Mental Health Final Exam
A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which
action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic medication. - (correct Answer) - A.
Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with a newly admitted
patient. Which rights should be included? (Select all that apply)
The right to:
A. Have visitors
B. confidentiality
C. A private Room
D. complain about inadequate care
E. select the nurse assigned to their care - (correct Answer) - A. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a patient with schizophrenia. As
the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate
the side effects." Select the nurse's best action.
,A. Assemble other stuff for a show of force and proceed with injection, using restrains if necessary.
B. Stop the medication administration procedure and say to the patient, "Tell me more about the side
effects you've been having."
C. Proceed with the injection but explain to the patient that here are medications that will help reduce
the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the syringe, I'm required to give it, but
let's talk to the doctor about delaying next month's dose." - (correct Answer) - B. Stop the medication
administration procedure and say to the patient, "Tell me more about the side effects you've been
having."
An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going to kill my father,
but you can't tell anyone." Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical information private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist." - (correct Answer) - B. "I Am obligated to share
that information with the treatment team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now."
Select the nurse's best response.
A. "I Will get the form for you right now and bring them to your room."
B. "Since you signed your consent for treatment, you may leave if you desire."
C. "I will get them for you, but let's talk about your decision to leave treatment."
,D. "I cannot give you those forms without your healthcare provider's permission." - (correct Answer) - C.
"I will get them for you, but lets talk about your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric hospitalization the most? An individual:
A. Who has a panic attack after her child gets lost in a shopping mall.
B. With visions of demons emerging from cemetery plots throughout the community
C. Who takes 38 acetaminophen tablets after the person's stock portfolio becomes worthless.
D. Diagnosed with major depression who stops taking prescribed antidepressant medication - (correct
Answer) - C. Who take 38 acetaminophen tablets after the person's stock portfolio becomes worthless
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient
issues will be explored and resolved?
A. Preorientation
B. Orientation
C. Working
D. Termination - (correct Answer) - C. Working
A staff nurse completes orientation to a psychiatric unit. The nurse may expert an advanced practice
nurse to perform which additional intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
, D. Individualize nursing care plans. - (correct Answer) - B. Prescribed psychotropic medication
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A
patient:
A. Sees self as capable of achieving ideals and meeting demands
B. Behaves without considering the consequences of personal action
C. Aggressively meets own needs without considering the rights of others.
D. Seeks help from others when assuming responsibility for major areas of own life. - (correct Answer) -
A. Sees self as capable of achieving ideals and meeting demands
A nurse uses Maslow's Hierarchy of needs to plan care for a patient with mental illness. Which problem
will receive priority?
A. Refuses to eat or bathe
B. Reports feelings of alienation from family
C. Is reluctant to participate in unti social activities.
D. Is unaware of medication action and side effects - (correct Answer) - A. Refuses to eat or bathe
Inpatient hospitalization for persons with mental illness is generally reserved for patients who:
A. Present a clear danger to self or others
B. are noncompliant with medication at home
C. Have limited support system in the community.
D. Develop new symptoms during the course of an illness - (correct Answer) - A. Present a clear danger
to self or others
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is
smoking, and the janitor's close is locked. These observations relate to:
A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which
action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic medication. - (correct Answer) - A.
Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with a newly admitted
patient. Which rights should be included? (Select all that apply)
The right to:
A. Have visitors
B. confidentiality
C. A private Room
D. complain about inadequate care
E. select the nurse assigned to their care - (correct Answer) - A. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a patient with schizophrenia. As
the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate
the side effects." Select the nurse's best action.
,A. Assemble other stuff for a show of force and proceed with injection, using restrains if necessary.
B. Stop the medication administration procedure and say to the patient, "Tell me more about the side
effects you've been having."
C. Proceed with the injection but explain to the patient that here are medications that will help reduce
the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the syringe, I'm required to give it, but
let's talk to the doctor about delaying next month's dose." - (correct Answer) - B. Stop the medication
administration procedure and say to the patient, "Tell me more about the side effects you've been
having."
An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going to kill my father,
but you can't tell anyone." Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical information private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist." - (correct Answer) - B. "I Am obligated to share
that information with the treatment team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now."
Select the nurse's best response.
A. "I Will get the form for you right now and bring them to your room."
B. "Since you signed your consent for treatment, you may leave if you desire."
C. "I will get them for you, but let's talk about your decision to leave treatment."
,D. "I cannot give you those forms without your healthcare provider's permission." - (correct Answer) - C.
"I will get them for you, but lets talk about your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric hospitalization the most? An individual:
A. Who has a panic attack after her child gets lost in a shopping mall.
B. With visions of demons emerging from cemetery plots throughout the community
C. Who takes 38 acetaminophen tablets after the person's stock portfolio becomes worthless.
D. Diagnosed with major depression who stops taking prescribed antidepressant medication - (correct
Answer) - C. Who take 38 acetaminophen tablets after the person's stock portfolio becomes worthless
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient
issues will be explored and resolved?
A. Preorientation
B. Orientation
C. Working
D. Termination - (correct Answer) - C. Working
A staff nurse completes orientation to a psychiatric unit. The nurse may expert an advanced practice
nurse to perform which additional intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
, D. Individualize nursing care plans. - (correct Answer) - B. Prescribed psychotropic medication
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A
patient:
A. Sees self as capable of achieving ideals and meeting demands
B. Behaves without considering the consequences of personal action
C. Aggressively meets own needs without considering the rights of others.
D. Seeks help from others when assuming responsibility for major areas of own life. - (correct Answer) -
A. Sees self as capable of achieving ideals and meeting demands
A nurse uses Maslow's Hierarchy of needs to plan care for a patient with mental illness. Which problem
will receive priority?
A. Refuses to eat or bathe
B. Reports feelings of alienation from family
C. Is reluctant to participate in unti social activities.
D. Is unaware of medication action and side effects - (correct Answer) - A. Refuses to eat or bathe
Inpatient hospitalization for persons with mental illness is generally reserved for patients who:
A. Present a clear danger to self or others
B. are noncompliant with medication at home
C. Have limited support system in the community.
D. Develop new symptoms during the course of an illness - (correct Answer) - A. Present a clear danger
to self or others
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is
smoking, and the janitor's close is locked. These observations relate to:
