noncompliant with the treatment regimen. 
B)  fraudulently files for bankruptcy. 
C)  sold and distributed illegal drugs. 
D)  threatens to harm self and others. 
A)  is noncompliant with the treatment regimen. 
B)  fraudulently files for bankruptcy. 
C)  sold and distributed illegal drugs. 
D)  threatens to harm self and others.

Question 10

In which situations would a nurse have the duty to intervene and report? Select all that apply.

Accepted Answer

A)  A peer has difficulty writing measurable outcomes. 
B)  A health care provider gives a telephone order for medication. 
C)  A peer tries to provide patient care in an alcohol-impaired state. 
D)  A team member violates relationship boundaries with a patient. 
E)  A patient refuses medication prescribed by a licensed health care provider. 
A)  A peer has difficulty writing measurable outcomes. 
B)  A health care provider gives a telephone order for medication. 
C)  A peer tries to provide patient care in an alcohol-impaired state. 
D)  A team member violates relationship boundaries with a patient. 
E)  A patient refuses medication prescribed by a licensed health care provider.

Exam 6: Legal and Ethical Guidelines for Safe Practice

A psychiatric nurse best applies the ethical principle of autonomy by:

A person in the community asks,"Why aren't people with mental illness kept in state institutions anymore?" Select the nurse's best response.

What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse:

A voluntarily hospitalized patient tells the nurse,"Get me the forms for discharge.I want to leave now." Select the nurse's best response.

In order to release information to another health care facility or third party regarding a patient diagnosed with a mental illness,the nurse must obtain:

A patient diagnosed with schizophrenia believes a local minister stirred evil spirits.The patient threatens to bomb a local church.The psychiatrist notifies the minister.Select the answer with the correct rationale.The psychiatrist:

An aide in a psychiatric hospital says to the nurse,"We don't have time every day to help each patient complete a menu selection.Let's tell dietary to prepare popular choices and send them to our unit." Select the nurse's best response.

Which nursing intervention demonstrates false imprisonment?

Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who:

In which situations would a nurse have the duty to intervene and report? Select all that apply.

Mental Health and Mental Illness

Relevant Theories and Therapies for Nursing Practice

Biological Basis for Understanding Psychiatric Disorders and Treatments

Settings for Psychiatric Care

Cultural Implications for Psychiatric Mental Health Nursing

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding and Managing Responses to Stress

Childhood and Neurodevelopmental Disorders

Schizophrenia and Schizophrenia Spectrum Disorders

Bipolar and Related Disorders

Depressive Disorders

Anxiety and Obsessive Compulsive Related Disorders

Trauma, Stressor-Related, and Dissociative Disorders

Somatic Symptom Disorders

Feeding, Eating, and Elimination Disorders

Sleep-Wake Disorders

Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

Impulse Control Disorders

Substance Related and Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Suicide and Non-Suicidal Self-Injury

Crisis and Disaster

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Violence

Sexual Assault

Psychosocial Needs of the Older Adult

Serious Mental Illness

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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