NSG 3450 Exam 1 V1 and V2 | Questions and Answers | 2026 Update | 100% Correct – Galen College.
1.
A nurse is caring for a patient admitted for a 72-hour involuntary hold. The patient demands to
leave the facility immediately. Which is the most appropriate nursing response?
A. "You signed consent to be here, so you must stay for 72 hours."
B. "I will get your discharge papers ready right away."
C. "You are here on an involuntary status and cannot leave until the evaluation is complete."
D. "If you try to leave, we will have to place you in restraints."
2.
A psychiatric nurse is documenting an assessment of a patient's resilience. Which statement by
the patient best demonstrates this concept?
A. "I have always been able to get what I want if I work hard enough."
B. "Even though I lost my job, I know I have the skills to find a better one eventually."
C. "I don’t need anyone else’s help to solve my problems."
D. "I am never affected by the stress around me."
3.
According to Maslow’s Hierarchy of Needs, which patient should the nurse assess first?
A. A patient who feels lonely and lacks a support system.
B. A patient expressing a need for self-actualization.
C. A patient who is refusing to eat or drink.
D. A patient with low self-esteem following a divorce.
4.
A nurse is working with a patient who mimics the nurse’s physical gestures. The nurse
recognizes this as a concept of which theorist?
A. Sigmund Freud
B. Harry Stack Sullivan
C. Jean Piaget
D. Erik Erikson
5.
A patient in an outpatient mental health clinic is diagnosed with a serious mental illness. What is
the primary goal of the "Least Restrictive Environment" in this setting?
A. To ensure the patient is always under direct supervision.
B. To provide the necessary care while maintaining the patient's maximum freedom.
C. To prevent the patient from interacting with the community.
D. To minimize the cost of psychiatric treatment.
,6.
Which action by the nurse represents the ethical principle of Beneficence?
A. Respecting a patient’s right to refuse a specific medication.
B. Spending extra time with a highly anxious patient to provide comfort.
C. Providing the same level of care to all patients regardless of their background.
D. Keeping a promise to return to a patient’s room at a specific time.
7.
A nurse is conducting a cultural assessment. The patient states, "I cannot take this medication
because it will upset the balance of 'hot' and 'cold' in my body." What is the nurse's best action?
A. Explain that the medication is scientific and overrides cultural beliefs.
B. Document the patient as non-compliant.
C. Explore the patient’s beliefs and discuss how to integrate them into the care plan.
D. Tell the patient that 'hot and cold' theories are not relevant to mental health.
8.
Under the "Duty to Warn" (Tarasoff) principle, what is the nurse's legal obligation?
A. To tell the family everything the patient says in therapy.
B. To notify the authorities and the intended victim if a patient makes a specific threat of harm.
C. To keep all patient statements confidential regardless of the content.
D. To report any patient who has a history of violence to the police.
9.
A patient is admitted voluntarily but refuses to take an ordered antipsychotic medication. What is
the nurse's legal responsibility?
A. Force the patient to take the medication for their own safety.
B. Secretly mix the medication in the patient's food.
C. Respect the patient's right to refuse the medication and document the refusal.
D. Immediately change the patient’s status to involuntary.
10.
A nurse is implementing Milieu Therapy on a psychiatric unit. Which is a key component of this
approach?
A. One-on-one intensive psychoanalysis.
B. Providing a safe, structured environment that promotes social interaction.
C. Strictly limiting the patient’s contact with other peers.
D. Focus solely on pharmacological interventions.
11.
, A patient tells the nurse, "The FBI has planted a chip in my head to monitor my thoughts." Using
Cognitive Behavioral Therapy (CBT) principles, the nurse should:
A. Agree with the patient to build trust.
B. Challenge the patient to prove the chip exists.
C. Help the patient identify and test the reality of their distorted thoughts.
D. Tell the patient they are being irrational.
12.
A nurse is caring for a patient of a culture that values "evil eye" as a cause of illness. To provide
culturally competent care, the nurse should (Select All That Apply):
A. Assess the patient’s belief regarding the cause of their illness.
B. Dismiss the belief as a superstition.
C. Ask if there are specific healers or rituals the patient wishes to include.
D. Provide the patient with a pamphlet on scientific psychobiology.
E. Maintain a respectful and non-judgmental attitude.
13.
Which theorist emphasized the "Nurse-Patient Relationship" as the foundation of nursing
practice?
A. Dorothea Orem
B. Hildegard Peplau
C. Martha Rogers
D. B.F. Skinner
14.
A nurse mistakenly gives the wrong medication to a patient. The nurse immediately notifies the
physician and completes an incident report. This demonstrates which ethical principle?
A. Veracity
B. Autonomy
C. Justice
D. Fidelity
15.
What is the primary difference between a "Social Relationship" and a "Therapeutic
Relationship"?
A. A therapeutic relationship focuses on the needs of the nurse.
B. A social relationship has a formal end date.
C. A therapeutic relationship is goal-oriented and focused on the patient's needs.
D. There is no difference in mental health nursing.
16.
1.
A nurse is caring for a patient admitted for a 72-hour involuntary hold. The patient demands to
leave the facility immediately. Which is the most appropriate nursing response?
A. "You signed consent to be here, so you must stay for 72 hours."
B. "I will get your discharge papers ready right away."
C. "You are here on an involuntary status and cannot leave until the evaluation is complete."
D. "If you try to leave, we will have to place you in restraints."
2.
A psychiatric nurse is documenting an assessment of a patient's resilience. Which statement by
the patient best demonstrates this concept?
A. "I have always been able to get what I want if I work hard enough."
B. "Even though I lost my job, I know I have the skills to find a better one eventually."
C. "I don’t need anyone else’s help to solve my problems."
D. "I am never affected by the stress around me."
3.
According to Maslow’s Hierarchy of Needs, which patient should the nurse assess first?
A. A patient who feels lonely and lacks a support system.
B. A patient expressing a need for self-actualization.
C. A patient who is refusing to eat or drink.
D. A patient with low self-esteem following a divorce.
4.
A nurse is working with a patient who mimics the nurse’s physical gestures. The nurse
recognizes this as a concept of which theorist?
A. Sigmund Freud
B. Harry Stack Sullivan
C. Jean Piaget
D. Erik Erikson
5.
A patient in an outpatient mental health clinic is diagnosed with a serious mental illness. What is
the primary goal of the "Least Restrictive Environment" in this setting?
A. To ensure the patient is always under direct supervision.
B. To provide the necessary care while maintaining the patient's maximum freedom.
C. To prevent the patient from interacting with the community.
D. To minimize the cost of psychiatric treatment.
,6.
Which action by the nurse represents the ethical principle of Beneficence?
A. Respecting a patient’s right to refuse a specific medication.
B. Spending extra time with a highly anxious patient to provide comfort.
C. Providing the same level of care to all patients regardless of their background.
D. Keeping a promise to return to a patient’s room at a specific time.
7.
A nurse is conducting a cultural assessment. The patient states, "I cannot take this medication
because it will upset the balance of 'hot' and 'cold' in my body." What is the nurse's best action?
A. Explain that the medication is scientific and overrides cultural beliefs.
B. Document the patient as non-compliant.
C. Explore the patient’s beliefs and discuss how to integrate them into the care plan.
D. Tell the patient that 'hot and cold' theories are not relevant to mental health.
8.
Under the "Duty to Warn" (Tarasoff) principle, what is the nurse's legal obligation?
A. To tell the family everything the patient says in therapy.
B. To notify the authorities and the intended victim if a patient makes a specific threat of harm.
C. To keep all patient statements confidential regardless of the content.
D. To report any patient who has a history of violence to the police.
9.
A patient is admitted voluntarily but refuses to take an ordered antipsychotic medication. What is
the nurse's legal responsibility?
A. Force the patient to take the medication for their own safety.
B. Secretly mix the medication in the patient's food.
C. Respect the patient's right to refuse the medication and document the refusal.
D. Immediately change the patient’s status to involuntary.
10.
A nurse is implementing Milieu Therapy on a psychiatric unit. Which is a key component of this
approach?
A. One-on-one intensive psychoanalysis.
B. Providing a safe, structured environment that promotes social interaction.
C. Strictly limiting the patient’s contact with other peers.
D. Focus solely on pharmacological interventions.
11.
, A patient tells the nurse, "The FBI has planted a chip in my head to monitor my thoughts." Using
Cognitive Behavioral Therapy (CBT) principles, the nurse should:
A. Agree with the patient to build trust.
B. Challenge the patient to prove the chip exists.
C. Help the patient identify and test the reality of their distorted thoughts.
D. Tell the patient they are being irrational.
12.
A nurse is caring for a patient of a culture that values "evil eye" as a cause of illness. To provide
culturally competent care, the nurse should (Select All That Apply):
A. Assess the patient’s belief regarding the cause of their illness.
B. Dismiss the belief as a superstition.
C. Ask if there are specific healers or rituals the patient wishes to include.
D. Provide the patient with a pamphlet on scientific psychobiology.
E. Maintain a respectful and non-judgmental attitude.
13.
Which theorist emphasized the "Nurse-Patient Relationship" as the foundation of nursing
practice?
A. Dorothea Orem
B. Hildegard Peplau
C. Martha Rogers
D. B.F. Skinner
14.
A nurse mistakenly gives the wrong medication to a patient. The nurse immediately notifies the
physician and completes an incident report. This demonstrates which ethical principle?
A. Veracity
B. Autonomy
C. Justice
D. Fidelity
15.
What is the primary difference between a "Social Relationship" and a "Therapeutic
Relationship"?
A. A therapeutic relationship focuses on the needs of the nurse.
B. A social relationship has a formal end date.
C. A therapeutic relationship is goal-oriented and focused on the patient's needs.
D. There is no difference in mental health nursing.
16.
