NUR 190 Exam with Accurate Answers
{Latest Update}
In response to a student's question regarding choosing a psychiatric specialty, a charge nurse
states, "Mentally ill clients need special care. If I were in that position, I'd want a caring nurse
also." From which ethical framework is the charge nurse operating?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism - ✔✔ANS: B. Christian ethics
The charge nurse is operating from a Christian ethics framework. The imperative demand of
Christian ethics is to treat others as moral equals by permitting them to act as we do when they
occupy a position similar to ours. Kantianism states that decisions should be made based on
moral law and that actions are bound by a sense of moral duty. Utilitarianism holds that
decisions should be made focusing on the end result being happiness. Ethical egoism promotes
the idea that what is right is good for the individual.
During a hiring interview, which response by a nursing applicant should indicate that the
applicant operates from an ethical egoism framework?
A. "I would want to be treated in a caring manner if I were mentally ill."
B. "This job will pay the bills, and the workload is light enough for me."
C. "I will be happy caring for the mentally ill. Working in Med/Surg kills my back."
D. "It is my duty in life to be a psychiatric nurse. It is the right thing to do." - ✔✔ANS: B. "This
job will pay the bills, and the workload is light enough for me."
,The applicant's comment reflects an ethical egoism framework. This framework promotes the
idea that decisions are made based on what is good for the individual and may not take the
needs of others into account.
Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an agitated
client. The nurse's coworker observes this action but does nothing for fear of repercussion.
What is the ethical interpretation of the coworker's lack of involvement?
A. Taking no action is still considered an unethical action by the coworker.
B. Taking no action releases the coworker from ethical responsibility.
C. Taking no action is advised when potential adverse consequences are foreseen.
D. Taking no action is acceptable because the coworker is only a bystander. - ✔✔ANS: A. Taking
no action is still considered an unethical action by the coworker.
The coworker's lack of involvement can be interpreted as an unethical action. The coworker is
experiencing an ethical dilemma in which a decision needs to be made between two
unfavorable alternatives. The coworker has a responsibility to report any observed unethical
actions.
Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric unit. The
unit manager's policy is that clients can make a choice about whether or not to attend group
therapy. Which ethical principle does the unit manager's policy preserve?
A. Justice
B. Autonomy
C. Veracity
D. Beneficence - ✔✔ANS: B. Autonomy
The unit manager's policy regarding voluntary client participation in group therapy preserves
the ethical principle of autonomy. The principle of autonomy presumes that individuals are
,capable of making independent decisions for themselves and that health-care workers must
respect these decisions.
Which is an example of an intentional tort?
A. A nurse fails to assess a client's obvious symptoms of neuroleptic malignant syndrome.
B. A nurse physically places an irritating client in four-point restraints.
C. A nurse makes a medication error and does not report the incident.
D. A nurse gives patient information to an unauthorized person. - ✔✔ANS: B. A nurse physically
places an irritating client in four-point restraints.
A tort is a violation of civil law in which an individual has been wronged and can be intentional
or unintentional. A nurse who physically places an irritating client in restraints has touched the
client without consent and has committed an intentional tort.
An involuntarily committed client is verbally abusive to the staff and repeatedly threatening to
sue. The client records the full names and phone numbers of the staff. Which nursing action is
most appropriate to decrease the possibility of a lawsuit?
A. Verbally redirect the client, and then limit one-on-one interaction.
B. Involve the hospital's security division as soon as possible.
C. Notify the client that documenting personal staff information is against hospital policy.
D. Continue professional attempts to establish a positive working relationship with the client. -
✔✔ANS: D. Continue professional attempts to establish a positive working relationship with the
client.
The most appropriate nursing action is to continue professional attempts to establish a positive
working relationship with the client. The involuntarily committed client should be respected
and has the right to assert grievances if rights are infringed.
, Which statement should a nurse identify as correct regarding a client's right to refuse
treatment?
A. Clients can refuse pharmacological but not psychological treatment.
B. Clients can refuse any treatment at any time.
C. Clients can refuse only electroconvulsive therapy (ECT).
D. Professionals can override treatment refusal if the client is actively suicidal or homicidal. -
✔✔ANS: D. Professionals can override treatment refusal if the client is actively suicidal or
homicidal.
The nurse should understand that health-care professionals can override treatment refusal
when a client is actively suicidal or homicidal. A suicidal or homicidal client who refuses
treatment may be a danger to self or others. This situation should be treated as an emergency,
and treatment may be performed without informed consent.
Which client should a nurse identify as a potential candidate for involuntary 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 - ✔✔ANS: B. A client threatening to commit
suicide.
The nurse should identify the client threatening to commit suicide as eligible for involuntary
commitment. The suicidal client who refuses treatment 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
client's wishes?
{Latest Update}
In response to a student's question regarding choosing a psychiatric specialty, a charge nurse
states, "Mentally ill clients need special care. If I were in that position, I'd want a caring nurse
also." From which ethical framework is the charge nurse operating?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism - ✔✔ANS: B. Christian ethics
The charge nurse is operating from a Christian ethics framework. The imperative demand of
Christian ethics is to treat others as moral equals by permitting them to act as we do when they
occupy a position similar to ours. Kantianism states that decisions should be made based on
moral law and that actions are bound by a sense of moral duty. Utilitarianism holds that
decisions should be made focusing on the end result being happiness. Ethical egoism promotes
the idea that what is right is good for the individual.
During a hiring interview, which response by a nursing applicant should indicate that the
applicant operates from an ethical egoism framework?
A. "I would want to be treated in a caring manner if I were mentally ill."
B. "This job will pay the bills, and the workload is light enough for me."
C. "I will be happy caring for the mentally ill. Working in Med/Surg kills my back."
D. "It is my duty in life to be a psychiatric nurse. It is the right thing to do." - ✔✔ANS: B. "This
job will pay the bills, and the workload is light enough for me."
,The applicant's comment reflects an ethical egoism framework. This framework promotes the
idea that decisions are made based on what is good for the individual and may not take the
needs of others into account.
Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an agitated
client. The nurse's coworker observes this action but does nothing for fear of repercussion.
What is the ethical interpretation of the coworker's lack of involvement?
A. Taking no action is still considered an unethical action by the coworker.
B. Taking no action releases the coworker from ethical responsibility.
C. Taking no action is advised when potential adverse consequences are foreseen.
D. Taking no action is acceptable because the coworker is only a bystander. - ✔✔ANS: A. Taking
no action is still considered an unethical action by the coworker.
The coworker's lack of involvement can be interpreted as an unethical action. The coworker is
experiencing an ethical dilemma in which a decision needs to be made between two
unfavorable alternatives. The coworker has a responsibility to report any observed unethical
actions.
Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric unit. The
unit manager's policy is that clients can make a choice about whether or not to attend group
therapy. Which ethical principle does the unit manager's policy preserve?
A. Justice
B. Autonomy
C. Veracity
D. Beneficence - ✔✔ANS: B. Autonomy
The unit manager's policy regarding voluntary client participation in group therapy preserves
the ethical principle of autonomy. The principle of autonomy presumes that individuals are
,capable of making independent decisions for themselves and that health-care workers must
respect these decisions.
Which is an example of an intentional tort?
A. A nurse fails to assess a client's obvious symptoms of neuroleptic malignant syndrome.
B. A nurse physically places an irritating client in four-point restraints.
C. A nurse makes a medication error and does not report the incident.
D. A nurse gives patient information to an unauthorized person. - ✔✔ANS: B. A nurse physically
places an irritating client in four-point restraints.
A tort is a violation of civil law in which an individual has been wronged and can be intentional
or unintentional. A nurse who physically places an irritating client in restraints has touched the
client without consent and has committed an intentional tort.
An involuntarily committed client is verbally abusive to the staff and repeatedly threatening to
sue. The client records the full names and phone numbers of the staff. Which nursing action is
most appropriate to decrease the possibility of a lawsuit?
A. Verbally redirect the client, and then limit one-on-one interaction.
B. Involve the hospital's security division as soon as possible.
C. Notify the client that documenting personal staff information is against hospital policy.
D. Continue professional attempts to establish a positive working relationship with the client. -
✔✔ANS: D. Continue professional attempts to establish a positive working relationship with the
client.
The most appropriate nursing action is to continue professional attempts to establish a positive
working relationship with the client. The involuntarily committed client should be respected
and has the right to assert grievances if rights are infringed.
, Which statement should a nurse identify as correct regarding a client's right to refuse
treatment?
A. Clients can refuse pharmacological but not psychological treatment.
B. Clients can refuse any treatment at any time.
C. Clients can refuse only electroconvulsive therapy (ECT).
D. Professionals can override treatment refusal if the client is actively suicidal or homicidal. -
✔✔ANS: D. Professionals can override treatment refusal if the client is actively suicidal or
homicidal.
The nurse should understand that health-care professionals can override treatment refusal
when a client is actively suicidal or homicidal. A suicidal or homicidal client who refuses
treatment may be a danger to self or others. This situation should be treated as an emergency,
and treatment may be performed without informed consent.
Which client should a nurse identify as a potential candidate for involuntary 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 - ✔✔ANS: B. A client threatening to commit
suicide.
The nurse should identify the client threatening to commit suicide as eligible for involuntary
commitment. The suicidal client who refuses treatment 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
client's wishes?
