Question: A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client’s wishes?
Answer Options:
A. A client makes inappropriate sexual innuendos to a staff member.
B. A client constantly demands attention from the nurse by begging, “Help me get better.”
C. A client physically attacks another client after being confronted in group therapy.
D. A client refuses to bathe or perform hygienic activities.
Answer: C. A client physically attacks another client after being confronted in group therapy.
Question: What is the primary aim of the CBT technique called behavioral activation?
Answer Options:
A. Suppress emotional responses
B. Increase medication adherence exclusively
C. Reduce cognitive load by eliminating thoughts
D. Increase engagement in rewarding activities to improve mood
Answer: D. Increase engagement in rewarding activities to improve mood
Question: What is the primary purpose of the Code of Ethics in psychiatric mental health nursing?
Answer Options:
A. To replace clinical judgment with rules
B. To guide ethical practice and protect patient rights
C. To restrict patient autonomy
D. To standardize billing practices
Answer: B. To guide ethical practice and protect patient rights
Question: What term describes the ongoing, reflective process of recognizing one’s own cultural biases and learning about others’ cultures in nursing?
Answer Options:
A. Cultural humility
B. Cultural assimilation
C. Cultural competence
D. Paternalism
Answer: A. Cultural humility
Question: In the context of health literacy, what is the purpose of confirming patient comprehension after sharing information?
Answer Options:
A. To minimize miscommunication and enhance decision making
B. To reduce clinician workload
C. To fulfill legal requirements without patient understanding
D. To document noncompliance
Answer: A. To minimize miscommunication and enhance decision making
Question: Which principle emphasizes a patient’s right to make their own health care decisions, even if the decision seems irrational to others?
Answer Options:
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D. Autonomy
Question: A geriatric client is confused and wandering in and out of every door. Which scenario reflects the least restrictive alternative for this client?
Answer Options:
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.
Answer: D. The client is monitored by an ankle bracelet.
Question: A geriatric client is confused and wandering in and out of every door. Which scenario reflects the least restrictive alternative for this client?
Answer Options:
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.
Answer: D. The client is monitored by an ankle bracelet.
Question: A brother calls to speak to his sister, who has been admitted to a 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?
Answer Options:
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
Answer: C. The Health Insurance Portability and Accountability Act
Question: A patient with a specific phobia of dogs begins desensitization therapy. Which action is most appropriate with this therapy?
Answer Options:
A. Gradually expose the patient to dogs while providing relaxation support
B. Encourage the patient to avoid dogs
C. Discuss the causes of the phobia in depth
D. Administer anti-anxiety medication before each session
Answer: A. Gradually expose the patient to dogs while providing relaxation support
Question: Which ethical principle involves being faithful to promises and maintaining trust in therapeutic relationships?
Answer Options:
A. Fidelity
B. Autonomy
C. Justice
D. Veracity
Answer: A. Fidelity
Question: Which group-focused factor is most associated with poorer mental health outcomes due to compounded stigma and discrimination?
Answer Options:
A. Access to care
B. Socioeconomic status
C. Mental illness and racism/discrimination
D. Marital status
Answer: C. Mental illness and racism/discrimination
Question: Which right protects patients from unnecessary confinement and restraint in mental health settings, reserving seclusion as a last resort?
Answer Options:
A. Due process
B. Least restrictive environment
C. Advance directives
D. Informed consent
Answer: B. Least restrictive environment