N222 Quiz 1 Review 2026 | Most Tested Questions &
Verified Answers | Graded A+| West Coast University
1. A nurse in the emergency department is planning for a client with mental
illness to be placed in an inpatient hospitalization. Which is a condition of this
type of admission?
Has no support systems in the community
Develops new symptoms of the illness
Present a clear danger to self and others
Is non-compliant with medication at home
2. What does DSM-5 stand for?
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
Diagnostic and Statistical Manual of Medical Disorders, Fifth Edition
Diagnostic and Statistical Model of Mental Disorders, Fourth Edition
3. If a nurse encounters a client in the early phase of alcohol withdrawal who is
resistant to education about alcohol abuse, what should the nurse's next step
be?
Focus solely on providing rest and nutrition.
Assess the client's coping skills without addressing education.
Utilize motivational interviewing techniques to engage the client.
Immediately confront the client's denial about their alcohol use.
4. Describe the components typically included in a Mental Status Exam.
, The Mental Status Exam typically includes assessments of
appearance, behavior, mood, thought processes, and cognitive
functions.
The Mental Status Exam is only concerned with physical health
indicators.
The Mental Status Exam does not require any patient interaction.
The Mental Status Exam focuses solely on a patient's medical history.
5. Describe the role of the therapeutic milieu in psychiatric nursing.
The therapeutic milieu is a method of isolating patients from their
families.
The therapeutic milieu is a type of physical therapy.
The therapeutic milieu provides a supportive environment that
promotes healing and recovery for patients.
The therapeutic milieu is solely focused on medication management.
6. What causes mental illness?
a complex interplay of genetic, biological, personality and
environmental factors causes mental illness
making poor choices
poor parenting
bad luck
7. What is a common contributing factor to major depressive disorder
according to psychiatric nursing principles?
Poor diet and lack of exercise
Substance abuse
, Social media usage
Life experiences and family history
8. If a psychiatric nurse fails to monitor a patient who is at risk of self-harm, what
legal concept might this nurse be held accountable for?
Patient autonomy
Therapeutic relationship
Informed consent
Negligence
9. Describe how transference can impact the therapeutic relationship between a
nurse and a patient.
Transference can lead to strong emotional responses that may
enhance or hinder the therapeutic relationship.
Transference is solely a negative experience for the patient.
Transference only occurs in non-therapeutic settings.
Transference has no effect on the therapeutic relationship.
10. What does the term 'Duty to harm' refer to in psychiatric nursing?
The requirement to maintain patient confidentiality at all times.
The duty to provide medication to all patients.
The responsibility to report all patient behaviors.
The obligation to act in a way that prevents harm to patients.
11. In a scenario where a patient exhibits signs of severe depression, how would
a nurse utilize the Mental Status Exam to inform their care plan?
, By solely relying on medication history to guide the care plan.
By identifying specific cognitive and emotional deficits that may
require targeted interventions.
By focusing only on the patient's physical symptoms.
By disregarding the patient's input during the assessment.
12. In a scenario where a patient requires immediate medication management
for severe anxiety, which nurse would be responsible for prescribing the
necessary psychotropic medication?
The advanced practice nurse.
The staff nurse.
The psychiatric technician.
The social worker.
13. If a nurse observes that the exits are blocked and smoking is allowed in a
psychiatric unit, what should be the nurse's immediate action?
Report the findings to the patients.
Address the safety hazards by clearing the exits and prohibiting
smoking.
Focus on improving therapeutic relationships instead.
Ignore the situation as it is not a priority.
14. Describe how beneficence impacts the nurse-patient relationship in
psychiatric settings.
Beneficence allows nurses to make decisions without patient input.
Beneficence is primarily concerned with the nurse's personal beliefs.
Verified Answers | Graded A+| West Coast University
1. A nurse in the emergency department is planning for a client with mental
illness to be placed in an inpatient hospitalization. Which is a condition of this
type of admission?
Has no support systems in the community
Develops new symptoms of the illness
Present a clear danger to self and others
Is non-compliant with medication at home
2. What does DSM-5 stand for?
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
Diagnostic and Statistical Manual of Medical Disorders, Fifth Edition
Diagnostic and Statistical Model of Mental Disorders, Fourth Edition
3. If a nurse encounters a client in the early phase of alcohol withdrawal who is
resistant to education about alcohol abuse, what should the nurse's next step
be?
Focus solely on providing rest and nutrition.
Assess the client's coping skills without addressing education.
Utilize motivational interviewing techniques to engage the client.
Immediately confront the client's denial about their alcohol use.
4. Describe the components typically included in a Mental Status Exam.
, The Mental Status Exam typically includes assessments of
appearance, behavior, mood, thought processes, and cognitive
functions.
The Mental Status Exam is only concerned with physical health
indicators.
The Mental Status Exam does not require any patient interaction.
The Mental Status Exam focuses solely on a patient's medical history.
5. Describe the role of the therapeutic milieu in psychiatric nursing.
The therapeutic milieu is a method of isolating patients from their
families.
The therapeutic milieu is a type of physical therapy.
The therapeutic milieu provides a supportive environment that
promotes healing and recovery for patients.
The therapeutic milieu is solely focused on medication management.
6. What causes mental illness?
a complex interplay of genetic, biological, personality and
environmental factors causes mental illness
making poor choices
poor parenting
bad luck
7. What is a common contributing factor to major depressive disorder
according to psychiatric nursing principles?
Poor diet and lack of exercise
Substance abuse
, Social media usage
Life experiences and family history
8. If a psychiatric nurse fails to monitor a patient who is at risk of self-harm, what
legal concept might this nurse be held accountable for?
Patient autonomy
Therapeutic relationship
Informed consent
Negligence
9. Describe how transference can impact the therapeutic relationship between a
nurse and a patient.
Transference can lead to strong emotional responses that may
enhance or hinder the therapeutic relationship.
Transference is solely a negative experience for the patient.
Transference only occurs in non-therapeutic settings.
Transference has no effect on the therapeutic relationship.
10. What does the term 'Duty to harm' refer to in psychiatric nursing?
The requirement to maintain patient confidentiality at all times.
The duty to provide medication to all patients.
The responsibility to report all patient behaviors.
The obligation to act in a way that prevents harm to patients.
11. In a scenario where a patient exhibits signs of severe depression, how would
a nurse utilize the Mental Status Exam to inform their care plan?
, By solely relying on medication history to guide the care plan.
By identifying specific cognitive and emotional deficits that may
require targeted interventions.
By focusing only on the patient's physical symptoms.
By disregarding the patient's input during the assessment.
12. In a scenario where a patient requires immediate medication management
for severe anxiety, which nurse would be responsible for prescribing the
necessary psychotropic medication?
The advanced practice nurse.
The staff nurse.
The psychiatric technician.
The social worker.
13. If a nurse observes that the exits are blocked and smoking is allowed in a
psychiatric unit, what should be the nurse's immediate action?
Report the findings to the patients.
Address the safety hazards by clearing the exits and prohibiting
smoking.
Focus on improving therapeutic relationships instead.
Ignore the situation as it is not a priority.
14. Describe how beneficence impacts the nurse-patient relationship in
psychiatric settings.
Beneficence allows nurses to make decisions without patient input.
Beneficence is primarily concerned with the nurse's personal beliefs.
