Test Bank Varcarolis' Foundations of
Psychiatric-Mental Health Nursing A
Clinical 9th Edition by Margaret Jordan
Halter Mental Health Exam 1 practice
questions and 100% Verified Correct
Answers/BRAND NEW!!
I
,nsurance 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. -
ANSWER-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. -
ANSWER-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. - ANSWER-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. - ANSWER-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. -
ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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.
D) approval from the attending psychiatrist to authorize the release of information. -
ANSWER-A) a signed consent by the patient for release of information stating specific
information to be released.
In which situations would a nurse have the duty to intervene and report? (Select all that
apply.)
A) A peer has difficulty writing measurable outcomes.
B) A health care provider gives a telephone order for medication.
C) A peer tries to provide patient care in an alcohol-impaired state.
D) A team member violates relationship boundaries with a patient.
E) A patient refuses medication prescribed by a licensed health care provider. -
ANSWER-C) A peer tries to provide patient care in an alcohol-impaired state.
D) A team member violates relationship boundaries with a patient.
Psychiatric-Mental Health Nursing A
Clinical 9th Edition by Margaret Jordan
Halter Mental Health Exam 1 practice
questions and 100% Verified Correct
Answers/BRAND NEW!!
I
,nsurance 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. -
ANSWER-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. -
ANSWER-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. - ANSWER-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. - ANSWER-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. -
ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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.
D) approval from the attending psychiatrist to authorize the release of information. -
ANSWER-A) a signed consent by the patient for release of information stating specific
information to be released.
In which situations would a nurse have the duty to intervene and report? (Select all that
apply.)
A) A peer has difficulty writing measurable outcomes.
B) A health care provider gives a telephone order for medication.
C) A peer tries to provide patient care in an alcohol-impaired state.
D) A team member violates relationship boundaries with a patient.
E) A patient refuses medication prescribed by a licensed health care provider. -
ANSWER-C) A peer tries to provide patient care in an alcohol-impaired state.
D) A team member violates relationship boundaries with a patient.
