Review Practice Exercise 1

Types of Mental Health Admissions and Discharges > Mental Health

Exam Review

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 5

Showing 5 questions, Sign in for more

Question 1:

Which individual with a mental illness may need emergency involuntary hospitalization?

A. A person with schizophrenia who stops taking antipsychotic medication B. A person with depression who says, “I plan to jump in front of a bus.” C. A person with bipolar disorder who has not slept in 3 days D. A person with delusions who refuses to go to church anymore

Answer and Explanation

Choice A:

Stopping medication alone does not justify emergency hospitalization unless it leads to dangerous behavior. Noncompliance must be linked to imminent risk to self or others.

Choice B:

suicidal intent with a specific plan qualifies as imminent danger. The statement “I plan to jump in front of a bus” reflects active suicidal ideation with intent and method, meeting criteria for emergency involuntary hospitalization to prevent self-harm.

Choice C:

Sleep deprivation in bipolar disorder may indicate mania but does not automatically meet emergency criteria unless accompanied by dangerous behavior or psychosis.

Choice D:

Refusing to attend church due to delusions does not pose immediate danger. While it reflects impaired reality testing, it lacks the urgency required for emergency hospitalization.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

A nurse has just received a telephone call from a client’s divorced spouse asking about the status of the client. The nurse states, “The client is stable.” Which conclusion by the nurse about this communication is accurate?

A. The nurse has followed the Health Information Portability and Accountability Act (HIPAA) guidelines since information was provided to the spouse. B. The nurse has inappropriately shared information about the client and has breached confidentiality. C. The nurse has appropriately shared the information because the spouse is married to the client. D. The physician also is allowed to share the same information with the divorced spouse without the client’s permission.

Answer and Explanation

Choice A:

HIPAA does not permit disclosure to a divorced spouse without consent. The nurse did not follow guidelines and violated privacy regulations.

Choice B:

Confidentiality breach and unauthorized disclosure occurred. The nurse shared PHI with a divorced spouse who is not legally entitled to the information. HIPAA requires explicit client consent or legal authorization before any disclosure.

Choice C:

The spouse is divorced, not married. Legal marital status determines access rights. A divorced spouse has no automatic entitlement to PHI.

Choice D:

Physicians are also bound by HIPAA. They cannot share information with unauthorized individuals without client consent. The same privacy rules apply to all healthcare providers.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A depressed client is voluntarily admitted to the inpatient unit after a suicide attempt. The next day the client asks the nurse when he can leave the hospital. Which response by the nurse gives the client accurate information?

A. “I really can’t say; you’ll need to talk to your psychiatrist.” B. “Let’s talk more about discharge after you have been fully evaluated.” C. “After you’ve been admitted, you’ll have no say without a lawyer.” D. “After 1 week of therapy you’ll probably be permitted to leave.”

Answer and Explanation

Choice A:

This response deflects responsibility and fails to inform the client of their legal right to request discharge. It does not reflect the nurse’s role in providing accurate, patient-centered information.

Choice B:

Discharge rights and evaluation are preserved in voluntary admission. The nurse’s response reflects the legal process: the client may request discharge, but the team must first evaluate whether the client is safe to leave. This ensures accurate information and respects the client’s autonomy.

Choice C:

This statement is legally incorrect. Voluntary admission does not eliminate the client’s right to request discharge. A lawyer is not required unless the admission status is being contested or changed to involuntary.

Choice D:

This response is speculative and misleading. Discharge is not based on a fixed therapy duration but on clinical evaluation and safety assessment. It may occur sooner or later than one week depending on the client’s condition.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

An individual may be considered to be in need of involuntary commitment if which of the following criteria are met?

A. The individual is unable to acquire basic necessities of life. B. The individual is a danger to self or others. C. The individual is in need of treatment. D. The individual is experiencing temporary stress due to work-related issues. E. The individual disagrees with their family about personal lifestyle choices.

Answer and Explanation

Choice A:

Grave disability due to mental illness means the person cannot meet essential needs like food or shelter, qualifying them for commitment based on impaired functioning and self-care.

Choice B:

Posing imminent danger to self or others, such as suicidal ideation or violent behavior, justifies involuntary commitment due to the risk to life or public safety.

Choice C:

An individual with severe psychiatric symptoms who lacks insight and refuses needed treatment may be committed to prevent further deterioration or harm.

Choice D:

Temporary stress from work does not meet clinical thresholds for psychiatric disability or legal standards for involuntary commitment.

Choice E:

Disagreeing with family about lifestyle is not a mental illness nor does it indicate risk or dysfunction requiring psychiatric detainment.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

A nurse is caring for a client who is voluntarily admitted to the psychiatric unit. Which of the following statements is true regarding this client’s right to refuse treatment?

A. A voluntarily admitted client has an unconditional right to refuse treatment. B. A voluntarily admitted client has the right to refuse treatment if he or she has not been declared incompetent. C. A voluntarily admitted client has the right to refuse treatment until or unless treatment is court ordered. D. A voluntarily admitted client has the right to refuse all treatment at any time.

Answer and Explanation

Choice A:

The right to refuse treatment is not unconditional. If the client is declared incompetent or poses a danger, treatment may be administered without consent.

Choice B:

Competency and refusal rights are preserved in voluntary admission. Unless declared legally incompetent, the client retains the right to refuse treatment. This respects the principle of informed consent and protects patient autonomy.

Choice C:

Court-ordered treatment applies to involuntary admissions or clients declared incompetent. Voluntary clients are not subject to court orders unless legal proceedings are initiated.

Choice D:

A client cannot refuse all treatment at any time if their condition deteriorates or if they are deemed incompetent. Refusal rights are conditional and subject to legal and clinical evaluation.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 5 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Nursing Offer

Upgrade your membership - 15% off

20,000+ questions
to help you excel in your exams.
Exams & Tests
20+ Exit exams & 100+ Test Banks.
Video tutorials
to enhance your learning
Comprehensive study guides
to support your exam preparation.

Get Your Offer Today

Exam Review

Practice Exercise 1 Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 5

Sign Up or Login to view all the 5 Questions on this Exam

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy