N222 Final Study Exam Questions And
All Correct Answers.
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 - Answer A.
A psychiatric nurse discusses rules of the therapeutic milieu and patients' 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 - 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 staff for a show of force and proceed with the injection, using restraint 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 there 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." - 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." - Answer B. "I am obligated to share that
information with the treatment team."
A voluntarily 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 forms 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 health care provider's permission." - Answer C. "I will
get them for you, but let's talk about your decision to leave treatment."
Which individual diagnosed with a mental illness may need involuntary hospitalization? An individual:
A. who has a severe anxiety 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 - Answer
C. who takes 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 - Answer C. Working
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice
nurse to perform which additional intervention?
A. Conduct mental health assessments.
B. Prescribe psychotropic medication.
C. Establish therapeutic relationships.
D. Individualize nursing care plans. - Answer B. Prescribe 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 actions.
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. - 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? The patient:
A. refuses to eat or bathe.
B. reports feelings of alienation from family.
C. is reluctant to participate in unit social activities.
D. is unaware of medication action and side effects. - 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 systems in the community.
D. develop new symptoms during the course of an illness. - 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 closet is locked. These observations relate to:
A. coordinating care of patients.
B. management of milieu safety.
C. management of the interpersonal climate.
D. use of therapeutic intervention strategies. - Answer B. management of milieu safety.
The parents of an adolescent with major depressive disorder asks the nurse, "Why did this happen to our
son, is it something we did?" Which of the following responses by the nurse offers the most accurate
information?
A. "Try not to blame yourselves, it runs in your family and could not have been avoided."
B. "This illness is often times the result of life experiences and a family history."
C. "Major depressive disorder is a lot more common than you think, almost 20% of Americans
are suffering from it."
D. "Anyone who lives a life like your son's life would end up with this illness, it's not your fault." - Answer
B. "This illness is often times the result of life experiences and a family history."
Which of the following demonstrates the appropriate usage of seclusion/restraints?
A. A client is put in seclusion for constantly taking clothes out of other clients' rooms.
B. A client is put in restraints for constantly attempting to elope from the unit.
C. A client is put in seclusion for constantly trying to scratch peers and healthcare workers.
D. A client is put in restraints for constantly chanting prayers as loud as he can. - Answer C. A client is
put in seclusion for constantly trying to scratch peers and healthcare workers.
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause variations in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes
All Correct Answers.
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 - Answer A.
A psychiatric nurse discusses rules of the therapeutic milieu and patients' 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 - 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 staff for a show of force and proceed with the injection, using restraint 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 there 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." - 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." - Answer B. "I am obligated to share that
information with the treatment team."
A voluntarily 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 forms 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 health care provider's permission." - Answer C. "I will
get them for you, but let's talk about your decision to leave treatment."
Which individual diagnosed with a mental illness may need involuntary hospitalization? An individual:
A. who has a severe anxiety 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 - Answer
C. who takes 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 - Answer C. Working
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice
nurse to perform which additional intervention?
A. Conduct mental health assessments.
B. Prescribe psychotropic medication.
C. Establish therapeutic relationships.
D. Individualize nursing care plans. - Answer B. Prescribe 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 actions.
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. - 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? The patient:
A. refuses to eat or bathe.
B. reports feelings of alienation from family.
C. is reluctant to participate in unit social activities.
D. is unaware of medication action and side effects. - 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 systems in the community.
D. develop new symptoms during the course of an illness. - 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 closet is locked. These observations relate to:
A. coordinating care of patients.
B. management of milieu safety.
C. management of the interpersonal climate.
D. use of therapeutic intervention strategies. - Answer B. management of milieu safety.
The parents of an adolescent with major depressive disorder asks the nurse, "Why did this happen to our
son, is it something we did?" Which of the following responses by the nurse offers the most accurate
information?
A. "Try not to blame yourselves, it runs in your family and could not have been avoided."
B. "This illness is often times the result of life experiences and a family history."
C. "Major depressive disorder is a lot more common than you think, almost 20% of Americans
are suffering from it."
D. "Anyone who lives a life like your son's life would end up with this illness, it's not your fault." - Answer
B. "This illness is often times the result of life experiences and a family history."
Which of the following demonstrates the appropriate usage of seclusion/restraints?
A. A client is put in seclusion for constantly taking clothes out of other clients' rooms.
B. A client is put in restraints for constantly attempting to elope from the unit.
C. A client is put in seclusion for constantly trying to scratch peers and healthcare workers.
D. A client is put in restraints for constantly chanting prayers as loud as he can. - Answer C. A client is
put in seclusion for constantly trying to scratch peers and healthcare workers.
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause variations in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes
