Page 1 of 49
NUR 165 ECPI Final Exam ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST UPDATE
THIS YEAR
A nurse has described the behavioral health unit being based on milieu therapy to a client.
The client asks, "How is a unit which has milieu therapy different from other hospital units?"
Which of the following responses should the nurse make?
"A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are
in an acute phase of mental illness."
"A mental health unit, which includes milieu therapy, is less intensive, focusing only on one
psychiatric illness or substance abuse disorder."
"A mental health unit, which includes milieu therapy, is focused on long-term care of clients
who have specific mental health disorders."
"A mental health unit, which includes milieu therapy, ensures every aspect of care is
intentionally focused on creating a safe and therapeutic environment."
"A mental health unit, which includes milieu therapy, ensures every aspect of care is
intentionally focused on creating a safe and therapeutic environment."
1
, Page 2 of 49
This response describes what the purpose of milieu therapy would bring to a behavioral health
unit. Milieu therapy can be used in any mental health setting and the focus is on creating and
maintaining a safe therapeutic environment, rather than on the clients' type of mental health
disorder or client conditions.
A nurse is discussing torts with a newly licensed nurse. Which of the following information
should the nurse include?
False imprisonment does not apply to use of chemical restraints.
Battery occurs when a person verbally threatens to harm another person.
Negligence is the most common unintentional tort.
Assault is a tort that only occurs if a client is physically harmed.
Negligence is the most common unintentional tort.
Negligence is the most common unintentional tort and can be committed by anyone. For
example, negligence can occur when a guardian does not provide adequate nutrition for their
minor child.
A charge nurse is meeting with a newly licensed nurse who states they have been
experiencing moral conflicts when providing care for some clients. The charge nurse should
recognize that the nurse's feelings place them at risk for which of the following actions?
2
, Page 3 of 49
Using nonverbal cues when caring for clients
Initiating inclusion when planning care for clients
Becoming too involved with the clients
Providing a lower quality of care to the clients
Providing a lower quality of care to the clients
A nurse who commonly experiences moral conflicts is more prone to provide lower quality of
care to clients and is at risk of experiencing burnout.
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
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, Page 4 of 49
e. establish the client's goals.
ANS: B In most states, prescriptive privileges are granted to master's-prepared nurse
practitioners and clinical nurse specialists who have taken special courses on prescribing
medication. The nurse prepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized care planning.
A client with a leg fracture shares personal feelings about the accident with a nurse and says,
"I feel guilty because the accident was my fault. I will be unable to support my family." What
is the most therapeutic action by the nurse?
Console the client.
Describe a similar incident.
Give a sedative to relax the client.
Sit beside the client and listen attentively, and summarize the client's comments.
Sit beside the client and listen attentively, and summarize the client's comments. Attending to a
client and listening to him or her carefully is a good therapeutic action. It is a way for the client
to share his or her feelings. Consoling the client is a sympathetic response though not the most
4
NUR 165 ECPI Final Exam ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST UPDATE
THIS YEAR
A nurse has described the behavioral health unit being based on milieu therapy to a client.
The client asks, "How is a unit which has milieu therapy different from other hospital units?"
Which of the following responses should the nurse make?
"A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are
in an acute phase of mental illness."
"A mental health unit, which includes milieu therapy, is less intensive, focusing only on one
psychiatric illness or substance abuse disorder."
"A mental health unit, which includes milieu therapy, is focused on long-term care of clients
who have specific mental health disorders."
"A mental health unit, which includes milieu therapy, ensures every aspect of care is
intentionally focused on creating a safe and therapeutic environment."
"A mental health unit, which includes milieu therapy, ensures every aspect of care is
intentionally focused on creating a safe and therapeutic environment."
1
, Page 2 of 49
This response describes what the purpose of milieu therapy would bring to a behavioral health
unit. Milieu therapy can be used in any mental health setting and the focus is on creating and
maintaining a safe therapeutic environment, rather than on the clients' type of mental health
disorder or client conditions.
A nurse is discussing torts with a newly licensed nurse. Which of the following information
should the nurse include?
False imprisonment does not apply to use of chemical restraints.
Battery occurs when a person verbally threatens to harm another person.
Negligence is the most common unintentional tort.
Assault is a tort that only occurs if a client is physically harmed.
Negligence is the most common unintentional tort.
Negligence is the most common unintentional tort and can be committed by anyone. For
example, negligence can occur when a guardian does not provide adequate nutrition for their
minor child.
A charge nurse is meeting with a newly licensed nurse who states they have been
experiencing moral conflicts when providing care for some clients. The charge nurse should
recognize that the nurse's feelings place them at risk for which of the following actions?
2
, Page 3 of 49
Using nonverbal cues when caring for clients
Initiating inclusion when planning care for clients
Becoming too involved with the clients
Providing a lower quality of care to the clients
Providing a lower quality of care to the clients
A nurse who commonly experiences moral conflicts is more prone to provide lower quality of
care to clients and is at risk of experiencing burnout.
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
3
, Page 4 of 49
e. establish the client's goals.
ANS: B In most states, prescriptive privileges are granted to master's-prepared nurse
practitioners and clinical nurse specialists who have taken special courses on prescribing
medication. The nurse prepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized care planning.
A client with a leg fracture shares personal feelings about the accident with a nurse and says,
"I feel guilty because the accident was my fault. I will be unable to support my family." What
is the most therapeutic action by the nurse?
Console the client.
Describe a similar incident.
Give a sedative to relax the client.
Sit beside the client and listen attentively, and summarize the client's comments.
Sit beside the client and listen attentively, and summarize the client's comments. Attending to a
client and listening to him or her carefully is a good therapeutic action. It is a way for the client
to share his or her feelings. Consoling the client is a sympathetic response though not the most
4
