NSG 322/NSG322 Exam 1 V1 | Behavioral
Health Nursing Q&A with Rationale |
Grand Canyon University
1. A nurse is establishing a therapeutic relationship with a patient. In which phase of the
relationship is the primary goal to establish rapport and trust?
A. Working phase
B. Termination phase
C. Orientation phase
D. Identification phase
Correct Answer: C
Expert Explanation: The orientation phase is the initial stage where the nurse and patient
meet to set the contract and boundaries. Establishing trust and rapport is the foundational
task during this specific timeframe. Without a solid orientation phase, the therapeutic work
in subsequent phases may be compromised.
,2. Which ethical principle is demonstrated when a nurse ensures a patient has been fully
informed about the risks and benefits of a procedure?
A. Justice
B. Beneficence
C. Fidelity
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
regarding their healthcare. By providing all necessary information for informed consent,
the nurse respects the patient’s self-determination. This principle is vital in mental health
where patients’ rights must be protected against coercion.
3. A patient experiencing psychosis is prescribed Haloperidol. Which of the following side
effects should the nurse prioritize for immediate assessment?
A. Muscle rigidity and high fever
B. Constipation
C. Dry mouth
D. Weight gain
Correct Answer: A
Expert Explanation: Muscle rigidity and high fever are hallmark signs of Neuroleptic
Malignant Syndrome, which is a life-threatening emergency. This condition requires
, immediate intervention and discontinuation of the antipsychotic medication. The nurse
must monitor for these symptoms closely in patients taking typical antipsychotics.
4. A nurse is reviewing the neurotransmitters involved in mental health. Which
neurotransmitter is primarily associated with the regulation of mood, sleep, and appetite?
A. Serotonin
B. Dopamine
C. Gamma-aminobutyric acid (GABA)
D. Acetylcholine
Correct Answer: A
Expert Explanation: Serotonin is a key neurotransmitter that influences mood, sleep
patterns, and hunger levels in the brain. Low levels of serotonin are frequently linked to
clinical depression and anxiety disorders. Many psychotropic medications work by
increasing the availability of this neurotransmitter in the synaptic cleft.
5. Which legal document identifies the patient’s wishes regarding healthcare if they become
incapacitated?
A. Informed consent
B. Advance directive
C. Nursing care plan
D. Incident report
Correct Answer: B
Health Nursing Q&A with Rationale |
Grand Canyon University
1. A nurse is establishing a therapeutic relationship with a patient. In which phase of the
relationship is the primary goal to establish rapport and trust?
A. Working phase
B. Termination phase
C. Orientation phase
D. Identification phase
Correct Answer: C
Expert Explanation: The orientation phase is the initial stage where the nurse and patient
meet to set the contract and boundaries. Establishing trust and rapport is the foundational
task during this specific timeframe. Without a solid orientation phase, the therapeutic work
in subsequent phases may be compromised.
,2. Which ethical principle is demonstrated when a nurse ensures a patient has been fully
informed about the risks and benefits of a procedure?
A. Justice
B. Beneficence
C. Fidelity
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
regarding their healthcare. By providing all necessary information for informed consent,
the nurse respects the patient’s self-determination. This principle is vital in mental health
where patients’ rights must be protected against coercion.
3. A patient experiencing psychosis is prescribed Haloperidol. Which of the following side
effects should the nurse prioritize for immediate assessment?
A. Muscle rigidity and high fever
B. Constipation
C. Dry mouth
D. Weight gain
Correct Answer: A
Expert Explanation: Muscle rigidity and high fever are hallmark signs of Neuroleptic
Malignant Syndrome, which is a life-threatening emergency. This condition requires
, immediate intervention and discontinuation of the antipsychotic medication. The nurse
must monitor for these symptoms closely in patients taking typical antipsychotics.
4. A nurse is reviewing the neurotransmitters involved in mental health. Which
neurotransmitter is primarily associated with the regulation of mood, sleep, and appetite?
A. Serotonin
B. Dopamine
C. Gamma-aminobutyric acid (GABA)
D. Acetylcholine
Correct Answer: A
Expert Explanation: Serotonin is a key neurotransmitter that influences mood, sleep
patterns, and hunger levels in the brain. Low levels of serotonin are frequently linked to
clinical depression and anxiety disorders. Many psychotropic medications work by
increasing the availability of this neurotransmitter in the synaptic cleft.
5. Which legal document identifies the patient’s wishes regarding healthcare if they become
incapacitated?
A. Informed consent
B. Advance directive
C. Nursing care plan
D. Incident report
Correct Answer: B
