Question 1

The experience of being physically restrained can be traumatic.Which nursing intervention would best help the client deal with this experience?

Accepted Answer

A)  Administering a tranquilizing medication before applying the restraints 
B)  Talking to the client at brief but regular intervals while the client is restrained 
C)  Decreasing stimuli by leaving the client alone most of the time 
D)  Checking on the client infrequently, in order to meet documentation requirements 
A)  Administering a tranquilizing medication before applying the restraints 
B)  Talking to the client at brief but regular intervals while the client is restrained 
C)  Decreasing stimuli by leaving the client alone most of the time 
D)  Checking on the client infrequently, in order to meet documentation requirements

Question 2

Which statement should a nurse identify as correct regarding a client's right to refuse treatment?

Accepted Answer

A)  Clients can refuse pharmacological but not psychological treatment. 
B)  Clients can refuse any treatment at any time. 
C)  Clients can refuse only electroconvulsive therapy (ECT). 
D)  Professionals can override treatment refusal if the client is actively suicidal or homicidal. 
A)  Clients can refuse pharmacological but not psychological treatment. 
B)  Clients can refuse any treatment at any time. 
C)  Clients can refuse only electroconvulsive therapy (ECT). 
D)  Professionals can override treatment refusal if the client is actively suicidal or homicidal.

Question 3

Group therapy is strongly encouraged,but not mandatory,on an inpatient psychiatric unit.The unit manager's policy is that clients can make a choice about whether or not to attend group therapy.Which ethical principle does the unit manager's policy preserve?

Accepted Answer

A)  Justice 
B)  Autonomy 
C)  Veracity 
D)  Beneficence 
A)  Justice 
B)  Autonomy 
C)  Veracity 
D)  Beneficence

Question 4

After disturbing the peace,an aggressive,disoriented,unkempt,homeless individual is escorted to an emergency department by police.The client threatens suicide.Which criteria would enable a physician to consider involuntary commitment? Select all that apply.

Accepted Answer

A)  Being dangerous to others 
B)  Being homeless 
C)  Being disruptive to the community 
D)  Being gravely disabled and unable to meet basic needs 
E)  Being suicidal 
A)  Being dangerous to others 
B)  Being homeless 
C)  Being disruptive to the community 
D)  Being gravely disabled and unable to meet basic needs 
E)  Being suicidal

Question 5

In the situation presented,which nursing intervention constitutes false imprisonment?

Accepted Answer

A)  The client is combative and will not redirect, stating, "No one can stop me from leaving." The nurse seeks the physician's order after the client is restrained. 
B)  The client has been consistently seeking the attention of the nurses much of the day. The nurse institutes seclusion. 
C)  A psychotic client, admitted in an involuntary status, runs off the psychiatric unit. The nurse runs after the client and the client agrees to return. 
D)  A client hospitalized as an involuntary admission attempts to leave the unit. The nurse calls the security team and they prevent the client from leaving. 
A)  The client is combative and will not redirect, stating, "No one can stop me from leaving." The nurse seeks the physician's order after the client is restrained. 
B)  The client has been consistently seeking the attention of the nurses much of the day. The nurse institutes seclusion. 
C)  A psychotic client, admitted in an involuntary status, runs off the psychiatric unit. The nurse runs after the client and the client agrees to return. 
D)  A client hospitalized as an involuntary admission attempts to leave the unit. The nurse calls the security team and they prevent the client from leaving.

Question 6

A client is concerned that information given to the nurse remains confidential.Which is the nurse's best response?

Accepted Answer

A)  "Your information is confidential. It will be kept just between you and me." 
B)  "I will share the information with staff members only with your approval." 
C)  "If the information impacts your care, I will need to share it with the treatment team." 
D)  "You can make the decision whether your physician needs this information or not." 
A)  "Your information is confidential. It will be kept just between you and me." 
B)  "I will share the information with staff members only with your approval." 
C)  "If the information impacts your care, I will need to share it with the treatment team." 
D)  "You can make the decision whether your physician needs this information or not."

Question 7

A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate)from a home health nurse.The client refuses medication at one regularly scheduled home visit.Which nursing intervention is ethically appropriate?

Accepted Answer

A)  Allow the client to decline the medication and document. 
B)  Tell the client that if the medication is refused, hospitalization will occur. 
C)  Arrange with a relative to add medication to the client's morning orange juice. 
D)  Call for help to hold the client down while the injection is administered. 
A)  Allow the client to decline the medication and document. 
B)  Tell the client that if the medication is refused, hospitalization will occur. 
C)  Arrange with a relative to add medication to the client's morning orange juice. 
D)  Call for help to hold the client down while the injection is administered.

Question 8

The nursing staff is discussing the concept of competency.Which information about competency should a nurse recognize as true?

Accepted Answer

A)  Competency is determined with a client's compliance with treatment. 
B)  Refusal of medication can initiate an incompetency hearing leading to forced medications. 
C)  A competent client has the ability to make reasonable judgments and decisions. 
D)  Competency is a medical determination made by the client's physician. 
A)  Competency is determined with a client's compliance with treatment. 
B)  Refusal of medication can initiate an incompetency hearing leading to forced medications. 
C)  A competent client has the ability to make reasonable judgments and decisions. 
D)  Competency is a medical determination made by the client's physician.

Exam 4: Ethical and Legal Issues

The experience of being physically restrained can be traumatic.Which nursing intervention would best help the client deal with this experience?

Which statement should a nurse identify as correct regarding a client's right to refuse treatment?

Group therapy is strongly encouraged,but not mandatory,on an inpatient psychiatric unit.The unit manager's policy is that clients can make a choice about whether or not to attend group therapy.Which ethical principle does the unit manager's policy preserve?

After disturbing the peace,an aggressive,disoriented,unkempt,homeless individual is escorted to an emergency department by police.The client threatens suicide.Which criteria would enable a physician to consider involuntary commitment? Select all that apply.

In the situation presented,which nursing intervention constitutes false imprisonment?

A client is concerned that information given to the nurse remains confidential.Which is the nurse's best response?

A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate)from a home health nurse.The client refuses medication at one regularly scheduled home visit.Which nursing intervention is ethically appropriate?

The nursing staff is discussing the concept of competency.Which information about competency should a nurse recognize as true?

The Concept of Stress Adaptation

Mental Health/Mental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric/Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy The Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self Esteem

Anger/Aggression Management

The Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Trauma and Stressor Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

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