NSG 322/NSG322 Exam 1 V3 | Behavioral
Health Nursing Q&A with Rationale |
Grand Canyon University
1. Which legal principle is violated if a nurse threatens to place a patient in restraints without
a medical necessity?
A. Assault
B. Battery
C. False Imprisonment
D. Invasion of Privacy
Correct Answer: A
Expert Explanation: Assault is an intentional threat that makes a person feel fearful of
being touched in an offensive way. In this scenario, the nurse’s threat creates apprehension
for the patient without physical contact. Battery would occur only if the nurse actually
applied the restraints without justification.
,2. During the Orientation phase of the nurse-patient relationship, which of the following is
the primary goal?
A. Establishing trust and setting boundaries
B. Exploring the patient’s coping mechanisms
C. Practicing new behavioral skills
D. Reviewing progress toward goals
Correct Answer: A
Expert Explanation: The orientation phase is dedicated to building rapport and defining
the parameters of the relationship. It is crucial for the nurse to establish a sense of safety
and clarify expectations for the treatment process. This foundation is necessary before the
patient can move into deeper therapeutic work.
3. A patient says, ‘I can’t believe my husband left me. I have nothing left to live for.’ Which
response by the nurse is the most therapeutic?
A. You have your whole life ahead of you; don’t worry.
B. Why do you think your husband decided to leave?
C. Many people go through divorce and come out stronger.
D. It sounds like you are feeling very hopeless right now.
Correct Answer: D
Expert Explanation: This response utilizes the technique of reflecting feelings, which
validates the patient’s emotional state. By acknowledging the patient’s hopelessness, the
, nurse encourages further expression of feelings. Giving false reassurance or asking ‘why’
questions can be barriers to effective communication.
4. Which neurotransmitter is primarily associated with the ‘fight or flight’ response and is
often elevated in anxiety disorders?
A. Norepinephrine
B. Dopamine
C. GABA
D. Serotonin
Correct Answer: A
Expert Explanation: Norepinephrine plays a key role in the body’s acute stress response.
Excessive levels are linked to symptoms such as tachycardia, hypertension, and heightened
anxiety. Understanding neurobiology helps psychiatric nurses educate patients on the
physiological components of their disorders.
5. A nurse is caring for a patient who is involuntarily committed. The patient refuses to take
his oral antipsychotic medication. What is the nurse’s best action?
A. Respect the patient’s refusal and document the occurrence.
B. Administer the medication via injection against the patient’s will.
C. Threaten to put the patient in seclusion if he does not comply.
D. Tell the patient he will not be allowed to leave until he takes it.
Correct Answer: A
Health Nursing Q&A with Rationale |
Grand Canyon University
1. Which legal principle is violated if a nurse threatens to place a patient in restraints without
a medical necessity?
A. Assault
B. Battery
C. False Imprisonment
D. Invasion of Privacy
Correct Answer: A
Expert Explanation: Assault is an intentional threat that makes a person feel fearful of
being touched in an offensive way. In this scenario, the nurse’s threat creates apprehension
for the patient without physical contact. Battery would occur only if the nurse actually
applied the restraints without justification.
,2. During the Orientation phase of the nurse-patient relationship, which of the following is
the primary goal?
A. Establishing trust and setting boundaries
B. Exploring the patient’s coping mechanisms
C. Practicing new behavioral skills
D. Reviewing progress toward goals
Correct Answer: A
Expert Explanation: The orientation phase is dedicated to building rapport and defining
the parameters of the relationship. It is crucial for the nurse to establish a sense of safety
and clarify expectations for the treatment process. This foundation is necessary before the
patient can move into deeper therapeutic work.
3. A patient says, ‘I can’t believe my husband left me. I have nothing left to live for.’ Which
response by the nurse is the most therapeutic?
A. You have your whole life ahead of you; don’t worry.
B. Why do you think your husband decided to leave?
C. Many people go through divorce and come out stronger.
D. It sounds like you are feeling very hopeless right now.
Correct Answer: D
Expert Explanation: This response utilizes the technique of reflecting feelings, which
validates the patient’s emotional state. By acknowledging the patient’s hopelessness, the
, nurse encourages further expression of feelings. Giving false reassurance or asking ‘why’
questions can be barriers to effective communication.
4. Which neurotransmitter is primarily associated with the ‘fight or flight’ response and is
often elevated in anxiety disorders?
A. Norepinephrine
B. Dopamine
C. GABA
D. Serotonin
Correct Answer: A
Expert Explanation: Norepinephrine plays a key role in the body’s acute stress response.
Excessive levels are linked to symptoms such as tachycardia, hypertension, and heightened
anxiety. Understanding neurobiology helps psychiatric nurses educate patients on the
physiological components of their disorders.
5. A nurse is caring for a patient who is involuntarily committed. The patient refuses to take
his oral antipsychotic medication. What is the nurse’s best action?
A. Respect the patient’s refusal and document the occurrence.
B. Administer the medication via injection against the patient’s will.
C. Threaten to put the patient in seclusion if he does not comply.
D. Tell the patient he will not be allowed to leave until he takes it.
Correct Answer: A
