NR607/NR 607 Final Exam — Weeks 1–7 Master
Study Tables | 2026/27 Updated | 100% Correct -
Chamberlain College
NR607/NR 607 Final Exam — Weeks 1–7 Master Study Tables
Complete Practice Exam: 180 Questions with Detailed Explanations
Section 1: Foundations of Psychiatric Diagnosis & Legal/Ethical Principles
Question 1
What is the primary goal of inpatient psychiatric treatment?
A) To provide long-term custodial care
B) To provide stabilization
C) To provide indefinite medication management
D) To replace all outpatient services
Answer: B
Explanation: The primary goal of inpatient treatment is to provide stabilization.
Stabilization starts with the least restrictive interventions. The primary reason for
hospital admission is stabilization of acute psychiatric symptoms .
Question 2
What is the PMHNP's role when a client presents with persistent sadness,
hopelessness, difficulty sleeping, and decreased appetite for the first time?
A) Acute PMHNP Care
B) Crisis Intervention
,C) Primary Care
D) Telehealth
Answer: C
Explanation: When a client presents with depressive symptoms for the first time in
a primary care or outpatient setting, the PMHNP's role is Primary Care. This is the
client's initial contact with the healthcare system about their concerns .
Question 3
A client returns home after hospitalization but commutes to a treatment center for
4 hours a day, 5 days per week for therapy, medication management, and
psychoeducation. What level of care is this?
A) Acute Inpatient Care
B) Crisis Intervention
C) Partial Hospitalization/Intensive Outpatient Treatment
D) Community-Based Care
Answer: C
Explanation: Partial Hospitalization/Intensive Outpatient Treatment occurs when a
client receives intensive therapy on an outpatient basis. This level of care is often
used when a client requires structured support but does not need 24-hour
inpatient care .
Question 4
When should restraints be used in psychiatric settings?
A) As a first-line intervention for agitation
B) Only when alternatives have failed and patient or others must be kept safe
C) As a routine measure for all aggressive patients
D) As a form of discipline for non-compliant patients
Answer: B
,Explanation: Restraints should only be used when alternatives have failed and you
must keep the patient or others safe, or must continue therapy for overall patient
good. Restraints should never be used as discipline, coercion, or staff convenience .
Question 5
What is the requirement for a face-to-face evaluation when restraints are applied?
A) Within 30 minutes
B) Within 1 hour
C) Within 2 hours
D) Within 4 hours
Answer: B
Explanation: A face-to-face evaluation and written order are required within 1
hour of application of restraints. Restraints cannot be ordered PRN .
Question 6
How often must the APRN document the continued need for restraint?
A) Every 4 hours
B) Every 8 hours
C) Every 12 hours
D) Every 24 hours
Answer: D
Explanation: Every 24 hours, the APRN must document the continued need for
restraint .
Question 7
Who is in control of restraint and seclusion laws?
, A) The federal government
B) The state
C) The hospital administration
D) The Joint Commission
Answer: B
Explanation: The state is in control of restraint and seclusion laws. Laws differ from
state to state, and providers must abide by state regulations .
Question 8
What are the criteria for an emergency psychiatric hold in most states?
A) Any mental health diagnosis
B) Danger to self, danger to others, or grave disability
C) Family request for hospitalization
D) Non-adherence to outpatient treatment
Answer: B
Explanation: The criteria for an emergency psychiatric hold include danger to self,
danger to others, or grave disability. Gravely disabled individuals who cannot meet
basic needs qualify for a hold .
Question 9
What best distinguishes voluntary from involuntary admission?
A) Voluntary admission requires insurance; involuntary does not
B) Voluntary admission requires a signed consent form; involuntary admission
does not
C) Voluntary admission is shorter than involuntary admission
D) Voluntary admission is only for mild conditions
Answer: B
Study Tables | 2026/27 Updated | 100% Correct -
Chamberlain College
NR607/NR 607 Final Exam — Weeks 1–7 Master Study Tables
Complete Practice Exam: 180 Questions with Detailed Explanations
Section 1: Foundations of Psychiatric Diagnosis & Legal/Ethical Principles
Question 1
What is the primary goal of inpatient psychiatric treatment?
A) To provide long-term custodial care
B) To provide stabilization
C) To provide indefinite medication management
D) To replace all outpatient services
Answer: B
Explanation: The primary goal of inpatient treatment is to provide stabilization.
Stabilization starts with the least restrictive interventions. The primary reason for
hospital admission is stabilization of acute psychiatric symptoms .
Question 2
What is the PMHNP's role when a client presents with persistent sadness,
hopelessness, difficulty sleeping, and decreased appetite for the first time?
A) Acute PMHNP Care
B) Crisis Intervention
,C) Primary Care
D) Telehealth
Answer: C
Explanation: When a client presents with depressive symptoms for the first time in
a primary care or outpatient setting, the PMHNP's role is Primary Care. This is the
client's initial contact with the healthcare system about their concerns .
Question 3
A client returns home after hospitalization but commutes to a treatment center for
4 hours a day, 5 days per week for therapy, medication management, and
psychoeducation. What level of care is this?
A) Acute Inpatient Care
B) Crisis Intervention
C) Partial Hospitalization/Intensive Outpatient Treatment
D) Community-Based Care
Answer: C
Explanation: Partial Hospitalization/Intensive Outpatient Treatment occurs when a
client receives intensive therapy on an outpatient basis. This level of care is often
used when a client requires structured support but does not need 24-hour
inpatient care .
Question 4
When should restraints be used in psychiatric settings?
A) As a first-line intervention for agitation
B) Only when alternatives have failed and patient or others must be kept safe
C) As a routine measure for all aggressive patients
D) As a form of discipline for non-compliant patients
Answer: B
,Explanation: Restraints should only be used when alternatives have failed and you
must keep the patient or others safe, or must continue therapy for overall patient
good. Restraints should never be used as discipline, coercion, or staff convenience .
Question 5
What is the requirement for a face-to-face evaluation when restraints are applied?
A) Within 30 minutes
B) Within 1 hour
C) Within 2 hours
D) Within 4 hours
Answer: B
Explanation: A face-to-face evaluation and written order are required within 1
hour of application of restraints. Restraints cannot be ordered PRN .
Question 6
How often must the APRN document the continued need for restraint?
A) Every 4 hours
B) Every 8 hours
C) Every 12 hours
D) Every 24 hours
Answer: D
Explanation: Every 24 hours, the APRN must document the continued need for
restraint .
Question 7
Who is in control of restraint and seclusion laws?
, A) The federal government
B) The state
C) The hospital administration
D) The Joint Commission
Answer: B
Explanation: The state is in control of restraint and seclusion laws. Laws differ from
state to state, and providers must abide by state regulations .
Question 8
What are the criteria for an emergency psychiatric hold in most states?
A) Any mental health diagnosis
B) Danger to self, danger to others, or grave disability
C) Family request for hospitalization
D) Non-adherence to outpatient treatment
Answer: B
Explanation: The criteria for an emergency psychiatric hold include danger to self,
danger to others, or grave disability. Gravely disabled individuals who cannot meet
basic needs qualify for a hold .
Question 9
What best distinguishes voluntary from involuntary admission?
A) Voluntary admission requires insurance; involuntary does not
B) Voluntary admission requires a signed consent form; involuntary admission
does not
C) Voluntary admission is shorter than involuntary admission
D) Voluntary admission is only for mild conditions
Answer: B
