NURS 222 Mental Health Nursing Week 3 Quiz 2026 |WCU
1. A patient becomes violent and requires mechanical restraints. According to
standard psychiatric nursing practice, how often must the nurse or a trained
staff member monitor the patient’s physical needs and safety?
A. Every 30 minutes
B. Every 15 minutes
C. Every 60 minutes
D. Once per shift
Answer: B
Rationale: Patients in mechanical restraints require continuous observation with formal
assessments of physical needs, circulation, and safety at least every 15 minutes to prevent
injury.
2. A nurse is caring for a client who recently started taking Clozapine. Which
laboratory result should the nurse prioritize reviewing?
A. Absolute Neutrophil Count (ANC)
B. Serum potassium level
C. Blood Urea Nitrogen (BUN)
D. Thyroid Stimulating Hormone (TSH)
Answer: A
Rationale: Clozapine carries a risk of severe agranulocytosis. Regular monitoring of the
ANC is mandatory to detect life-threatening drops in white blood cell counts.
,3. The ‘Duty to Warn’ (Tarasoff Rule) requires a mental health professional to
breach confidentiality in which specific scenario?
A. The patient makes a specific threat against an identifiable third party.
B. The patient expresses generalized thoughts of self-harm.
C. The patient admits to illegal drug use.
D. The patient refuses to sign a release of information form.
Answer: A
Rationale: The Tarasoff ruling mandates that clinicians must warn third parties if a patient
poses a specific, serious threat of violence toward them.
4. During a nurse-client interaction, the client states, ‘I don’t think I can ever get
better.’ The nurse responds, ‘You feel hopeless about your recovery?’ Which
therapeutic technique is the nurse using?
A. Restating
B. Reflecting
C. Summarizing
D. Focusing
Answer: B
Rationale: Reflecting involves directing back the client’s ideas, feelings, or questions to
help them explore their own emotions.
5. Which antidepressant class requires the patient to avoid foods high in
tyramine, such as aged cheese and red wine, to prevent a hypertensive crisis?
A. Monoamine Oxidase Inhibitors (MAOIs)
B. Tricyclic Antidepressants (TCAs)
C. Selective Serotonin Reuptake Inhibitors (SSRIs)
D. Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
Answer: A
, Rationale: MAOIs inhibit the breakdown of tyramine; an accumulation of tyramine leads to
massive release of norepinephrine, causing a hypertensive crisis.
6. A client is admitted involuntarily for psychiatric treatment. Which right does
the client still retain despite the involuntary status?
A. The right to refuse psychotropic medications (unless an emergency).
B. The right to leave the facility against medical advice.
C. The right to choose their primary psychiatrist.
D. The right to set their own discharge date.
Answer: A
Rationale: Involuntary admission does not automatically strip a client of the right to refuse
treatment or medications, except in emergency situations where they are an immediate
danger.
7. What is the primary goal of the ‘Orientation Phase’ of the therapeutic nurse-
client relationship?
A. To evaluate the progress made toward goals.
B. To prepare the client for the eventual termination of the relationship.
C. To promote the client’s problem-solving skills.
D. To establish trust and set the boundaries of the relationship.
Answer: D
Rationale: The orientation phase focuses on introducing the roles, establishing trust,
identifying client needs, and setting boundaries.
1. A patient becomes violent and requires mechanical restraints. According to
standard psychiatric nursing practice, how often must the nurse or a trained
staff member monitor the patient’s physical needs and safety?
A. Every 30 minutes
B. Every 15 minutes
C. Every 60 minutes
D. Once per shift
Answer: B
Rationale: Patients in mechanical restraints require continuous observation with formal
assessments of physical needs, circulation, and safety at least every 15 minutes to prevent
injury.
2. A nurse is caring for a client who recently started taking Clozapine. Which
laboratory result should the nurse prioritize reviewing?
A. Absolute Neutrophil Count (ANC)
B. Serum potassium level
C. Blood Urea Nitrogen (BUN)
D. Thyroid Stimulating Hormone (TSH)
Answer: A
Rationale: Clozapine carries a risk of severe agranulocytosis. Regular monitoring of the
ANC is mandatory to detect life-threatening drops in white blood cell counts.
,3. The ‘Duty to Warn’ (Tarasoff Rule) requires a mental health professional to
breach confidentiality in which specific scenario?
A. The patient makes a specific threat against an identifiable third party.
B. The patient expresses generalized thoughts of self-harm.
C. The patient admits to illegal drug use.
D. The patient refuses to sign a release of information form.
Answer: A
Rationale: The Tarasoff ruling mandates that clinicians must warn third parties if a patient
poses a specific, serious threat of violence toward them.
4. During a nurse-client interaction, the client states, ‘I don’t think I can ever get
better.’ The nurse responds, ‘You feel hopeless about your recovery?’ Which
therapeutic technique is the nurse using?
A. Restating
B. Reflecting
C. Summarizing
D. Focusing
Answer: B
Rationale: Reflecting involves directing back the client’s ideas, feelings, or questions to
help them explore their own emotions.
5. Which antidepressant class requires the patient to avoid foods high in
tyramine, such as aged cheese and red wine, to prevent a hypertensive crisis?
A. Monoamine Oxidase Inhibitors (MAOIs)
B. Tricyclic Antidepressants (TCAs)
C. Selective Serotonin Reuptake Inhibitors (SSRIs)
D. Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
Answer: A
, Rationale: MAOIs inhibit the breakdown of tyramine; an accumulation of tyramine leads to
massive release of norepinephrine, causing a hypertensive crisis.
6. A client is admitted involuntarily for psychiatric treatment. Which right does
the client still retain despite the involuntary status?
A. The right to refuse psychotropic medications (unless an emergency).
B. The right to leave the facility against medical advice.
C. The right to choose their primary psychiatrist.
D. The right to set their own discharge date.
Answer: A
Rationale: Involuntary admission does not automatically strip a client of the right to refuse
treatment or medications, except in emergency situations where they are an immediate
danger.
7. What is the primary goal of the ‘Orientation Phase’ of the therapeutic nurse-
client relationship?
A. To evaluate the progress made toward goals.
B. To prepare the client for the eventual termination of the relationship.
C. To promote the client’s problem-solving skills.
D. To establish trust and set the boundaries of the relationship.
Answer: D
Rationale: The orientation phase focuses on introducing the roles, establishing trust,
identifying client needs, and setting boundaries.
