NURS 320 Exam 1 Questions with
Complete Answers
A nursing instructor is preparing a class about rural cultures and the influence on
mental health problems. Which of the following would the instructor include as
impacting the use of mental health services for this group? Select all that apply.
A. Limited access to care
B. Lack of available resources
C. Geographical similarities
D. Diverse cultural groups
E. Consistency in treatment approaches - ANSWER-a, b, d
A psychiatric mental health nurse is working on developing cultural competence.
Which of the following would be most appropriate for the nurse to do?
A. Research information about the cultures of the population being served after
assessing the patients.
B. Recognize that one's own culture is the predominant way of addressing a patient's
health care needs.
C. Assume that any individual of a racial or ethnic group is the same as another
individual in that group.
D.Demonstrate an appreciation of and a genuine interest in the individual and his or
her cultural beliefs. - ANSWER-d
14. During assessment, a patient tells the nurse that he follows Buddhist beliefs. The
nurse would integrate understanding of which of the following when developing the
patient's plan of care?
A. Desire is the cause of all human suffering and misery.
B. Self-indulgence is necessary to reach nirvana.
C. Present behavior is based on current unhappiness.
D. Salvation is achieved through faith and humility. - ANSWER-a
After teaching a group of students about the beliefs associated with the major
religions, the instructor determines that additional teaching is needed when the
students identify which belief as associated with Confucianism?
A. People are born good.
B. People are assigned to castes.
C. Authority figures are respected.
D. Self-responsibility leads to improvement. - ANSWER-b
During an interview, a patient states, God does not exist for me. The nurse interprets
this statement as reflecting which of the following?
A. Animism
B. Agnosticism
C. Atheism
D.Polytheism - ANSWER-c
,After reviewing the major beliefs of Hinduism, a nursing student identifies the
following castes. The student demonstrates understanding by identifying which of the
following as the highest caste?
A. Kshatriyas
B. Vaisyas
C. Brahmans
D.Untouchables - ANSWER-c
The nurse is assessing an Asian American patient. During the interview, the nurse
determines that the patient likely follows Taoism based on which statement?
A. Purity and balance guide all of my actions.
B. I strive to be in happy harmony with nature.
C. Nature's powers must be respected in life.
D. God is worshipped out of love, not fear. - ANSWER-b
A nurse is explaining advance care directives, or living wills, to a patient and the
patient's spouse. Which of the following would the nurse include in the description?
A. The document tells what treatment is to be omitted if the patient is unable to make
the decision.
B. It requires that the patient sign the living will document while an attorney is
present.
C. The patient's physician must act as a witness when the patient signs the
document.
D.An attorney draws up the papers to be given to the patient and his or her family. -
ANSWER-a
A psychiatric mental health nurse determines that a patient is competent when he is
able to do which of the following?
A. Speak coherent English.
B. Communicate his or her choices.
C. Write a living will.
D. Comply with the medical regimen. - ANSWER-b
A patient receives a court order for commitment. Which of the following best
exemplifies the concept of least restrictive environment?
A. Involuntary commitment to an outpatient community mental health center
B. Medication administration for sedation so the patient cannot get out of bed
C. Placing the patient in a locked padded room in response to threats of self-harm
D.Allowing the patient to make the decision about whether treatment is necessary -
ANSWER-a
A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is
legally obligated to breach the patient's confidentiality if the patient states which of
the following?
A. I think that the federal government is spying on me.
B. I get really 'turned on' by your appearance.
C. That doctor I had today really made me angry.
D.When I get out of here, I'm going to kill my neighbor. - ANSWER-d
, Which patient would the nurse determine to be the most likely candidate for
involuntary commitment?
A. The client who refuses to take the prescribed medication
B. The client who is screaming in the street disturbing neighbors
C. The client who refuses to participate in the planned therapy
D.The client with a mental disorder who is homeless - ANSWER-b
The nurse is providing care to a male patient who is hospitalized with a diagnosis of
schizophrenia. Which of the following would be appropriate for the nurse to include in
the patient's medical record?
A. Patient states that he had a good night with no complaints.
B. Complained of being unable to sleep because he heard voices throughout the
night.
C. Had a typical night without incidence of insomnia or nightmares.
D.Acted crazily throughout the night; kept hearing voices and noises. - ANSWER-b
A nurse working on the psychiatric unit receives a telephone call from the employer
of one of the patients on the unit. The employer asks to be sent a copy of Mr.
Murray's latest laboratory work and psychological testing results so Mr. Murray's
medical records in employee health can be kept up to date. Based on the nurse's
knowledge about issues surrounding breach of confidentiality, which response would
be the most appropriate?
A. I'm sorry; we're not allowed to give out that information about our patient.
B. I'll have to get the patient's signed consent before we can send that information to
you.
C. I am unable to acknowledge whether or not a Mr. Murray is a patient on this unit.
D.Sure, give me your address, and I will see that the information is sent to you. -
ANSWER-c
A patient is going to be discharged this afternoon from the mental health unit. The
patient asks the nurse if a copy of his medical record could be sent to the
psychologist he will be seeing on an outpatient basis. Which response by the nurse
would be most appropriate?
A. Sure, we'll have that information sent out in today's mail.
B. You will need to sign written authorization for us before we can do this.
C. I think it would just be best if you just told your psychologist everything he needs
to know.
D. How are you feeling about being discharged this afternoon? - ANSWER-b
A patient's psychiatrist informs her that he thinks she needs to participate in a 3-
month outpatient aftercare program after her discharge. Which of the following would
protect the patient's right to request a second opinion before agreeing to this
suggestion?
A. Self-determinism
B. Least restrictive environment
C. Confidentiality
D. Mandates to inform - ANSWER-a
A nurse is preparing to administer an as-needed (PRN) medication. Which of the
following would the nurse need to keep in mind when documenting administration?
Complete Answers
A nursing instructor is preparing a class about rural cultures and the influence on
mental health problems. Which of the following would the instructor include as
impacting the use of mental health services for this group? Select all that apply.
A. Limited access to care
B. Lack of available resources
C. Geographical similarities
D. Diverse cultural groups
E. Consistency in treatment approaches - ANSWER-a, b, d
A psychiatric mental health nurse is working on developing cultural competence.
Which of the following would be most appropriate for the nurse to do?
A. Research information about the cultures of the population being served after
assessing the patients.
B. Recognize that one's own culture is the predominant way of addressing a patient's
health care needs.
C. Assume that any individual of a racial or ethnic group is the same as another
individual in that group.
D.Demonstrate an appreciation of and a genuine interest in the individual and his or
her cultural beliefs. - ANSWER-d
14. During assessment, a patient tells the nurse that he follows Buddhist beliefs. The
nurse would integrate understanding of which of the following when developing the
patient's plan of care?
A. Desire is the cause of all human suffering and misery.
B. Self-indulgence is necessary to reach nirvana.
C. Present behavior is based on current unhappiness.
D. Salvation is achieved through faith and humility. - ANSWER-a
After teaching a group of students about the beliefs associated with the major
religions, the instructor determines that additional teaching is needed when the
students identify which belief as associated with Confucianism?
A. People are born good.
B. People are assigned to castes.
C. Authority figures are respected.
D. Self-responsibility leads to improvement. - ANSWER-b
During an interview, a patient states, God does not exist for me. The nurse interprets
this statement as reflecting which of the following?
A. Animism
B. Agnosticism
C. Atheism
D.Polytheism - ANSWER-c
,After reviewing the major beliefs of Hinduism, a nursing student identifies the
following castes. The student demonstrates understanding by identifying which of the
following as the highest caste?
A. Kshatriyas
B. Vaisyas
C. Brahmans
D.Untouchables - ANSWER-c
The nurse is assessing an Asian American patient. During the interview, the nurse
determines that the patient likely follows Taoism based on which statement?
A. Purity and balance guide all of my actions.
B. I strive to be in happy harmony with nature.
C. Nature's powers must be respected in life.
D. God is worshipped out of love, not fear. - ANSWER-b
A nurse is explaining advance care directives, or living wills, to a patient and the
patient's spouse. Which of the following would the nurse include in the description?
A. The document tells what treatment is to be omitted if the patient is unable to make
the decision.
B. It requires that the patient sign the living will document while an attorney is
present.
C. The patient's physician must act as a witness when the patient signs the
document.
D.An attorney draws up the papers to be given to the patient and his or her family. -
ANSWER-a
A psychiatric mental health nurse determines that a patient is competent when he is
able to do which of the following?
A. Speak coherent English.
B. Communicate his or her choices.
C. Write a living will.
D. Comply with the medical regimen. - ANSWER-b
A patient receives a court order for commitment. Which of the following best
exemplifies the concept of least restrictive environment?
A. Involuntary commitment to an outpatient community mental health center
B. Medication administration for sedation so the patient cannot get out of bed
C. Placing the patient in a locked padded room in response to threats of self-harm
D.Allowing the patient to make the decision about whether treatment is necessary -
ANSWER-a
A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is
legally obligated to breach the patient's confidentiality if the patient states which of
the following?
A. I think that the federal government is spying on me.
B. I get really 'turned on' by your appearance.
C. That doctor I had today really made me angry.
D.When I get out of here, I'm going to kill my neighbor. - ANSWER-d
, Which patient would the nurse determine to be the most likely candidate for
involuntary commitment?
A. The client who refuses to take the prescribed medication
B. The client who is screaming in the street disturbing neighbors
C. The client who refuses to participate in the planned therapy
D.The client with a mental disorder who is homeless - ANSWER-b
The nurse is providing care to a male patient who is hospitalized with a diagnosis of
schizophrenia. Which of the following would be appropriate for the nurse to include in
the patient's medical record?
A. Patient states that he had a good night with no complaints.
B. Complained of being unable to sleep because he heard voices throughout the
night.
C. Had a typical night without incidence of insomnia or nightmares.
D.Acted crazily throughout the night; kept hearing voices and noises. - ANSWER-b
A nurse working on the psychiatric unit receives a telephone call from the employer
of one of the patients on the unit. The employer asks to be sent a copy of Mr.
Murray's latest laboratory work and psychological testing results so Mr. Murray's
medical records in employee health can be kept up to date. Based on the nurse's
knowledge about issues surrounding breach of confidentiality, which response would
be the most appropriate?
A. I'm sorry; we're not allowed to give out that information about our patient.
B. I'll have to get the patient's signed consent before we can send that information to
you.
C. I am unable to acknowledge whether or not a Mr. Murray is a patient on this unit.
D.Sure, give me your address, and I will see that the information is sent to you. -
ANSWER-c
A patient is going to be discharged this afternoon from the mental health unit. The
patient asks the nurse if a copy of his medical record could be sent to the
psychologist he will be seeing on an outpatient basis. Which response by the nurse
would be most appropriate?
A. Sure, we'll have that information sent out in today's mail.
B. You will need to sign written authorization for us before we can do this.
C. I think it would just be best if you just told your psychologist everything he needs
to know.
D. How are you feeling about being discharged this afternoon? - ANSWER-b
A patient's psychiatrist informs her that he thinks she needs to participate in a 3-
month outpatient aftercare program after her discharge. Which of the following would
protect the patient's right to request a second opinion before agreeing to this
suggestion?
A. Self-determinism
B. Least restrictive environment
C. Confidentiality
D. Mandates to inform - ANSWER-a
A nurse is preparing to administer an as-needed (PRN) medication. Which of the
following would the nurse need to keep in mind when documenting administration?
