Question 1

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, seeking the attention of nurses most of the day. Now 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. A nurse rushes after the patient and convinces the patient to return to the unit. 
D)  An involuntarily hospitalized patient with suicidal ideation attempts to leave the unit. 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, seeking the attention of nurses most of the day. Now 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. A nurse rushes after the patient and convinces the patient to return to the unit. 
D)  An involuntarily hospitalized patient with suicidal ideation attempts to leave the unit. A nurse calls the security team and uses established protocols to prevent the patient from leaving.

Question 2

Which action by a psychiatric nurse best supports a patient's right to be treated with dignity and respect?

Accepted Answer

A)  Consistently addressing a patient by title and surname. 
B)  Strongly encouraging a patient to participate in the unit milieu. 
C)  Discussing a patient's condition with another health care provider in the elevator. 
D)  Informing a treatment team that a patient is too drowsy to participate in care planning. 
A)  Consistently addressing a patient by title and surname. 
B)  Strongly encouraging a patient to participate in the unit milieu. 
C)  Discussing a patient's condition with another health care provider in the elevator. 
D)  Informing a treatment team that a patient is too drowsy to participate in care planning.

Question 3

Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:

Accepted Answer

A)  resumes using heroin while still taking methadone. 
B)  reports hearing angels playing harps during thunderstorms. 
C)  throws a heavy plate at a waiter at the direction of command hallucinations. 
D)  does not show up for an outpatient appointment with the mental health nurse. 
A)  resumes using heroin while still taking methadone. 
B)  reports hearing angels playing harps during thunderstorms. 
C)  throws a heavy plate at a waiter at the direction of command hallucinations. 
D)  does not show up for an outpatient appointment with the mental health nurse.

Question 4

A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:

Accepted Answer

A)  anonymously report the abuse by telephone to the local child abuse hotline. 
B)  reply, "I'm glad you feel comfortable talking to me about it." 
C)  respect the nurse-patient relationship of confidentiality. 
D)  file a written report on the agency letterhead. 
A)  anonymously report the abuse by telephone to the local child abuse hotline. 
B)  reply, "I'm glad you feel comfortable talking to me about it." 
C)  respect the nurse-patient relationship of confidentiality. 
D)  file a written report on the agency letterhead.

Question 5

In a team meeting, a nurse says, "I'm concerned whether we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated calls for one-on-one supervision." Which ethical principle most clearly applies to this situation?

Accepted Answer

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

Question 6

An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response.

Accepted Answer

A)  "You're right. Federal law requires me to keep that information private." 
B)  "Those kinds of thoughts will make your hospitalization longer." 
C)  "You really should share this thought with your psychiatrist." 
D)  "I am required to share information with the treatment team." 
A)  "You're right. Federal law requires me to keep that information private." 
B)  "Those kinds of thoughts will make your hospitalization longer." 
C)  "You really should share this thought with your psychiatrist." 
D)  "I am required to share information with the treatment team."

Which nursing intervention demonstrates false imprisonment?

Which action by a psychiatric nurse best supports a patient's right to be treated with dignity and respect?

Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:

A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:

An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response.

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Nursing Process and QSEN: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Trauma and Stress-Related Disorders

Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

Somatic Symptom Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders and Other Psychotic Disorders

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters

Exam 6: Legal and Ethical Basis for Practice

Which nursing intervention demonstrates false imprisonment?

Which action by a psychiatric nurse best supports a patient's right to be treated with dignity and respect?

Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:

A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:

An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response.

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Nursing Process and QSEN: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Trauma and Stress-Related Disorders

Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

Somatic Symptom Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders and Other Psychotic Disorders

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters