NU 448 FINAL PAPER 2026 FULL Q&A
STUDY GUIDE GRADED A+
◉2. Steve is M's 4-year-old brother. He sometimes grabs toys away
from M, saying "I want that!" Using Freudian theory the nurse can
interpret this behavior as a product of impulses originating in the
a. ego
b. id
c. superego
d. preconscious . Answer: B
◉3. A client mentions, "I'm going to be engaging in cognitive therapy.
What can I expect from the sessions?" Which remark would the
nurse, framing a reply, find inappropriate to include?
a. "The therapist will be active and questioning."
b. "You may be given homework assignments."
c. "The therapist will help you look at ideas and beliefs you have
about yourself."
d. "The goal is to increase your subjectivity about the thoughts that
govern your behavior." . Answer: D
,◉4. Two psychotic clients on the inpatient unit fight whenever they
are together in the same room. During a team meeting, one nurse
suggests the safety of the two clients is of paramount importance
and that their treatment plans should call for both to be placed in
seclusion to keep them from injuring each other. What is the
significance of this suggestion?
a. It violates the civil rights of the two clients.
b. It reinforces the autonomy of the two clients.
c. It reveals that the nurse values the principle of justice.
d. It represents the intentional tort of battery. . Answer: A
◉5. In a treatment team planning meeting a nurse states her
concern about whether the staff is behaving ethically in using
restraint to prevent one client from engaging in self-mutilative
behavior when the care plan for another self-mutilating client calls
for one-on-one supervision. The ethical principle that should govern
the situation is
a. beneficence
b. autonomy
c. fidelity
d. justice . Answer: D
◉6. A client tells the nurse, "When I saw my therapist yesterday, he
made sexual advances. He stroked my breast and suggested that he
, will give me a pass to leave the hospital if I will meet him at his
apartment." What action should the nurse take?
a. None. Psychiatric clients are not reliable.
b. Report the client's statements to the unit nurse manager.
c. Discuss the statements with the medical director.
d. Call the state medical board. . Answer: B
◉7. J became aggressive, struck another client, and required
seclusion. Which of the following would be an appropriate way to
document this event?
a. "Client apparently doesn't like client X as evidenced by his striking
client X when client attempted to leave day room to go to bathroom.
Seclusion necessary at 2:15 pm. Plan: Maintain seclusion for 8 hours
and keep this client and client X away from each other for 24 hours."
b. "Seclusion ordered by Dr. at 2:15 pm when voices told the client to
hit another client."
c. "Client pacing, shouting at people not present in the environment.
Chlorpromazine 50 mg p.o. at 1 pm with no effect by 2 pm. At 2:15
pm client shouted that he would punch the first person who got near
him, then struck client X on the jaw with his fist as client X walked
out of day room to go to bathroom. Client physically restrained by
staff and placed in seclusion by order of Dr."
d. "Seclusion begun at 2 . Answer: C
STUDY GUIDE GRADED A+
◉2. Steve is M's 4-year-old brother. He sometimes grabs toys away
from M, saying "I want that!" Using Freudian theory the nurse can
interpret this behavior as a product of impulses originating in the
a. ego
b. id
c. superego
d. preconscious . Answer: B
◉3. A client mentions, "I'm going to be engaging in cognitive therapy.
What can I expect from the sessions?" Which remark would the
nurse, framing a reply, find inappropriate to include?
a. "The therapist will be active and questioning."
b. "You may be given homework assignments."
c. "The therapist will help you look at ideas and beliefs you have
about yourself."
d. "The goal is to increase your subjectivity about the thoughts that
govern your behavior." . Answer: D
,◉4. Two psychotic clients on the inpatient unit fight whenever they
are together in the same room. During a team meeting, one nurse
suggests the safety of the two clients is of paramount importance
and that their treatment plans should call for both to be placed in
seclusion to keep them from injuring each other. What is the
significance of this suggestion?
a. It violates the civil rights of the two clients.
b. It reinforces the autonomy of the two clients.
c. It reveals that the nurse values the principle of justice.
d. It represents the intentional tort of battery. . Answer: A
◉5. In a treatment team planning meeting a nurse states her
concern about whether the staff is behaving ethically in using
restraint to prevent one client from engaging in self-mutilative
behavior when the care plan for another self-mutilating client calls
for one-on-one supervision. The ethical principle that should govern
the situation is
a. beneficence
b. autonomy
c. fidelity
d. justice . Answer: D
◉6. A client tells the nurse, "When I saw my therapist yesterday, he
made sexual advances. He stroked my breast and suggested that he
, will give me a pass to leave the hospital if I will meet him at his
apartment." What action should the nurse take?
a. None. Psychiatric clients are not reliable.
b. Report the client's statements to the unit nurse manager.
c. Discuss the statements with the medical director.
d. Call the state medical board. . Answer: B
◉7. J became aggressive, struck another client, and required
seclusion. Which of the following would be an appropriate way to
document this event?
a. "Client apparently doesn't like client X as evidenced by his striking
client X when client attempted to leave day room to go to bathroom.
Seclusion necessary at 2:15 pm. Plan: Maintain seclusion for 8 hours
and keep this client and client X away from each other for 24 hours."
b. "Seclusion ordered by Dr. at 2:15 pm when voices told the client to
hit another client."
c. "Client pacing, shouting at people not present in the environment.
Chlorpromazine 50 mg p.o. at 1 pm with no effect by 2 pm. At 2:15
pm client shouted that he would punch the first person who got near
him, then struck client X on the jaw with his fist as client X walked
out of day room to go to bathroom. Client physically restrained by
staff and placed in seclusion by order of Dr."
d. "Seclusion begun at 2 . Answer: C
