NUR 190 Psychiatric-Mental Health Nursing Final Exam
NUR 190 PSYCHIATRIC-MENTAL HEALTH NURSING FINAL EXAM
NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An inpatient psychiatric physician refuses to treat clients without insurance and
prematurely discharges those whose insurance benefits have expired. Which
violation of an ethical principle should a nurse recognize in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice - Correct Answer-ANS: D. Justice
The nurse should determine that the ethical principle of justice has been
violated by the physician's actions. The principle of justice requires that
individuals should be treated equally regardless of race, sex, marital status,
medical diagnosis, social standing, economic level, or religious belief.
Which situation reflects the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for the
client's care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the
seclusion room.
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, NUR 190 Psychiatric-Mental Health Nursing Final Exam
D. A nurse treats all of the clients equally regardless of illness severity. - Correct
Answer-ANS: C. A nurse tricks a client into seclusion by asking the client to carry
linen to the seclusion room.
The nurse who tricks a client into seclusion has violated the ethical principle of
veracity. The principle of veracity refers to one's duty to always be truthful and
not intentionally deceive or mislead clients.
A client who will be receiving electroconvulsive therapy (ECT) must provide
informed consent. Which situation should cause a nurse to question the validity of
the informed consent?
A. The client is paranoid.
B. The client is 87 years old.
C. The client incorrectly reports his or her spouse's name, date, and time of day.
D. The client relies on his or her spouse to interpret the information. - Correct
Answer-ANS: C. The client incorrectly reports his or her spouse's name, date, and
time of day
The nurse should question the validity of informed consent when the client
incorrectly reports the spouse's name, date, and time of day. This indicates that
this client is disoriented and may not be competent to make informed choices.
A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin
Decanoate) from a home health nurse. The client refuses medication at one
regularly scheduled home visit. Which nursing intervention is ethically
appropriate?
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, NUR 190 Psychiatric-Mental Health Nursing Final Exam
A. Allow the client to decline the medication and document.
B. Tell the client that if the medication is refused, hospitalization will occur.
C. Arrange with a relative to add medication to the client's morning orange juice.
D. Call for help to hold the client down while the injection is administered. -
Correct Answer-ANS: A. Allow the client to decline the medication and document.
It is ethically appropriate for the nurse to allow the client to decline the
medication and provide accurate documentation. The client's right to refuse
treatment should be upheld unless the refusal puts the client or others in harm's
way.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds
treatment.
B. The nurse threatens to "tie down" the client and then does so against the
client's wishes.
C. The nurse hides the client's clothes and medicates the client to prevent
elopement.
D. The nurse restrains the client without just cause and communicates this to
family. - Correct Answer-ANS: B. The nurse threatens to "tie down" the client and
then does so against the client's wishes.
The nurse in this situation has committed both assault and battery. Assault
refers to an action that results in fear and apprehension that the person will be
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, NUR 190 Psychiatric-Mental Health Nursing Final Exam
touched without consent. Battery is the touching of another person without
consent.
A geriatric client is confused and wandering in and out of every door. Which
scenario reflects the least restrictive alternative for this client?
A. The client is placed in seclusion.
B. The client is placed in a geriatric chair with tray.
C. The client is placed in soft Posey restraints.
D. The client is monitored by an ankle bracelet. - Correct Answer-ANS: D. The
client is monitored by an ankle bracelet.
The least restrictive alternative for this client would be monitoring by an ankle
bracelet. The client does not pose a direct dangerous threat to self or others, so
neither physical restraints nor seclusion would be justified.
A brother calls to speak to his sister who has been admitted to the psychiatric
unit. The nurse connects him to the community phone and the sister is
summoned. Later the nurse realizes that the brother was not on the client's
approved call list. What law has the nurse broken?
A. The National Alliance for the Mentally Ill Act
B. The Tarasoff Ruling
C. The Health Insurance Portability and Accountability Act
D. The Good Samaritan Law - Correct Answer-ANS: C. The Health Insurance
Portability and Accountability Act
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NUR 190 PSYCHIATRIC-MENTAL HEALTH NURSING FINAL EXAM
NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An inpatient psychiatric physician refuses to treat clients without insurance and
prematurely discharges those whose insurance benefits have expired. Which
violation of an ethical principle should a nurse recognize in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice - Correct Answer-ANS: D. Justice
The nurse should determine that the ethical principle of justice has been
violated by the physician's actions. The principle of justice requires that
individuals should be treated equally regardless of race, sex, marital status,
medical diagnosis, social standing, economic level, or religious belief.
Which situation reflects the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for the
client's care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the
seclusion room.
1|Page
, NUR 190 Psychiatric-Mental Health Nursing Final Exam
D. A nurse treats all of the clients equally regardless of illness severity. - Correct
Answer-ANS: C. A nurse tricks a client into seclusion by asking the client to carry
linen to the seclusion room.
The nurse who tricks a client into seclusion has violated the ethical principle of
veracity. The principle of veracity refers to one's duty to always be truthful and
not intentionally deceive or mislead clients.
A client who will be receiving electroconvulsive therapy (ECT) must provide
informed consent. Which situation should cause a nurse to question the validity of
the informed consent?
A. The client is paranoid.
B. The client is 87 years old.
C. The client incorrectly reports his or her spouse's name, date, and time of day.
D. The client relies on his or her spouse to interpret the information. - Correct
Answer-ANS: C. The client incorrectly reports his or her spouse's name, date, and
time of day
The nurse should question the validity of informed consent when the client
incorrectly reports the spouse's name, date, and time of day. This indicates that
this client is disoriented and may not be competent to make informed choices.
A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin
Decanoate) from a home health nurse. The client refuses medication at one
regularly scheduled home visit. Which nursing intervention is ethically
appropriate?
2|Page
, NUR 190 Psychiatric-Mental Health Nursing Final Exam
A. Allow the client to decline the medication and document.
B. Tell the client that if the medication is refused, hospitalization will occur.
C. Arrange with a relative to add medication to the client's morning orange juice.
D. Call for help to hold the client down while the injection is administered. -
Correct Answer-ANS: A. Allow the client to decline the medication and document.
It is ethically appropriate for the nurse to allow the client to decline the
medication and provide accurate documentation. The client's right to refuse
treatment should be upheld unless the refusal puts the client or others in harm's
way.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds
treatment.
B. The nurse threatens to "tie down" the client and then does so against the
client's wishes.
C. The nurse hides the client's clothes and medicates the client to prevent
elopement.
D. The nurse restrains the client without just cause and communicates this to
family. - Correct Answer-ANS: B. The nurse threatens to "tie down" the client and
then does so against the client's wishes.
The nurse in this situation has committed both assault and battery. Assault
refers to an action that results in fear and apprehension that the person will be
3|Page
, NUR 190 Psychiatric-Mental Health Nursing Final Exam
touched without consent. Battery is the touching of another person without
consent.
A geriatric client is confused and wandering in and out of every door. Which
scenario reflects the least restrictive alternative for this client?
A. The client is placed in seclusion.
B. The client is placed in a geriatric chair with tray.
C. The client is placed in soft Posey restraints.
D. The client is monitored by an ankle bracelet. - Correct Answer-ANS: D. The
client is monitored by an ankle bracelet.
The least restrictive alternative for this client would be monitoring by an ankle
bracelet. The client does not pose a direct dangerous threat to self or others, so
neither physical restraints nor seclusion would be justified.
A brother calls to speak to his sister who has been admitted to the psychiatric
unit. The nurse connects him to the community phone and the sister is
summoned. Later the nurse realizes that the brother was not on the client's
approved call list. What law has the nurse broken?
A. The National Alliance for the Mentally Ill Act
B. The Tarasoff Ruling
C. The Health Insurance Portability and Accountability Act
D. The Good Samaritan Law - Correct Answer-ANS: C. The Health Insurance
Portability and Accountability Act
4|Page
