neebs fundamentals of mental health nursing ch 2
Question 1: Confidentiality and Privacy
Question: A patient confides sensitive personal information during a one‐on‐one
session. Which of the following actions best upholds the principle of
confidentiality?
A. Sharing the information with the treatment team immediately
B. Discussing the details during a shift handover in the open ward
C. Documenting the information in the patient’s record and discussing it only with
authorized personnel
D. Posting a summary on a notice board for staff awareness
Correct Answer: C
Rationale: Confidentiality is maintained when sensitive information is documented
securely in the patient record and shared only with team members who are
directly involved in the patient’s care. This approach respects patient privacy and
complies with ethical and legal standards.
Question 2: Therapeutic Communication
Question: Which therapeutic communication technique is most effective when a
patient expresses feelings of anxiety about their treatment?
A. Giving direct advice
B. Using open-ended questions
C. Changing the subject
D. Providing reassurance without further exploration
Correct Answer: B
Rationale: Open-ended questions encourage patients to share more about their
feelings and experiences, allowing the nurse to gather comprehensive information
and build trust. This method is central to therapeutic communication.
Question 3: Use of Restraint and Seclusion
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, Question: When might the use of physical restraints be considered appropriate in
mental health nursing?
A. As a first-line intervention for a patient who is restless
B. When a patient poses an imminent risk of harm to themselves or others and all
de-escalation techniques have failed
C. To control a patient who refuses medication
D. As a method to enforce hospital rules
Correct Answer: B
Rationale: Physical restraints should only be used as a last resort when a patient is
at immediate risk of harming themselves or others, and after all other de-
escalation measures have proven ineffective. They are not meant for routine
behavior management.
Question 4: Crisis Intervention
Question: In a mental health crisis, what is the priority action for the nurse?
A. Administering medication immediately
B. Ensuring the safety of the patient and others
C. Contacting the patient’s family
D. Scheduling a follow-up appointment
Correct Answer: B
Rationale: The primary goal in a crisis situation is to secure the safety of the
patient and everyone involved. Once safety is ensured, further assessment and
appropriate interventions (including medication if necessary) can follow.
Question 5: Legal and Ethical Considerations
Question: Which legal document is essential for a mental health nurse to
understand when planning treatment for a patient with diminished decision-
making capacity?
A. A living will
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Question 1: Confidentiality and Privacy
Question: A patient confides sensitive personal information during a one‐on‐one
session. Which of the following actions best upholds the principle of
confidentiality?
A. Sharing the information with the treatment team immediately
B. Discussing the details during a shift handover in the open ward
C. Documenting the information in the patient’s record and discussing it only with
authorized personnel
D. Posting a summary on a notice board for staff awareness
Correct Answer: C
Rationale: Confidentiality is maintained when sensitive information is documented
securely in the patient record and shared only with team members who are
directly involved in the patient’s care. This approach respects patient privacy and
complies with ethical and legal standards.
Question 2: Therapeutic Communication
Question: Which therapeutic communication technique is most effective when a
patient expresses feelings of anxiety about their treatment?
A. Giving direct advice
B. Using open-ended questions
C. Changing the subject
D. Providing reassurance without further exploration
Correct Answer: B
Rationale: Open-ended questions encourage patients to share more about their
feelings and experiences, allowing the nurse to gather comprehensive information
and build trust. This method is central to therapeutic communication.
Question 3: Use of Restraint and Seclusion
1/8
, Question: When might the use of physical restraints be considered appropriate in
mental health nursing?
A. As a first-line intervention for a patient who is restless
B. When a patient poses an imminent risk of harm to themselves or others and all
de-escalation techniques have failed
C. To control a patient who refuses medication
D. As a method to enforce hospital rules
Correct Answer: B
Rationale: Physical restraints should only be used as a last resort when a patient is
at immediate risk of harming themselves or others, and after all other de-
escalation measures have proven ineffective. They are not meant for routine
behavior management.
Question 4: Crisis Intervention
Question: In a mental health crisis, what is the priority action for the nurse?
A. Administering medication immediately
B. Ensuring the safety of the patient and others
C. Contacting the patient’s family
D. Scheduling a follow-up appointment
Correct Answer: B
Rationale: The primary goal in a crisis situation is to secure the safety of the
patient and everyone involved. Once safety is ensured, further assessment and
appropriate interventions (including medication if necessary) can follow.
Question 5: Legal and Ethical Considerations
Question: Which legal document is essential for a mental health nurse to
understand when planning treatment for a patient with diminished decision-
making capacity?
A. A living will
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