NURS 3381/N3381 EXAM 1 PRACTICE QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS - UTA.
Correct
100%
Incorrect
1 of 77
Term
Two hospitalized patients resort to physical fighting when they are in
the same room. During a team meeting, a nurse asserts that safety is of
paramount importance and therefore the treatment plans should call
for both patients to be secluded to prevent them from injuring each
other. Which does this assertion indicate about the nurse who
presented it?
a. Reveals that the nurse has a strong sense of justice.
b. Values the reinforcement of the autonomy of the two patients.
c. Has a poor understanding of the civil rights of the two patients.
d. Doesn't understand the actions that constitute the intentional tort of
battery.
Give this one a try later!
,c. "What you say about feelings is private, but some things, like suicidal thinking,
must be reported to the treatment team."
Explanation: the patient has a right to know that most information will be held in
confidence but that certain material must be reported or shared with the treatment
team, such as threats of suicide, homicide, use of illegal drugs, or issues of abuse.
The first response is not strictly true. The second response will not inspire the
confidence of the patient. The fourth response is confrontational.
a. Administering escitalopram as prescribed
Explanation: administering medication falls into the science of nursing. The evidence
suggests a biochemical etiology for OCD. Specifically, deficient levels of serotonin
have been implicated. Childhood trauma and social isolation are not significant
etiologic factors. Anxiety is a symptom of the problem, not an etiologic factor.
d. Risk for caregiver role strain related to responsibilities for care of aging parents
Explanation: the focus of the question is the caregiver. Demands associated with the
care of three elderly persons who live at a distance have the potential of
overwhelming the caregiver. Because there is no evidence of role strain, a risk
diagnosis is formulated.
c. Has a poor understanding of the civil rights of the two patients.
Explanation: patients have a right to treatment in the least restrictive setting.
Less restrictive measures should be tried first. Unnecessary seclusion may
result in a charge of false imprisonment. Seclusion removes the patient's
autonomy. The principle by which the nurse is motivated is beneficence, not
justice. The tort represented is false imprisonment, not battery.
Don't know?
2 of 77
,Term
A patient diagnosed with severe and persistent mental illness who
recently moved to a homeless shelter says, “my life is out of control. I’m
like a leaf at the mercy of the wind.” The nurse formulates the diagnosis
Powerlessness. Outcomes will focus on which goal?
a. Instilling hope
b. Controlling anxiety
c. Planning social activities
d. Developing personal autonomy
Give this one a try later!
d. Developing personal autonomy
Explanation: powerlessness is associated with feeling unable to control events
in one's life. It is often associated with low self-esteem. The goal is to increase
one's sense of autonomy. The scenario does not indicate hopelessness or
anxiety. Socialization is not the primary need.
b. Say to the neighbor, "I can talk to you for 15 minutes twice a week."
Explanation: the nurse has a responsibility for self-care and must set limits on the
neighbor's intrusive calls. Specifying the frequency and time allotment for calls
shows compassion for the neighbor while preventing infringement on the nurse's
personal life.
b. "Neurotransmitters are chemicals that pass messages between brain cells."
Explanation: stating that neurotransmitters are chemicals that pass messages
between brain cells gives the most accurate information. Neurotransmitters are
, messengers in the central nervous system. They are released from the axon
terminal, diffuse across the synapse, and attach to specialized receptors on the
postsynaptic neuron. The incorrect responses do not answer the patient's question,
are demeaning, and provide untrue and misleading information.
d. "Do you find it difficult to control your worrying?"
Explanation: patients with generalized anxiety disorder frequently engage in
excessive worrying. They are less likely to engage in ritualistic behavior, fear social
situations, or have been involved in a highly traumatic event.
Don't know?
3 of 77
Term
A psychiatric-mental health nurse is implementing evidence-based
practice. The nurse understands that this approach is developed by
doing what first?
a. Conducting research
b. Identifying a clinical question
c. Determining outcomes
d. Collaborating with the client
Give this one a try later!
a. Administering escitalopram as prescribed
Explanation: administering medication falls into the science of nursing. The evidence
COMPLETE SOLUTIONS - UTA.
Correct
100%
Incorrect
1 of 77
Term
Two hospitalized patients resort to physical fighting when they are in
the same room. During a team meeting, a nurse asserts that safety is of
paramount importance and therefore the treatment plans should call
for both patients to be secluded to prevent them from injuring each
other. Which does this assertion indicate about the nurse who
presented it?
a. Reveals that the nurse has a strong sense of justice.
b. Values the reinforcement of the autonomy of the two patients.
c. Has a poor understanding of the civil rights of the two patients.
d. Doesn't understand the actions that constitute the intentional tort of
battery.
Give this one a try later!
,c. "What you say about feelings is private, but some things, like suicidal thinking,
must be reported to the treatment team."
Explanation: the patient has a right to know that most information will be held in
confidence but that certain material must be reported or shared with the treatment
team, such as threats of suicide, homicide, use of illegal drugs, or issues of abuse.
The first response is not strictly true. The second response will not inspire the
confidence of the patient. The fourth response is confrontational.
a. Administering escitalopram as prescribed
Explanation: administering medication falls into the science of nursing. The evidence
suggests a biochemical etiology for OCD. Specifically, deficient levels of serotonin
have been implicated. Childhood trauma and social isolation are not significant
etiologic factors. Anxiety is a symptom of the problem, not an etiologic factor.
d. Risk for caregiver role strain related to responsibilities for care of aging parents
Explanation: the focus of the question is the caregiver. Demands associated with the
care of three elderly persons who live at a distance have the potential of
overwhelming the caregiver. Because there is no evidence of role strain, a risk
diagnosis is formulated.
c. Has a poor understanding of the civil rights of the two patients.
Explanation: patients have a right to treatment in the least restrictive setting.
Less restrictive measures should be tried first. Unnecessary seclusion may
result in a charge of false imprisonment. Seclusion removes the patient's
autonomy. The principle by which the nurse is motivated is beneficence, not
justice. The tort represented is false imprisonment, not battery.
Don't know?
2 of 77
,Term
A patient diagnosed with severe and persistent mental illness who
recently moved to a homeless shelter says, “my life is out of control. I’m
like a leaf at the mercy of the wind.” The nurse formulates the diagnosis
Powerlessness. Outcomes will focus on which goal?
a. Instilling hope
b. Controlling anxiety
c. Planning social activities
d. Developing personal autonomy
Give this one a try later!
d. Developing personal autonomy
Explanation: powerlessness is associated with feeling unable to control events
in one's life. It is often associated with low self-esteem. The goal is to increase
one's sense of autonomy. The scenario does not indicate hopelessness or
anxiety. Socialization is not the primary need.
b. Say to the neighbor, "I can talk to you for 15 minutes twice a week."
Explanation: the nurse has a responsibility for self-care and must set limits on the
neighbor's intrusive calls. Specifying the frequency and time allotment for calls
shows compassion for the neighbor while preventing infringement on the nurse's
personal life.
b. "Neurotransmitters are chemicals that pass messages between brain cells."
Explanation: stating that neurotransmitters are chemicals that pass messages
between brain cells gives the most accurate information. Neurotransmitters are
, messengers in the central nervous system. They are released from the axon
terminal, diffuse across the synapse, and attach to specialized receptors on the
postsynaptic neuron. The incorrect responses do not answer the patient's question,
are demeaning, and provide untrue and misleading information.
d. "Do you find it difficult to control your worrying?"
Explanation: patients with generalized anxiety disorder frequently engage in
excessive worrying. They are less likely to engage in ritualistic behavior, fear social
situations, or have been involved in a highly traumatic event.
Don't know?
3 of 77
Term
A psychiatric-mental health nurse is implementing evidence-based
practice. The nurse understands that this approach is developed by
doing what first?
a. Conducting research
b. Identifying a clinical question
c. Determining outcomes
d. Collaborating with the client
Give this one a try later!
a. Administering escitalopram as prescribed
Explanation: administering medication falls into the science of nursing. The evidence
