1|Page
TEST BANK UNIT I MENTAL HEALTH NURSING
325 QUESTIONS LATEST EDITION HIGH YIELD
MULTIPLE CHOICE RATIONALES NR326
NUR2488 ATI HESI NCLEX
## Table of Contents
| Section | Title | Question Numbers | Count |
|---------|-------|----------------|-------|
| 1 | History, Laws, Ethics & Legal Issues | 1 – 50 | 50 |
| 2 | Therapeutic Communication & Nurse-Patient Relationship | 51 –
125 | 75 |
| 3 | Neurobiology, Psychopharmacology & Somatic Therapies | 126 –
175 | 50 |
| 4 | Mental Health Assessment & The Nursing Process | 176 – 225 | 50 |
| 5 | Cultural, Spiritual & Social Determinants | 226 – 260 | 35 |
| 6 | Crisis Intervention, Suicide & Self-Harm | 261 – 295 | 35 |
| 7 | Boundary Management, Burnout & Self-Care | 296 – 325 | 30 |
| **Total** | | **1 – 325** | **325** |
---
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# SECTION 1: HISTORY, LAWS, ETHICS & LEGAL ISSUES (Q1–
50)
**1. A nursing student is studying the history of psychiatric care. Which
event is most associated with the concept of "moral treatment"?**
A) The invention of the lobotomy
B) The introduction of Thorazine (chlorpromazine)
C) The establishment of the York Retreat by William Tuke
D) The publication of the DSM-1
**Correct Answer:** C
**Rationale:** The York Retreat (1796) was founded on principles of
respect, dignity, and ethical care (moral treatment). A is a biological
intervention; B is the start of psychopharmacology; D is a classification
system.
**Ref:** History of Mental Health
**2. A client refuses to take their oral antipsychotic medication. The
nurse tells the client, "If you don't take this, I will call the doctor to
restrain you." This is an example of:**
A) Assault
B) Battery
C) Slander
,3|Page
D) Negligence
**Correct Answer:** A
**Rationale:** Assault is the threat of touching another person without
consent. Battery is the actual act. Slander is spoken defamation.
Negligence is failure to act as a prudent nurse.
**Ref:** Legal Issues, Tort Law
**3. A patient with schizophrenia signs a form refusing ECT. The
psychiatrist performs ECT anyway. This is legally defined as:**
A) A tort of assault
B) A criminal act of battery
C) Unintentional malpractice
D) A violation of HIPAA
**Correct Answer:** B
**Rationale:** Performing a medical procedure without consent is
criminal battery (intentional harmful/offensive touching). Assault is the
threat, not the act.
**Ref:** Informed Consent
**4. A psychiatric nurse hears a patient state, "I am going to kill my
neighbor tomorrow." Under the Tarasoff ruling, the nurse has a duty
to:**
, 4|Page
A) Maintain confidentiality at all costs
B) Warn the potential victim and notify police
C) Document the statement only
D) Wait until the patient attempts the act
**Correct Answer:** B
**Rationale:** Tarasoff v. Regents established duty to warn identifiable
potential victims. Confidentiality is not absolute.
**Ref:** Duty to Warn
**5. A patient is admitted involuntarily to a psychiatric unit. Which right
does the patient retain?**
A) Right to refuse all treatment
B) Right to vote
C) Right to leave the unit at any time
D) Right to refuse electroconvulsive therapy
**Correct Answer:** D
**Rationale:** Involuntary patients retain the right to refuse treatment
(except emergencies). They may lose right to leave the unit but retain
most civil rights.
**Ref:** Patient Rights
TEST BANK UNIT I MENTAL HEALTH NURSING
325 QUESTIONS LATEST EDITION HIGH YIELD
MULTIPLE CHOICE RATIONALES NR326
NUR2488 ATI HESI NCLEX
## Table of Contents
| Section | Title | Question Numbers | Count |
|---------|-------|----------------|-------|
| 1 | History, Laws, Ethics & Legal Issues | 1 – 50 | 50 |
| 2 | Therapeutic Communication & Nurse-Patient Relationship | 51 –
125 | 75 |
| 3 | Neurobiology, Psychopharmacology & Somatic Therapies | 126 –
175 | 50 |
| 4 | Mental Health Assessment & The Nursing Process | 176 – 225 | 50 |
| 5 | Cultural, Spiritual & Social Determinants | 226 – 260 | 35 |
| 6 | Crisis Intervention, Suicide & Self-Harm | 261 – 295 | 35 |
| 7 | Boundary Management, Burnout & Self-Care | 296 – 325 | 30 |
| **Total** | | **1 – 325** | **325** |
---
,2|Page
# SECTION 1: HISTORY, LAWS, ETHICS & LEGAL ISSUES (Q1–
50)
**1. A nursing student is studying the history of psychiatric care. Which
event is most associated with the concept of "moral treatment"?**
A) The invention of the lobotomy
B) The introduction of Thorazine (chlorpromazine)
C) The establishment of the York Retreat by William Tuke
D) The publication of the DSM-1
**Correct Answer:** C
**Rationale:** The York Retreat (1796) was founded on principles of
respect, dignity, and ethical care (moral treatment). A is a biological
intervention; B is the start of psychopharmacology; D is a classification
system.
**Ref:** History of Mental Health
**2. A client refuses to take their oral antipsychotic medication. The
nurse tells the client, "If you don't take this, I will call the doctor to
restrain you." This is an example of:**
A) Assault
B) Battery
C) Slander
,3|Page
D) Negligence
**Correct Answer:** A
**Rationale:** Assault is the threat of touching another person without
consent. Battery is the actual act. Slander is spoken defamation.
Negligence is failure to act as a prudent nurse.
**Ref:** Legal Issues, Tort Law
**3. A patient with schizophrenia signs a form refusing ECT. The
psychiatrist performs ECT anyway. This is legally defined as:**
A) A tort of assault
B) A criminal act of battery
C) Unintentional malpractice
D) A violation of HIPAA
**Correct Answer:** B
**Rationale:** Performing a medical procedure without consent is
criminal battery (intentional harmful/offensive touching). Assault is the
threat, not the act.
**Ref:** Informed Consent
**4. A psychiatric nurse hears a patient state, "I am going to kill my
neighbor tomorrow." Under the Tarasoff ruling, the nurse has a duty
to:**
, 4|Page
A) Maintain confidentiality at all costs
B) Warn the potential victim and notify police
C) Document the statement only
D) Wait until the patient attempts the act
**Correct Answer:** B
**Rationale:** Tarasoff v. Regents established duty to warn identifiable
potential victims. Confidentiality is not absolute.
**Ref:** Duty to Warn
**5. A patient is admitted involuntarily to a psychiatric unit. Which right
does the patient retain?**
A) Right to refuse all treatment
B) Right to vote
C) Right to leave the unit at any time
D) Right to refuse electroconvulsive therapy
**Correct Answer:** D
**Rationale:** Involuntary patients retain the right to refuse treatment
(except emergencies). They may lose right to leave the unit but retain
most civil rights.
**Ref:** Patient Rights
