MENTAL HEALTH EXAM 1; LATEST
UPDATE ACTUAL EXAM 2024-2025
QUESTIONS AND WELL DETAILED
CORRECT ANSWERS GRADED A+++
Insurance will not pay for continued private hospitalization of a mentally ill patient.
The family considers transferring the patient to a public hospital but expresses
concern that the patient will not get any treatment if transferred. Select the nurse's
most helpful reply.
A) By law, treatment must be provided. Hospitalization without treatment violates
patients' rights.
B) All patients in public hospitals have the right to choose both a primary therapist
and a primary nurse.
C) You have a justifiable concern because the right to treatment extends only to
provision of food, shelter, and safety.
D) Much will depend on other patients, because the right to treatment for a psychotic
patient takes precedence over the right to treatment of a patient who is stable.
- CORRECT ANSWERS -A) By law, treatment must be provided. Hospitalization
without treatment violates patients' rights.
Which individual diagnosed with mental illness may need emergency or involuntary
admission? The individual who
A) resumes using heroin while still taking naltrexone (ReVia).
B) reports hearing angels playing harps during thunderstorms.
C) does not keep an outpatient appointment with the mental health nurse.
D) throws a heavy plate at a waiter at the direction of command hallucinations.
- CORRECT ANSWERS -D) throws a heavy plate at a waiter at the direction of
command hallucinations.
,A patient in alcohol rehabilitation reveals to the nurse, "I feel terrible guilt for sexually
abusing my 6-year-old before I was admitted." Select the nurse's most important
action.
A) Anonymously report the abuse by phone to the local child protection agency.
B) Reply, ―I'm glad you feel comfortable talking to me about it.
C) File a written report with the agency's ethics committee.
D) Respect nurse-patient relationship confidentiality.
- CORRECT ANSWERS -A) Anonymously report the abuse by phone to the local
child protection agency.
A family member of a patient with delusions of persecution asks the nurse, "Are
there any circumstances under which the treatment team is justified in violating a
patient's right to confidentiality?" The nurse should reply that confidentiality may be
breached
A) under no circumstances.
B) at the discretion of the psychiatrist.
C) when questions are asked by law enforcement.
D) if the patient threatens the life of another person. - CORRECT ANSWERS -D) if
the patient threatens the life of another person.
A new antidepressant is prescribed for an elderly patient diagnosed with major
depressive disorder, but the dose is more than the usual geriatric dose. The nurse
should
A) consult a reliable drug reference.
B) teach the patient about possible side effects and adverse effects.
C) withhold the medication and confer with the health care provider.
D) encourage the patient to increase oral fluids to reduce drug concentration
. - CORRECT ANSWERS -C) withhold the medication and confer with the health
care provider.
,A patient diagnosed with schizophrenia believes a local minister stirred evil spirits.
The patient threatens to bomb a local church. The psychiatrist notifies the minister.
Select the answer with the correct rationale. The psychiatrist
A) released information without proper authorization.
B) demonstrated the duty to warn and protect.
C) violated the patient's confidentiality.
D) avoided charges of malpractice.
- CORRECT ANSWERS -B) demonstrated the duty to warn and protect.
A person in the community asks, "Why aren't people with mental illness kept in state
institutions anymore?"Select the nurse's best response.
A) Less restrictive settings are available now to care for individuals with mental
illness.
B) There are fewer persons with mental illness, so less hospital beds are needed.
C) Most people with mental illness are still in psychiatric institutions.
D) Psychiatric institutions violated patients' rights.
- CORRECT ANSWERS -A) Less restrictive settings are available now to care for
individuals with mental illness.
A patient experiencing psychosis asks a psychiatric technician, "What's the matter
with me?" The technician replies, "Nothing is wrong with you. You just need to use
some self-control." The nurse who overheard the exchange should take action based
on
A) the technician's unauthorized disclosure of confidential clinical information.
B) violation of the patient's right to be treated with dignity and respect.
C) the nurse's obligation to report caregiver negligence.
D) the patient's right to social interaction.
- CORRECT ANSWERS –B) violation of the patient's right to be treated with dignity
and respect.
, Which individual diagnosed with a mental illness may need involuntary
hospitalization? A patient:
A) who has a panic attack 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.
- CORRECT ANSWERS -C) who takes 38 acetaminophen tablets after the person's
stock portfolio becomes worthless.
An aide in a psychiatric hospital says to the nurse, "We don't have time every day to
help each patient complete a menu selection. Let's tell dietary to prepare popular
choices and send them to our unit." Select the nurse's best response.
A) Thanks for the suggestion, but that idea may not work because so many patients
take MAOI (monoamine oxidase inhibitor) antidepressants.
B) Thanks for the idea, but it's important to treat patients as individuals. Giving
choices is one way we can respect patients' individuality.
C) Thank you for the suggestion, but the patients' bill of rights requires us to allow
patients to select their own diet.
D) Thank you. That is a very good idea. It will make meal preparation easier for the
dietary department.
- CORRECT ANSWERS -B) Thanks for the idea, but it's important to treat patients
as individuals. Giving choices is one way we can respect patients' individuality.
In order to release information to another health care facility or third party regarding
a patient diagnosed with a mental illness, the nurse must obtain
A) a signed consent by the patient for release of information stating specific
information to be released.
B) a verbal consent for information release from the patient and the patient's
guardian or next of kin.
C) permission from members of the health care team who participate in treatment
planning.
UPDATE ACTUAL EXAM 2024-2025
QUESTIONS AND WELL DETAILED
CORRECT ANSWERS GRADED A+++
Insurance will not pay for continued private hospitalization of a mentally ill patient.
The family considers transferring the patient to a public hospital but expresses
concern that the patient will not get any treatment if transferred. Select the nurse's
most helpful reply.
A) By law, treatment must be provided. Hospitalization without treatment violates
patients' rights.
B) All patients in public hospitals have the right to choose both a primary therapist
and a primary nurse.
C) You have a justifiable concern because the right to treatment extends only to
provision of food, shelter, and safety.
D) Much will depend on other patients, because the right to treatment for a psychotic
patient takes precedence over the right to treatment of a patient who is stable.
- CORRECT ANSWERS -A) By law, treatment must be provided. Hospitalization
without treatment violates patients' rights.
Which individual diagnosed with mental illness may need emergency or involuntary
admission? The individual who
A) resumes using heroin while still taking naltrexone (ReVia).
B) reports hearing angels playing harps during thunderstorms.
C) does not keep an outpatient appointment with the mental health nurse.
D) throws a heavy plate at a waiter at the direction of command hallucinations.
- CORRECT ANSWERS -D) throws a heavy plate at a waiter at the direction of
command hallucinations.
,A patient in alcohol rehabilitation reveals to the nurse, "I feel terrible guilt for sexually
abusing my 6-year-old before I was admitted." Select the nurse's most important
action.
A) Anonymously report the abuse by phone to the local child protection agency.
B) Reply, ―I'm glad you feel comfortable talking to me about it.
C) File a written report with the agency's ethics committee.
D) Respect nurse-patient relationship confidentiality.
- CORRECT ANSWERS -A) Anonymously report the abuse by phone to the local
child protection agency.
A family member of a patient with delusions of persecution asks the nurse, "Are
there any circumstances under which the treatment team is justified in violating a
patient's right to confidentiality?" The nurse should reply that confidentiality may be
breached
A) under no circumstances.
B) at the discretion of the psychiatrist.
C) when questions are asked by law enforcement.
D) if the patient threatens the life of another person. - CORRECT ANSWERS -D) if
the patient threatens the life of another person.
A new antidepressant is prescribed for an elderly patient diagnosed with major
depressive disorder, but the dose is more than the usual geriatric dose. The nurse
should
A) consult a reliable drug reference.
B) teach the patient about possible side effects and adverse effects.
C) withhold the medication and confer with the health care provider.
D) encourage the patient to increase oral fluids to reduce drug concentration
. - CORRECT ANSWERS -C) withhold the medication and confer with the health
care provider.
,A patient diagnosed with schizophrenia believes a local minister stirred evil spirits.
The patient threatens to bomb a local church. The psychiatrist notifies the minister.
Select the answer with the correct rationale. The psychiatrist
A) released information without proper authorization.
B) demonstrated the duty to warn and protect.
C) violated the patient's confidentiality.
D) avoided charges of malpractice.
- CORRECT ANSWERS -B) demonstrated the duty to warn and protect.
A person in the community asks, "Why aren't people with mental illness kept in state
institutions anymore?"Select the nurse's best response.
A) Less restrictive settings are available now to care for individuals with mental
illness.
B) There are fewer persons with mental illness, so less hospital beds are needed.
C) Most people with mental illness are still in psychiatric institutions.
D) Psychiatric institutions violated patients' rights.
- CORRECT ANSWERS -A) Less restrictive settings are available now to care for
individuals with mental illness.
A patient experiencing psychosis asks a psychiatric technician, "What's the matter
with me?" The technician replies, "Nothing is wrong with you. You just need to use
some self-control." The nurse who overheard the exchange should take action based
on
A) the technician's unauthorized disclosure of confidential clinical information.
B) violation of the patient's right to be treated with dignity and respect.
C) the nurse's obligation to report caregiver negligence.
D) the patient's right to social interaction.
- CORRECT ANSWERS –B) violation of the patient's right to be treated with dignity
and respect.
, Which individual diagnosed with a mental illness may need involuntary
hospitalization? A patient:
A) who has a panic attack 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.
- CORRECT ANSWERS -C) who takes 38 acetaminophen tablets after the person's
stock portfolio becomes worthless.
An aide in a psychiatric hospital says to the nurse, "We don't have time every day to
help each patient complete a menu selection. Let's tell dietary to prepare popular
choices and send them to our unit." Select the nurse's best response.
A) Thanks for the suggestion, but that idea may not work because so many patients
take MAOI (monoamine oxidase inhibitor) antidepressants.
B) Thanks for the idea, but it's important to treat patients as individuals. Giving
choices is one way we can respect patients' individuality.
C) Thank you for the suggestion, but the patients' bill of rights requires us to allow
patients to select their own diet.
D) Thank you. That is a very good idea. It will make meal preparation easier for the
dietary department.
- CORRECT ANSWERS -B) Thanks for the idea, but it's important to treat patients
as individuals. Giving choices is one way we can respect patients' individuality.
In order to release information to another health care facility or third party regarding
a patient diagnosed with a mental illness, the nurse must obtain
A) a signed consent by the patient for release of information stating specific
information to be released.
B) a verbal consent for information release from the patient and the patient's
guardian or next of kin.
C) permission from members of the health care team who participate in treatment
planning.
