,NURS 222 MENTAL HEALTH FINAL EXAM –
2026 EDITION
West Coast University | Latest Update |
Questions & Answers | Graded A+
DOMAIN 1: FOUNDATIONS OF MENTAL
HEALTH NURSING (Questions 1–25)
1. A nursing student asks the instructor, “What
is the primary purpose of the DSM-5-TR in
psychiatric nursing?” The best response is:
A) To provide a legal definition of mental illness
B) To standardize diagnostic criteria for mental
disorders
C) To list approved medications for each
disorder
D) To replace the nursing care plan
,Answer: B
Rationale: The DSM-5-TR provides
standardized criteria for diagnosing mental
disorders. It does not dictate treatment or legal
definitions.
2. A patient tells the nurse, “I stopped taking my
antipsychotic because I gained 40 pounds.” The
nurse recognizes this as which barrier to
treatment adherence?
A) Lack of insight
B) Medication side effect burden
C) Financial barrier
D) Therapeutic relationship issue
Answer: B
Rationale: Weight gain (metabolic syndrome) is
a common side effect of atypical antipsychotics.
The nurse should validate the concern and
discuss alternative medications or lifestyle
interventions.
, 3. Thenurseisprovidingcareonalocked
psychiatricunit.Whichpatientrightismost
x
frequentlylimited?
x
A)Righttorefusetreatment
x
B)Righttofreedomofmovement(liberty)
x
C)Righttoconfidentiality
x
D)Righttolegalcounsel
x
Answer:B
Rationale:Involuntarypatientsaredetained
x
(libertyrestricted),buttheyretaintherightto
x
refusetreatment(unlessemergent),
x
confidentiality,andlegalcounsel.
x
4. Apatientwithschizophreniaisadmitted
involuntarily.Thepatientrefusesallmedication
x
andisnotimminentlydangerous.Thenurse
x
should:
x x
xA)AdministermedicationviaIMinjection
B)Respectrefusal,document,andnotifyprovider
x
C)Dischargethepatient
x
D)Placeinseclusionuntiltheyagree
x
2026 EDITION
West Coast University | Latest Update |
Questions & Answers | Graded A+
DOMAIN 1: FOUNDATIONS OF MENTAL
HEALTH NURSING (Questions 1–25)
1. A nursing student asks the instructor, “What
is the primary purpose of the DSM-5-TR in
psychiatric nursing?” The best response is:
A) To provide a legal definition of mental illness
B) To standardize diagnostic criteria for mental
disorders
C) To list approved medications for each
disorder
D) To replace the nursing care plan
,Answer: B
Rationale: The DSM-5-TR provides
standardized criteria for diagnosing mental
disorders. It does not dictate treatment or legal
definitions.
2. A patient tells the nurse, “I stopped taking my
antipsychotic because I gained 40 pounds.” The
nurse recognizes this as which barrier to
treatment adherence?
A) Lack of insight
B) Medication side effect burden
C) Financial barrier
D) Therapeutic relationship issue
Answer: B
Rationale: Weight gain (metabolic syndrome) is
a common side effect of atypical antipsychotics.
The nurse should validate the concern and
discuss alternative medications or lifestyle
interventions.
, 3. Thenurseisprovidingcareonalocked
psychiatricunit.Whichpatientrightismost
x
frequentlylimited?
x
A)Righttorefusetreatment
x
B)Righttofreedomofmovement(liberty)
x
C)Righttoconfidentiality
x
D)Righttolegalcounsel
x
Answer:B
Rationale:Involuntarypatientsaredetained
x
(libertyrestricted),buttheyretaintherightto
x
refusetreatment(unlessemergent),
x
confidentiality,andlegalcounsel.
x
4. Apatientwithschizophreniaisadmitted
involuntarily.Thepatientrefusesallmedication
x
andisnotimminentlydangerous.Thenurse
x
should:
x x
xA)AdministermedicationviaIMinjection
B)Respectrefusal,document,andnotifyprovider
x
C)Dischargethepatient
x
D)Placeinseclusionuntiltheyagree
x
