NSG 323 Exam 1
In a team meeting a nurse says, "I'm concerned about whether we are behaving ethically in using
restraint to prevent one patient from engaging in self-mutilating behavior while the care plan for
another self-mutilating patient calls for one-on-one supervision." Which ethical principle most clearly
applies to this situation?
A) Beneficence
B) Autonomy
C) Fidelity
D) Justice - ✔✔ correct answer D) Justice
What is the legal significance of a nurse's action when a client verbally refuses medication and the
nurse gives the medication over the client's objection?
A) The nurse has been negligent.
B) The nurse has committed malpractice.
C) The nurse has fulfilled the standard of care.
D) The nurse can be charged with battery. - ✔✔ correct answer D) The nurse can be charged with
battery.
battery - ✔✔ correct answer the harmful or offensive touching of another person
A nurse at the mental health center prepares to administer a scheduled injection of haloperidol
decanoate (Haldol depot) to a client with schizophrenia. As the nurse swabs the site, the client
shouts, "Stop, stop. I don't want to take that medicine anymore because I hate the side effects."
What is the best nurse's response?
A) Assemble other staff for a show of force and proceed with the injection, using restraint if
necessary.
B) Stop the medication administration procedure and say to the client, "Tell me more about the side
effects you've had.
C) Proceed with the injection but explain to the client that there are medications that will help
reduce the unpleasant side effects.
D) Say to the client, "Since I've already drawn the medication in the syringe, I'm required to give it
but let's talk to the doctor about delaying next month's dose." - ✔✔ correct answer B) Stop the
medication administration procedure and say to the client, "Tell me more about the side effects
you've had.
Select the example of a tort.
A) The plan of care for a client is not completed within 24 hours of their admission.
, NSG 323 Exam 1
B) A nurse gives a PRN dose of an antipsychotic drug to an agitated patient because the unit is short
staffed.
C) An advanced practice nurse recommends hospitalization for a client who is dangerous to self and
others.
D) A client's admission status changed from involuntary to voluntary after the client's hallucinations
subsided. - ✔✔ correct answer B) A nurse gives a PRN dose of an antipsychotic drug to an agitated
patient because the unit is short staffed.
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave
now." What is the nurse's best response?
A) "I will get the forms for you right now and bring them to your room."
B) "Since you signed your consent for treatment, you may leave if you desire."
C) "I will get them for you, but let's talk about your decision to leave treatment."
D) "I cannot give you those forms without your health care provider's knowledge." - ✔✔ correct
answer C) "I will get them for you, but let's talk about your decision to leave treatment."
Which individual with mental illness may need emergency or involuntary hospitalization for mental
illness?
A)The person who resumes using heroin while still taking naltrexone (ReVia).
B) The person who reports hearing angels playing harps during thunderstorms.
C) The person who does not keep an outpatient appointment with the mental health nurse.
D) The person who throws a heavy plate at a waiter at the direction of command hallucinations. -
✔✔ correct answer D) The person who throws a heavy plate at a waiter at the direction of command
hallucinations.
A person in the community asks, "Why aren't people with mental illness kept in state institutions
anymore?"
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 client's rights." - ✔✔ correct answer A) "Less restrictive settings
are available now to care for individuals with mental illness."
A client with psychosis became aggressive, struck another client, and required seclusion. Which
documentation below is the best?
In a team meeting a nurse says, "I'm concerned about whether we are behaving ethically in using
restraint to prevent one patient from engaging in self-mutilating behavior while the care plan for
another self-mutilating patient calls for one-on-one supervision." Which ethical principle most clearly
applies to this situation?
A) Beneficence
B) Autonomy
C) Fidelity
D) Justice - ✔✔ correct answer D) Justice
What is the legal significance of a nurse's action when a client verbally refuses medication and the
nurse gives the medication over the client's objection?
A) The nurse has been negligent.
B) The nurse has committed malpractice.
C) The nurse has fulfilled the standard of care.
D) The nurse can be charged with battery. - ✔✔ correct answer D) The nurse can be charged with
battery.
battery - ✔✔ correct answer the harmful or offensive touching of another person
A nurse at the mental health center prepares to administer a scheduled injection of haloperidol
decanoate (Haldol depot) to a client with schizophrenia. As the nurse swabs the site, the client
shouts, "Stop, stop. I don't want to take that medicine anymore because I hate the side effects."
What is the best nurse's response?
A) Assemble other staff for a show of force and proceed with the injection, using restraint if
necessary.
B) Stop the medication administration procedure and say to the client, "Tell me more about the side
effects you've had.
C) Proceed with the injection but explain to the client that there are medications that will help
reduce the unpleasant side effects.
D) Say to the client, "Since I've already drawn the medication in the syringe, I'm required to give it
but let's talk to the doctor about delaying next month's dose." - ✔✔ correct answer B) Stop the
medication administration procedure and say to the client, "Tell me more about the side effects
you've had.
Select the example of a tort.
A) The plan of care for a client is not completed within 24 hours of their admission.
, NSG 323 Exam 1
B) A nurse gives a PRN dose of an antipsychotic drug to an agitated patient because the unit is short
staffed.
C) An advanced practice nurse recommends hospitalization for a client who is dangerous to self and
others.
D) A client's admission status changed from involuntary to voluntary after the client's hallucinations
subsided. - ✔✔ correct answer B) A nurse gives a PRN dose of an antipsychotic drug to an agitated
patient because the unit is short staffed.
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave
now." What is the nurse's best response?
A) "I will get the forms for you right now and bring them to your room."
B) "Since you signed your consent for treatment, you may leave if you desire."
C) "I will get them for you, but let's talk about your decision to leave treatment."
D) "I cannot give you those forms without your health care provider's knowledge." - ✔✔ correct
answer C) "I will get them for you, but let's talk about your decision to leave treatment."
Which individual with mental illness may need emergency or involuntary hospitalization for mental
illness?
A)The person who resumes using heroin while still taking naltrexone (ReVia).
B) The person who reports hearing angels playing harps during thunderstorms.
C) The person who does not keep an outpatient appointment with the mental health nurse.
D) The person who throws a heavy plate at a waiter at the direction of command hallucinations. -
✔✔ correct answer D) The person who throws a heavy plate at a waiter at the direction of command
hallucinations.
A person in the community asks, "Why aren't people with mental illness kept in state institutions
anymore?"
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 client's rights." - ✔✔ correct answer A) "Less restrictive settings
are available now to care for individuals with mental illness."
A client with psychosis became aggressive, struck another client, and required seclusion. Which
documentation below is the best?
