UNIT II MENTAL HEALTH TEST BANK
QUIZ ANSWERS AND ANSWERS
An inpatient psychiatric physician refuses to treat clients without insurance and
prematurely discharges those whose insurance benefits have expired. Which
violation of an ethical principle should a nurse recognize in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice - Answer-ANSWER: D
RATIONALE: The nurse should determine that the ethical principle of justice has
been violated by the physicians actions. The principle of justice requires that
individuals should be treated equally regardless of race, sex, marital status, medical
diagnosis, social standing, economic level, or religious belief.
Which situation contradicts the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for the
clients care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the
seclusion room.
D. A nurse treats all of the clients equally regardless of illness severity. - Answer-
ANSWER: C
RATIONALE: The nurse who tricks a client into seclusion has violated the ethical
principle of veracity. The principle of veracity refers to ones duty to always be truthful
and not intentionally deceive or mislead clients.
A client who will be receiving electroconvulsive therapy (ECT) must provide informed
consent. Which situation should cause a nurse to question the validity of the
informed consent?
A. The client is paranoid.
B. The client is 87 years old.
C. The client incorrectly reports his or her spouses name, the date, and the time of
day.
D. The client relies on his or her spouse to interpret the information. - Answer-
ANSWER: C
RATIONALE: The nurse should question the validity of informed consent when the
client incorrectly reports the spouses name, date, and time of day. This indicates that
this client is disoriented and may not be competent to make informed choices.
, A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin
Decanoate) from a home health nurse. The client refuses medication at one regularly
scheduled home visit. Which nursing intervention is ethically appropriate?
A. Allow the client to decline the medication and document.
B. Tell the client that if the medication is refused, hospitalization will occur.
C. Arrange with a relative to add medication to the clients morning orange juice.
D. Call for help to hold the client down while the injection is administered. - Answer-
ANSWER: A
RATIONALE: It is ethically and legally appropriate for the nurse to allow the client to
decline the medication and provide accurate documentation. The clients right to
refuse treatment should be upheld unless the refusal puts the client or others in
harms way.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds
treatment.
B. The nurse threatens to tie down the client and then does so against the clients
wishes.
C. The nurse hides the clients clothes and medicates the client to prevent
elopement.
D. The nurse restrains the client without just cause and communicates this to family.
- Answer-ANSWER: B
RATIONALE: The nurse in this situation has committed both the acts of assault and
battery. Assault refers to an action that results in fear and apprehension that the
person will be touched without consent. Battery is the touching of another person
without consent.
Which client should a nurse identify as a potential candidate for involuntarily
commitment?
A. A client living under a bridge in a cardboard box
B. A client threatening to commit suicide
C. A client who never bathes and wears a wool hat in the summer
D. A client who eats waste out of a garbage can - Answer-ANSWER: B
RATIONALE: The nurse should identify the client threatening to commit suicide as
eligible for involuntary commitment. The suicidal client who refuses treatments is a
danger to self and requires emergency treatment.
A client diagnosed with schizophrenia refuses to take medication, citing the right of
autonomy. Under which circumstance would a nurse have the right to medicate the
client against the clients wishes?
A. When the client makes inappropriate sexual innuendos to a staff member
B. When the client constantly demands inappropriate attention from the nurse
C. When the client physically attacks another client after being confronted in group
therapy
QUIZ ANSWERS AND ANSWERS
An inpatient psychiatric physician refuses to treat clients without insurance and
prematurely discharges those whose insurance benefits have expired. Which
violation of an ethical principle should a nurse recognize in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice - Answer-ANSWER: D
RATIONALE: The nurse should determine that the ethical principle of justice has
been violated by the physicians actions. The principle of justice requires that
individuals should be treated equally regardless of race, sex, marital status, medical
diagnosis, social standing, economic level, or religious belief.
Which situation contradicts the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for the
clients care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the
seclusion room.
D. A nurse treats all of the clients equally regardless of illness severity. - Answer-
ANSWER: C
RATIONALE: The nurse who tricks a client into seclusion has violated the ethical
principle of veracity. The principle of veracity refers to ones duty to always be truthful
and not intentionally deceive or mislead clients.
A client who will be receiving electroconvulsive therapy (ECT) must provide informed
consent. Which situation should cause a nurse to question the validity of the
informed consent?
A. The client is paranoid.
B. The client is 87 years old.
C. The client incorrectly reports his or her spouses name, the date, and the time of
day.
D. The client relies on his or her spouse to interpret the information. - Answer-
ANSWER: C
RATIONALE: The nurse should question the validity of informed consent when the
client incorrectly reports the spouses name, date, and time of day. This indicates that
this client is disoriented and may not be competent to make informed choices.
, A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin
Decanoate) from a home health nurse. The client refuses medication at one regularly
scheduled home visit. Which nursing intervention is ethically appropriate?
A. Allow the client to decline the medication and document.
B. Tell the client that if the medication is refused, hospitalization will occur.
C. Arrange with a relative to add medication to the clients morning orange juice.
D. Call for help to hold the client down while the injection is administered. - Answer-
ANSWER: A
RATIONALE: It is ethically and legally appropriate for the nurse to allow the client to
decline the medication and provide accurate documentation. The clients right to
refuse treatment should be upheld unless the refusal puts the client or others in
harms way.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds
treatment.
B. The nurse threatens to tie down the client and then does so against the clients
wishes.
C. The nurse hides the clients clothes and medicates the client to prevent
elopement.
D. The nurse restrains the client without just cause and communicates this to family.
- Answer-ANSWER: B
RATIONALE: The nurse in this situation has committed both the acts of assault and
battery. Assault refers to an action that results in fear and apprehension that the
person will be touched without consent. Battery is the touching of another person
without consent.
Which client should a nurse identify as a potential candidate for involuntarily
commitment?
A. A client living under a bridge in a cardboard box
B. A client threatening to commit suicide
C. A client who never bathes and wears a wool hat in the summer
D. A client who eats waste out of a garbage can - Answer-ANSWER: B
RATIONALE: The nurse should identify the client threatening to commit suicide as
eligible for involuntary commitment. The suicidal client who refuses treatments is a
danger to self and requires emergency treatment.
A client diagnosed with schizophrenia refuses to take medication, citing the right of
autonomy. Under which circumstance would a nurse have the right to medicate the
client against the clients wishes?
A. When the client makes inappropriate sexual innuendos to a staff member
B. When the client constantly demands inappropriate attention from the nurse
C. When the client physically attacks another client after being confronted in group
therapy
