1
NR 326/ NR326 EXAM 1: (NEW 2026/
2027 UPDATE) MENTAL HEALTH NURSING
REVIEW | QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
The nurse decides to go against family wishes and tell the client of his terminal
status because that is what she would want if she were the client. Which of the
following ethical theories is considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism CORRECT ANSWER: b. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal
status because that would bring the most happiness to the most people. Which
of the following ethical theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism CORRECT ANSWER: a. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is
her duty to do so. Which of the following ethical theories is considered in this
decision?
a. Natural law theories
b. Ethical egoism
c. Kantianism
d. Utilitarianism CORRECT ANSWER: c. Kantianism
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The nurse assists the physician with electroconvulsive therapy on a client who
has refused to give consent. With which of the following legal actions might the
nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality CORRECT ANSWER: b. Battery
A competent, voluntary client has stated he wants to leave the hospital. The
nurse hides his clothes to keep him from leaving. With which of the following
legal actions might the nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality CORRECT ANSWER: c. False imprisonment
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
down in the chair and be still, I'm going to put you in restraints!" With which of
the following legal actions might the nurse be charged because of this nursing
action?
a. Defamation of character
b. Battery
c. Breach of confidentiality
d. Assault CORRECT ANSWER: d. Assault
A nurse reports to the supervisor that a depressed client is refusing medication to
treat his heart condition and states he "would rather just die." The nurse is not
sure how to intervene because, although clients have a right to refuse
medication, this client may be so depressed that his behavior represents risk for
suicide. Which of these actions by the supervisor is a priority?
a. Tell the nurse that medication will have to be given forcibly if the client
continues to refuse medication.
b. Instruct the nurse that, because the client is elderly, he is unable to make this
decision and medication will need to be secretly mixed in his food.
c. Educate the nurse that the physician has the final say so the nurse should ask
the physician what to do.
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d. Activate appropriate hospital resources, such as an ethics committee, so this
issue can be explored further. CORRECT ANSWER: d. Activate appropriate
hospital resources, such as an ethics committee, so this issue can be explored
further.
A client on the psychiatric unit begins yelling out loud that no one is listening to
him and that he is going to "blow up" soon. The orderly asks the nurse if he
should go ahead and put the client in restraints for the safety of others. Which of
these responses by the nurse is most appropriate?
a. Educate the orderly that restraints may never be initiated without a physician's
order.
b. Instruct the orderly that it would be best to see if the client can be assisted to
calm down by listening to his concerns.
c. Instruct the orderly to put the client in restraints but make sure to assess the
client every 15 minutes for issues regarding circulation, nutrition, respiration,
hydration, and elimination.
d. Instruct the orderly to get others to assist him in restraining the client but be
aware restraints should be discontinued at the earliest possible time regardless
of when a physician's order is scheduled to expire. CORRECT ANSWER: b.
Instruct the orderly that it would be best to see if the client can be assisted to
calm down by listening to his concerns.
The nurse collects the following information during the admission assessment.
For which of these pieces of data should the nurse take additional action to
ensure that "duty to warn" laws are followed?
a. The client threatens violence toward another individual.
b. The client states he wants to kill everyone that has demons.
c. The client is having command hallucinations.
d. The client reveals paranoid delusions about another individual. correct answer
a. The client threatens violence toward another individual.
Which of these actions by the nurse demonstrates an application of the QSEN
competency related to informatics?
a. Learns how to effectively communicate information using electronic health
records
b. Provides a verbal report of client behavioral issues at shift change
c. Asks the supervisor for guidelines on how to prevent lawsuits
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d. Reads journals to learn information about new treatments and approaches to
nursing care CORRECT ANSWER: a. Learns how to effectively communicate
information using electronic health records
Which of the following behaviors suggest a possible breach of professional
boundaries? (Select all that apply.)
a. The nurse repeatedly requests to be assigned to a specific patient.
b. The nurse shares the details of her divorce with the patient.
c. The nurse makes arrangements to meet the patient outside of the therapeutic
environment.
d. The nurse shares how she dealt with a similar difficult situation. correct answer
a. The nurse repeatedly requests to be assigned to a specific patient.
b. The nurse shares the details of her divorce with the patient.
c. The nurse makes arrangements to meet the patient outside of the therapeutic
environment.
. Which of the following tasks are associated with the orientation phase of
relationship development? (Select all that apply.)
a. Promoting the patient's insight and perception of reality
b. Creating an environment for the establishment of trust and rapport
c. Using the problem-solving model toward goal fulfillment
d. Obtaining available information about the patient from various sources
e. Formulating nursing diagnoses and setting goals CORRECT ANSWER: b.
Creating an environment for the establishment of trust and rapport
e. Formulating nursing diagnoses and setting goals
The nurse, who is an adult child of an alcoholic, is working with a client who
abuses alcohol. The client has experienced a successful detoxification process
and is beginning a rehabilitation program. He says to the nurse, "I'm not going to
go to those stupid AA meetings. They don't help anything." The nurse, whose
father died of complications from alcoholism, responds with anger: "Don't you
even care what happens to your children?" The nurse's response is an example of
which of the following?
a. Transference
b. Countertransference
c. Self-disclosure
d. A breach of professional boundaries CORRECT ANSWER: b.
Countertransference
NR 326/ NR326 EXAM 1: (NEW 2026/
2027 UPDATE) MENTAL HEALTH NURSING
REVIEW | QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
The nurse decides to go against family wishes and tell the client of his terminal
status because that is what she would want if she were the client. Which of the
following ethical theories is considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism CORRECT ANSWER: b. Christian ethics
The nurse decides to respect family wishes and not tell the client of his terminal
status because that would bring the most happiness to the most people. Which
of the following ethical theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism CORRECT ANSWER: a. Utilitarianism
The nurse decides to tell the client of his terminal status because she believes it is
her duty to do so. Which of the following ethical theories is considered in this
decision?
a. Natural law theories
b. Ethical egoism
c. Kantianism
d. Utilitarianism CORRECT ANSWER: c. Kantianism
, 2
The nurse assists the physician with electroconvulsive therapy on a client who
has refused to give consent. With which of the following legal actions might the
nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality CORRECT ANSWER: b. Battery
A competent, voluntary client has stated he wants to leave the hospital. The
nurse hides his clothes to keep him from leaving. With which of the following
legal actions might the nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality CORRECT ANSWER: c. False imprisonment
Joe is very restless and is pacing the room. The nurse says to Joe, "If you don't sit
down in the chair and be still, I'm going to put you in restraints!" With which of
the following legal actions might the nurse be charged because of this nursing
action?
a. Defamation of character
b. Battery
c. Breach of confidentiality
d. Assault CORRECT ANSWER: d. Assault
A nurse reports to the supervisor that a depressed client is refusing medication to
treat his heart condition and states he "would rather just die." The nurse is not
sure how to intervene because, although clients have a right to refuse
medication, this client may be so depressed that his behavior represents risk for
suicide. Which of these actions by the supervisor is a priority?
a. Tell the nurse that medication will have to be given forcibly if the client
continues to refuse medication.
b. Instruct the nurse that, because the client is elderly, he is unable to make this
decision and medication will need to be secretly mixed in his food.
c. Educate the nurse that the physician has the final say so the nurse should ask
the physician what to do.
, 3
d. Activate appropriate hospital resources, such as an ethics committee, so this
issue can be explored further. CORRECT ANSWER: d. Activate appropriate
hospital resources, such as an ethics committee, so this issue can be explored
further.
A client on the psychiatric unit begins yelling out loud that no one is listening to
him and that he is going to "blow up" soon. The orderly asks the nurse if he
should go ahead and put the client in restraints for the safety of others. Which of
these responses by the nurse is most appropriate?
a. Educate the orderly that restraints may never be initiated without a physician's
order.
b. Instruct the orderly that it would be best to see if the client can be assisted to
calm down by listening to his concerns.
c. Instruct the orderly to put the client in restraints but make sure to assess the
client every 15 minutes for issues regarding circulation, nutrition, respiration,
hydration, and elimination.
d. Instruct the orderly to get others to assist him in restraining the client but be
aware restraints should be discontinued at the earliest possible time regardless
of when a physician's order is scheduled to expire. CORRECT ANSWER: b.
Instruct the orderly that it would be best to see if the client can be assisted to
calm down by listening to his concerns.
The nurse collects the following information during the admission assessment.
For which of these pieces of data should the nurse take additional action to
ensure that "duty to warn" laws are followed?
a. The client threatens violence toward another individual.
b. The client states he wants to kill everyone that has demons.
c. The client is having command hallucinations.
d. The client reveals paranoid delusions about another individual. correct answer
a. The client threatens violence toward another individual.
Which of these actions by the nurse demonstrates an application of the QSEN
competency related to informatics?
a. Learns how to effectively communicate information using electronic health
records
b. Provides a verbal report of client behavioral issues at shift change
c. Asks the supervisor for guidelines on how to prevent lawsuits
, 4
d. Reads journals to learn information about new treatments and approaches to
nursing care CORRECT ANSWER: a. Learns how to effectively communicate
information using electronic health records
Which of the following behaviors suggest a possible breach of professional
boundaries? (Select all that apply.)
a. The nurse repeatedly requests to be assigned to a specific patient.
b. The nurse shares the details of her divorce with the patient.
c. The nurse makes arrangements to meet the patient outside of the therapeutic
environment.
d. The nurse shares how she dealt with a similar difficult situation. correct answer
a. The nurse repeatedly requests to be assigned to a specific patient.
b. The nurse shares the details of her divorce with the patient.
c. The nurse makes arrangements to meet the patient outside of the therapeutic
environment.
. Which of the following tasks are associated with the orientation phase of
relationship development? (Select all that apply.)
a. Promoting the patient's insight and perception of reality
b. Creating an environment for the establishment of trust and rapport
c. Using the problem-solving model toward goal fulfillment
d. Obtaining available information about the patient from various sources
e. Formulating nursing diagnoses and setting goals CORRECT ANSWER: b.
Creating an environment for the establishment of trust and rapport
e. Formulating nursing diagnoses and setting goals
The nurse, who is an adult child of an alcoholic, is working with a client who
abuses alcohol. The client has experienced a successful detoxification process
and is beginning a rehabilitation program. He says to the nurse, "I'm not going to
go to those stupid AA meetings. They don't help anything." The nurse, whose
father died of complications from alcoholism, responds with anger: "Don't you
even care what happens to your children?" The nurse's response is an example of
which of the following?
a. Transference
b. Countertransference
c. Self-disclosure
d. A breach of professional boundaries CORRECT ANSWER: b.
Countertransference
