NUR 160 Exam 1 2026/2027 Exam
Practice Questions and Verified Answers
Complete Study Review – Hondros
Question 1: Of the skills listed below, which is of primary importance to
a nurse working as a member of a community mental health team that is
striving to use a seamless continuum of care?
A. Patients' rights advocacy
B. Physical assessment skills
C. Case management
D. Diagnostic ability
Correct Answer: C. Case management
Rationale:
1. Case management coordinates services across the continuum, preventing gaps
in care.
2. Seamless continuum requires linking patients to appropriate resources and
tracking outcomes.
3. While advocacy, assessment, and diagnostic ability are important, case
management directly enables continuity.
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4. In community mental health, fragmented care is a major problem; case
management addresses this.
5. This question tests prioritization of roles in interdisciplinary community
settings.
Question 2: The nurse perceives that a patient is experiencing emotional
pain. The remark that would be most therapeutic is:
A. "Please tell me what you would like me to do to help you through this."
B. "I hear how painful this is for you. I would like to help you deal with the
situation."
C. "I don't think this is as serious as you believe it is."
D. "I'm so very sorry that this has happened to you, adding to your burdens."
Correct Answer: B. "I hear how painful this is for you. I would like to help you
deal with the situation."
Rationale:
1. This response validates the patient's feelings and offers support without being
intrusive.
2. It uses therapeutic techniques of reflection and offering self.
3. Option A asks the patient to direct the nurse, which may burden the patient.
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4. Option C minimizes the patient's pain (non-therapeutic).
5. Option D offers false sympathy and may increase feelings of burden.
Question 3: Which patient should be considered for involuntary
commitment for psychiatric treatment? The patient who:
A. threatens to harm self and others.
B. is noncompliant with the treatment regimen.
C. who fraudulently files for bankruptcy.
D. sold and distributed illegal drugs.
Correct Answer: A. threatens to harm self and others.
Rationale:
1. Involuntary commitment criteria typically include danger to self, danger to
others, or grave disability.
2. Threatening harm to self or others meets the legal standard for imminent
danger.
3. Noncompliance alone does not meet criteria for involuntary commitment.
4. Fraudulent bankruptcy and drug distribution are legal issues, not criteria for
psychiatric commitment.
5. This question tests knowledge of legal grounds for involuntary psychiatric
hospitalization.
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Question 4: A client hospitalized under emergency commitment is being
treated for chronic depression with suicidal ideation. After 3 days, the
client demands to be released. The nurse should intervene by:
A. Restricting the client to her room
B. Allowing the client to leave the unit
C. Informing the client that she must stay 15 days
D. Offering information that the client can speak to a lawyer
Correct Answer: D. Offering information that the client can speak to a lawyer
Rationale:
1. Emergency commitment has specific legal time limits that vary by state
(typically 48-72 hours).
2. After the emergency period, the client may have the right to request release or
a hearing.
3. The nurse should inform the client of her legal rights, including speaking to a
lawyer.
4. Restricting the client (A) is false imprisonment without proper legal process.
5. Allowing release (B) may violate the commitment order; the nurse cannot
unilaterally discharge.