Mental Health Nursing Quiz | Practice MCQ #mcq.ImBooz

• (A) Commitment
• (B) Ethics
• (C) Nurse Practice Act
• (D) Patient Bill of Rights

Check AnswerSolution[B]:-Ethics is a code of professional expectations that does not have legal force behind it. The issues border on legal implications, but ethics comes more out of expectations that patients have of nurses than out of actual legal bounds.

• (A) Commitment
• (B) Ethics
• (C) Nurse Practice Act
• (D) Patient Bill of Rights

Check AnswerSolution[C]:-Each state has a Nurse Practice Act that defines the scope of practice for RNs, LPNs, and LVNs in that state

• (A) Doctrine of Privileged Information
• (B) Collaborative practice
• (C) Nurse Practice Act
• (D) Patient Bill of Rights

Check AnswerSolution[D]:-The Patient Bill of Rights is designed to define the rights of all patients in health-care facilities. These will change somewhat from state to state. People who are institutionalized for some reason may be termed “vulnerable” because they may be unable to speak for themselves or provide for their own safety. All who care for people in these facilities must treat them in accordance with the Patient Bill of Rights.

• (A) “Why are you doing that?”
• (B) “I am concerned about the legality and safety of charting before giving medications,Sandra.”
• (C) “You know it is wrong to chart before giving the medications.”
• (D) “You really shouldn’t do that, Sandra.”

Check AnswerSolution[B]:-This is an honest, assertive technique that shows one nurse voicing a concern to another nurse. Options A, C, and D are all forms of blocks to therapeutic communication.

• (A) Refuse the patient, telling her, “You’re mistaken, Mrs. G. That medication is signed for, so you must have gotten it.”
• (B) Give Mrs. G her heart medication and assume she is right.
• (C) Call the physician.
• (D) Inform your supervisor of the entire situation.

Check AnswerSolution[D]:-Most Nurse Practice Acts require that LPNs follow the chain of command In this situation, speaking with the nurse in charge is the best choice.Option A is a block to therapeutic communication because it is argumentative and voices disagreement with the patient. B is not safe: Even though it is always important to listen to patients, a nurse must never assume the patient is right. C is inappropriate at this time; it must first be determined that an error has occurred. Once this is established, the RN or the LPN, if allowed by state and/or agency policy,should inform the physician.

• (A) Requires patients to be treated in designated regional treatment centers.
• (B) Approves of patient records being transported in personal vehicles by medical staff.
• (C) Allows patients to have some say in what medical information can be divulged and to whom.
• (D) Prohibits all transmission of medical records electronically.

Check AnswerSolution[C]:-The Health Insurance Portability and Accountability Act allows patients to have a greater say in how their records are shared and with whom. It also has regulation relating to other areas of confidentiality and how files are shared among providers. It does not force anyone to treat in a particular facility, but it would raise questions about transporting records in personal vehicles, etc.

• (A) Shut his door, leaving him alone with some privacy until he settles.
• (B) Offer another pain relief technique,realizing he has the right to refuse medication.
• (C) Have additional staff come to the room to assist while you administer a prescribed injection.
• (D) Inform him his behavior is not appropriate and is disruptive to others, and that he needs to stop calling out.

Check AnswerSolution[B]:-Offer another pain relief technique.Mr. Ouch does have the right to refuse medication. He also has the right to privacy, but the option provided borders on punitive and may be a threat to patient safety. It is also appropriate to discuss acceptable behavior and the effect he is having on the other residents-just not now.Wait for a time when he is reasonably comfortable and willing to negotiate treatment. Bringing in more staff and performing an invasive technique is not only threatening, but it violates many of the Patient Bill of Rights.

• (A) Administering nursing care under the direction of a registered nurse (RN)
• (B) Documenting the patient’s data
• (C) Independently ordering medications for the patient
• (D) Assisting the physician or registered nurse with more complex care and procedures

Check AnswerSolution[C]:-The LPN/LVN works under the direction of the registered nurse or physician and cannot order medication independently. It is not acceptable practice for the LPN/LVN by the Nurse Practice Act.

• (A) Emergency situations do not require prior consent.
• (B) He or she must obtain written consent for invasive procedures.
• (C) This is not a function of the LPN/ LVN; the nurse should call his or her supervisor.
• (D) The patient must be alert in order to obtain informed consent.

Check AnswerSolution[C]:-It is the LPN/LVN’s responsibility to contact his/her supervisor.

• (A) “That is not one of your rights, Mr. B.”
• (B) “You are taking time away from other patients, Mr. B.”
• (C) “The Patient’s Bill of Rights does make some provisions, Mr. B. Let me sit and talk with you about those rights.”
• (D) “Why are you so angry, Mr. B?”

Check AnswerSolution[C]:-Mr. B should have received a copy of the Bill of Rights. The nurse can review to which right the patient is referring and discuss why he felt his rights have been violated.

• (A) Genital
• (B) Oral
• (C) Anal
• (D) Phallic

Check AnswerSolution[D]:-This patient is demonstrating the Electra complex, which is part of the phallic stage of Freud’s developmental stages.

• (A) Genital
• (B) Oral
• (C) Anal
• (D) Phallic

Check AnswerSolution[C]:-Unsuccessful completion of the anal stage would lead to these behaviors and to more serious disorders, according to psychoanalytic theory. These people would be termed “analretentive” in some social and professional circles today.

• (A) “Y, where were you at dinner tonight?”
• (B) “Y, you blew it. You didn’t come to dinner and you know what that means: no pass for the weekend.”
• (C) “Y, I am just here to remind you it is dinnertime.”
• (D) “Y, it is not appropriate to miss dinner.What is the consequence of that,according to your care plan?”

Check AnswerSolution[D]:-This option states that Y’s behavior is not appropriate and lets Y tell you that the consequences have been discussed. Y is able to make a choice. Options A and B sound harsh and threatening and are not helpful forms of communicating.C is very close to letting the nurse “care-take” for Y. In behavior modification, Y would most likely be responsible for his or her own actions and choices.

• (A) First trimester
• (B) Second trimester
• (C) Third trimester
• (D) First lunar month

Check AnswerSolution[A]:-Cell differentiation, the process whereby cells “specialize” into their particular type, is generally complete by the end of the first trimester (third lunar month)

• (A) Over 35 years old
• (B) Over 30 years old
• (C) Under 20 years old
• (D) Under 15 years old

Check AnswerSolution[D]:-Women are successfully having children at young ages; however, it is generally believed that a woman’s body is not completely mature until the age of 18 years. Because the young woman’s body is not completely mature, it is difficult to sustain her health and the life of the fetus. Therefore, infant mortality as well as danger to the mother’s health is greatest before this age. Older women are next in line as a risk group for infant mortality because of changing hormones that can jeopardize the woman’s ability to support a fetus and carry it to term. Certainly, there are exceptions in both of these age groups regarding pregnancy and successful delivery. These are broad, general beliefs that are held among many in the medical and nursing community.

• (A) Male characteristics in women
• (B) Feminine characteristics in men
• (C) Male characteristics in men
• (D) Feminine characteristics in women

Check AnswerSolution[B]:-Option A describes “animus,” the balance to the female, according to Jung.

• (A) Identity
• (B) Industry
• (C) Intimacy
• (D) Initiative

Check AnswerSolution[D]:-According to Erikson, the stage or task for children in the 3- to 6-year-old group is the stage or task of “initiative.” The stage or task of “industry” (the stage at which integration of life experiences or the confusion of those experiences develops) covers ages 16-20 years. “Intimacy” (the stage at which the main concern is developing intimate relationships with others) begins at approximately age 18 and continues through approximately age 25.

• (A) 2 months
• (B) 6 months
• (C) 10 months
• (D) 12 months

Check AnswerSolution[C]:-It is believed that infants develop in a very similar rate and pattern (physically, behaviorally, and cognitively) until the age of 10 months. Again,this is based on generalizations; there are always exceptions (e.g., a child who is longer than most of his or her particular age group because of the gene pool from parents who are taller than the average).

• (A) Adjustment
• (B) Assimilation
• (C) Accommodation
• (D) Autonomy

Check AnswerSolution[B]:-Assimilation is the process of taking in and processing information. It is generally learned by experiencing through the senses. “Accommodation” is the process of working with the information that has been assimilated and making that information a working part of the toddler’s daily life. “Autonomy” is the stage or task Erikson believes a toddler should be achieving. “Adjustment” is a general term related to change. It is not always a healthy response to change.

• (A) The child is withdrawn
• (B) The child is more interested in playing with other children
• (C) The child has adjusted to the hospitalized setting
• (D) A normal pattern

Check AnswerSolution[D]:-According to Jean Piaget, the 2-year-old child is in the preoperational stage, where the child is demonstrating interest in something other than