NURS 354 Exam 1 2026 Exam
Questions and Answers |
Already Graded A+
A psychiatric nurse working on an inpatient unit receives a call asking if
an individual has been a client in the facility. Which nursing response
reflects appropriate legal and ethical obligations?
1. The nurse refuses to give any information to the caller, citing rules of
confidentiality.
2. The nurse hangs up on the caller.
,3. The nurse confirms that the person has been at the facility but adds
no additional information.
4. The nurse suggests that the caller speak to the client's therapist. -
ANSWER ✔✔ANS: 1.
The nurse refuses to give any information to the caller, citing rules of
confidentiality.
Rationale: The most appropriate action by the nurse is to refuse to give
any information to the caller. Admission to the facility would be
considered protected health information (PHI) and should not be
disclosed by the nurse without prior client consent.
Which statement should a nurse identify as correct regarding a client's
right to refuse treatment?
1. Clients can refuse pharmacological but not psychological treatment.
2. Clients can refuse any treatment at any time.
3. Clients can refuse only electroconvulsive therapy (ECT).
4. Professionals can override treatment refusal by an actively suicidal or
homicidal client. - ANSWER ✔✔ANS: 4
,Professionals can override treatment refusal by an actively suicidal or
homicidal client.
Rationale: The nurse should understand that health-care professionals
could override treatment refusal when a client is actively suicidal or
homicidal. A suicidal or homicidal client who refuses treatment may be in
danger or a danger to others. This situation should be treated as an
emergency, and treatment may be performed without informed consent.
How would a nurse best complete the new DSM-5 definition of a mental
disorder? "A health condition characterized by significant dysfunction in
an individual's cognitions, or behaviors that reflects a disturbance in the:
________________ - ANSWER ✔✔psychological, cognitive, or
developmental process underlying mental functioning."
When working with clients of a particular culture, which action should a
nurse avoid?
1. Maintaining eye contact based on cultural norms
2. Assuming that all individuals who share a culture or ethnic group are
similar
3. Supporting the client in participating in cultural and spiritual rituals
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 4. Using an interpreter to clarify communication - ANSWER ✔✔ANS:
2
The nurse should avoid assuming that all individuals who share a culture
or ethnic group are similar. This action constitutes stereotyping and must
be avoided. Within each culture, many variations and subcultures exist.
Clients should be treated as individuals.
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 retaliation. What is the ethical
interpretation of the coworker's lack of involvement?
1. Taking no action is still considered an unethical action by the
coworker.
2. Taking no action releases the coworker from ethical responsibility.
3. Taking no action is advised when potential adverse consequences are
foreseen.
4. Taking no action is acceptable, because the coworker is only a
bystander. - ANSWER ✔✔ANS: 1
Rationale: 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
Questions and Answers |
Already Graded A+
A psychiatric nurse working on an inpatient unit receives a call asking if
an individual has been a client in the facility. Which nursing response
reflects appropriate legal and ethical obligations?
1. The nurse refuses to give any information to the caller, citing rules of
confidentiality.
2. The nurse hangs up on the caller.
,3. The nurse confirms that the person has been at the facility but adds
no additional information.
4. The nurse suggests that the caller speak to the client's therapist. -
ANSWER ✔✔ANS: 1.
The nurse refuses to give any information to the caller, citing rules of
confidentiality.
Rationale: The most appropriate action by the nurse is to refuse to give
any information to the caller. Admission to the facility would be
considered protected health information (PHI) and should not be
disclosed by the nurse without prior client consent.
Which statement should a nurse identify as correct regarding a client's
right to refuse treatment?
1. Clients can refuse pharmacological but not psychological treatment.
2. Clients can refuse any treatment at any time.
3. Clients can refuse only electroconvulsive therapy (ECT).
4. Professionals can override treatment refusal by an actively suicidal or
homicidal client. - ANSWER ✔✔ANS: 4
,Professionals can override treatment refusal by an actively suicidal or
homicidal client.
Rationale: The nurse should understand that health-care professionals
could override treatment refusal when a client is actively suicidal or
homicidal. A suicidal or homicidal client who refuses treatment may be in
danger or a danger to others. This situation should be treated as an
emergency, and treatment may be performed without informed consent.
How would a nurse best complete the new DSM-5 definition of a mental
disorder? "A health condition characterized by significant dysfunction in
an individual's cognitions, or behaviors that reflects a disturbance in the:
________________ - ANSWER ✔✔psychological, cognitive, or
developmental process underlying mental functioning."
When working with clients of a particular culture, which action should a
nurse avoid?
1. Maintaining eye contact based on cultural norms
2. Assuming that all individuals who share a culture or ethnic group are
similar
3. Supporting the client in participating in cultural and spiritual rituals
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 4. Using an interpreter to clarify communication - ANSWER ✔✔ANS:
2
The nurse should avoid assuming that all individuals who share a culture
or ethnic group are similar. This action constitutes stereotyping and must
be avoided. Within each culture, many variations and subcultures exist.
Clients should be treated as individuals.
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 retaliation. What is the ethical
interpretation of the coworker's lack of involvement?
1. Taking no action is still considered an unethical action by the
coworker.
2. Taking no action releases the coworker from ethical responsibility.
3. Taking no action is advised when potential adverse consequences are
foreseen.
4. Taking no action is acceptable, because the coworker is only a
bystander. - ANSWER ✔✔ANS: 1
Rationale: 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
