Question: Which legal concept requires health records to be truthful and detailed because courts may rely on them as documentary evidence?

Answer Options:

A. Nursing documentation integrity
B. Informed consent validity
C. Duty to warn
D. Mandatory reporter status

Answer: A. Nursing documentation integrity

Question: Which practice guideline emphasizes using the most protective option only after less restrictive measures have been attempted?

Answer Options:

A. Never use restraints under any circumstances
B. Restraints are the first line of treatment
C. Immediate isolation is preferred in all cases
D. Seclusion and restraint guidelines in crisis management

Answer: D. Seclusion and restraint guidelines in crisis management

Question: Which intervention technique is specifically used in REBT to challenge irrational beliefs?

Answer Options:

A. Guided imagery
B. Homework assignments
C. Disputing irrational beliefs
D. Journaling

Answer: C. Disputing irrational beliefs

Question: In the context of PMH nursing which scenario best illustrates nonmaleficence?

Answer Options:

A. A clinician tells a patient a lie to prevent distress
B. A clinician prioritizes cost savings over patient safety
C. A clinician enforces treatment despite patient dissent
D. A clinician minimizes potential harm when choosing a treatment option

Answer: D. A clinician minimizes potential harm when choosing a treatment option

Question: Which statement best describes the relationship between thoughts, feelings, and behaviors in CBT?

Answer Options:

A. Feelings determine thoughts and actions solely
B. There is a bidirectional link where thoughts influence feelings, which influence behaviors
C. Feelings and thoughts operate independently of behaviors
D. Behaviors determine thoughts, not feelings

Answer: B. There is a bidirectional link where thoughts influence feelings, which influence behaviors

Question: What is the primary goal of CBT in psychiatric nursing practice?

Answer Options:

A. To restructure perception of events to change emotions and behaviors
B. To provide medication education only
C. To focus exclusively on past experiences
D. To suppress all emotions

Answer: A. To restructure perception of events to change emotions and behaviors

Question: A nurse gave a client 5 mg of haloperidol (Haldol) for agitation. The client’s chart was clearly stamped “Allergic HALDOL.” The client suffered anaphylactic shock and died. How would the nurse’s actions be labeled?

Answer Options:

A. Intentional tort
B. Negligence
C. Battery
D. Assault

Answer: B. Negligence

Question: The insistence on a patient’s right to a least restrictive environment most directly supports which overarching concept?

Answer Options:

A. Right to refuse unnecessary confinement and medication
B. Duty to warn
C. Confidentiality breach prevention
D. Duty of care

Answer: A. Right to refuse unnecessary confinement and medication

Question: According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?

Answer Options:

A. A client rudely complaining about limited visiting hours
B. A client exhibiting aggressive behavior toward another client
C. A client stating that no one cares
D. A client verbalizing feelings of failure

Answer: B. A client exhibiting aggressive behavior toward another client

Question: A psychiatric nurse working on an inpatient unit receives a call asking if an individual has been a client in the facility. Which nursing response reflects appropriate legal and ethical obligations?

Answer Options:

A. The nurse refuses to give any information to the caller, citing rules of confidentiality.
B. The nurse hangs up on the caller.
C. The nurse confirms that the person has been at the facility but adds no additional information.
D. The nurse suggests that the caller speak to the client’s therapist.

Answer: A. The nurse refuses to give any information to the caller, citing rules of confidentiality.

Question: What are the two main types of documentation concerns highlighted for suicide or homicidal ideation in PMH settings?

Answer Options:

A. Thorough risk assessment and ongoing documentation of interventions
B. Documentation should avoid clinical details to protect privacy
C. Documentation is optional for crisis notes
D. Only demographic data and discharge plans

Answer: A. Thorough risk assessment and ongoing documentation of interventions

Question: Which treatment is most effective for clients with OCD, trichotillomania, and body dysmorphic disorder?

Answer Options:

A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Electroconvulsive therapy
D. Family therapy alone

Answer: A. Cognitive-behavioral therapy (CBT) 1.