PMH Exam 1 study cards
Experts believe that with short term residential detoxification programs, a_____ day minimum stay is effective for treatment success.
90
A patient presents to the local behavioral health facility requesting admission for severe depression. What type of admission status will this patient fit? A. Voluntary B. Involuntary C. Short-term observation D. Long-term treatment
A
A patient with paranoid schizophrenia who lives with her mother states to the nurse that she has rigged her bedroom door at home with explosives. Which action is urgently indicated? A. Notify the psychiatrist and the police of the danger. B. Reassure the patient of her confidentiality on the unit. C. Administer a single dose of a psychotropic medication. D. Assure the patient of her right to refuse any visitor, including her mother.
A
The Tarasoff court case involves which nursing duty? A. To protect others from harm B. To protect the patient's privacy C. To provide ethical care to patients D. To treat psychiatric patients with dignity and respect
A
The nurse is getting ready to facilitate a therapeutic group session and notes the patients are in small clusters talking among themselves. Which action would the nurse take to facilitate the goals of the group? A. Ask the patients to form their seats into a circle. B. Find a centralized seat and begin the group session. C. Plan to return later when the patients are not socializing. D. Wait for the patients to notice the nurse and stop their conversations.
A
The nurse must immediately report which situation to a higher authority? A. Patient's report of homicidal ideation. B. Patient's refusal of a psychotropic medication. C. Patient's demand for a psychiatric advance directive. D. Patient's use of the telephone to notify local police of desire to be discharged.
A
Which behavior by a member of a therapeutic group would cause the nurse to reinforce the group norms? A. Speaking over other group members B. Disagreeing with another member of the group C. Reminding others of the start and stop time of the group D. Telling another group member that a story the member shared made them feel sad
A
Which factor related to today's health care environment makes the role of the nurse in a therapeutic group more challenging? A. The length of time a patient stays in the hospital is limited. B. Insurance does not cover participation in a therapeutic group. C. Patients with mental health illness are not as acutely ill as they were in the past. D. Primary health care providers do not refer their patients for hospital management of mental health illnesses.
A
Which is the primary treatment goal for patients in PHP? A. Reducing hospital readmission B. Stabilizing the home environment C. Providing multiple types of therapy D. Structuring the patient's time in treatment
A
Which is the priority step the mental health nurse would take when documenting a patient's nonadherence? A. Use neutral language B. Complete a risk assessment C. Explain the nurse's position about the behavior D. Include the nurse-patient discussion about patient rights
A
Which member of the psychiatric interdisciplinary team leads the planning meetings? A. Nurse B. Therapist C. Psychiatrist D. Social worker
A
It is essential that geropsychiatric units employ which practices? Select all that apply. A. Daily routine B. Reduction of unnecessary noise C. Smaller units with fewer patients D. Rotation of health care team members E. One-to-one nursing aide for every patient
A, B, C
The mental health nurse uses which frameworks to maintain patient safety? Select all that apply. A. QSEN B. Nursing process C. Standards of practice D. Self-awareness assessment E. Health promotion diagnosis
A, B, C
What are possible reasons that a patient who has a mental illness discloses contradictory assessment information to different members of the emergency health care team? Select all that apply. A. Differences in gender B. Mental status changes C. Underlying mental illness D. Lack of motivation to improve health E. Lack of knowledge of the health care system
A, B, C
Which mental health patient rights are important for the nurse to maintain? Select all that apply. A. The patient has the right to receive visitors. B. To participate in recreation and exercise C. To send and receive unopened mail. D. To refuse a court-ordered treatment. E. To call emergency medical services to free the patient from a legal hold.
A, B, C
Patients from which ethnicities experience distress in somatic terms? Select all that apply. A. Asians B. Africans C. North Americans D. Central Americans E. Western Europeans
A, B, C, D
Which topics would be appropriate for the nurse to focus on during a therapeutic group session? Select all that apply. A. Socializing nonconfrontationally B. Developing improved sleep habits C. Managing side effects of psychotherapeutic medications D. Maintaining a diet that does not interfere with medications E. Nonadherence to a prescribed medication regimen by a group member F. Coping with the disruptive family processes of one of the group members
A, B, C, D
Which steps should the mental health nurse take in managing the patient's medications? Select all that apply. A. Document patient compliance B. Teach about medication side effects C. Document patient response to medication D. Encourage patient to develop own medication goals E. Discuss the expected benefits the patient may receive from the medication
A, B, C, E
A nurse is providing education on the psychiatric involuntary commitment process. Which is true of involuntary commitment? Select all that apply. A. It is time-limited. B. It is determined by state law. C. It is for an indefinite time period. D. The person must be a threat to self or others. E. Anyone can place another under commitment. F. The court system is not involved in the process.
A, B, D
Which are the most common diagnoses expected to be seen in patients on geropsychiatric units? Select all that apply. A. Delirium B. Depression C. Anorexia nervosa D. Alzheimer's disease E. Borderline personality disorder
A, B, D
Which behavior would qualify for an emergency inpatient psychiatric evaluation? Select all that apply. A. A young man is threatening to hurt himself. B. A woman is threatening to hurt her employer. C. An elderly man with anxiety refuses to take his medication. D. A young woman who is gainfully employed has not been caring for herself. E. A homeless man has been living on the street for two weeks with no money for housing.
A, B, D
Which are characteristics of nonverbal communication that the nurse may use when communicating with psychiatric patients? Select all that apply. A. Touch B. Cough C. Whispering D. Eye movement E. Facial expressions
A, B, D, E
A patient who was originally admitted involuntarily for suicidal ideation has since signed in voluntarily with the approval of her psychiatrist. Which patient right should guide the nurse's delivery of care? Select all that apply. A. The patient has the right to participate in the plan of care. B. The patient has the right to refuse any treatment modality. C. The patient has the right to choose which staff members provide care. D. If the patient declines to participate in treatment, she must be discharged. E. The patient has the right to receive an explanation of her mental condition.
A, B, E
In which ways do mental health nurses advocate for mental health patients? Select all that apply. A. Supporting the patient's decisions B. Reporting incidents of neglect or abuse C. Helping the patient sign admissions forms D. Developing a social relationship with the patient E. Providing information about the right to refuse treatment
A, B, E
Which criteria must be met for admission to a state psychiatric facility? Select all that apply. A. Patient must be uninsured. B. Patient is considered to be the most mentally ill. C. Patient has never received outpatient treatment. D. Patient must have an acute mental health condition. E. Patient must be found not guilty (of a crime) by reason of insanity.
A, B, E
Which factors should the advanced practice mental health nurse take into consideration when prescribing medication for the psychiatric patient? Select all that apply. A. Age B. Culture D. Education D. Employment E. Religious beliefs
A, B, E
Which topics are most important for the nurse include when teaching patients who are receiving mental health care? Select all that apply. A. Coping B. Relapse prevention C. Facility regulations D. Societal expectations E. Problem-solving skills
A, B, E
Which factors are most associated with residential treatment facilities? Select all that apply. A. Home-like, comfortable environment B. Shorter-term care for acute mental illnesses C. Longer-term care for chronic mental illnesses D. Structured community concept for patients with memory care issues E. Dual-diagnosis services for patients with both mental and substance use diagnoses
A, C, E
A patient's out-of-control behavior necessitated emergency medication and seclusion. What are the nursing goals for this patient? Select all that apply. A. Assist the patient to re-establish control. B. Monitor the other patients' reactions to the seclusion. C. Maintain the seclusion to keep other patients safe. D. Discontinue seclusion as soon as it is safely possible. E. Administering additional medications, despite patient refusal, to maintain therapeutic blood levels.
A, D
Which concepts would the nurse include when facilitating an illness-focused therapeutic group? Select all that apply. A. Recognizing symptoms of a manic episode B. How to defuse an argument with a coworker C. When to use controlled breathing techniques D. How to access a support group in the community E. Mechanism of action of a prescribed sedative medication
A, D
A highly seductive patient reports the decision to stop the sexual relationship with the outpatient therapist and asks the nurse for a date after discharge. Which responses by the nurse would be appropriate? Select all that apply. A. Decisively decline the date. B. Kindly explain that the nurse can only offer friendship to the patient. C. Tell the patient the date will depend on status upon discharge. D. Closely monitor the patient for sexual interactions with other patients on the unit. E. Initiate an investigation into the report of sexual activity between the outpatient therapist and the patient.
A, D, E
How can mental health nurses help incorporate the changes proposed in "A Vision for Mental Health Care in America?" Select all that apply. A. Being politically aware B. Volunteering in the community C. Adhering to current mental health policies D. Following the latest research in mental health E. Becoming involved in professional nursing associations
A, D, E
A patient is undergoing court-ordered ECT as a treatment for severe depression. The patient is refusing psychotropic medication. What should the nurse do? A. Hide the medication in the patient's food. B. Honor the patient's refusal and document it. C. Briefly restrain the patient to administer the medication. D. Inform the patient that the court has mandated the medication.
B
A patient who was found wandering in the community, disoriented, and not wearing proper clothing for the weather conditions was brought to the ED. She was also not carrying any identification. Once she is cleared medically, it is determined that she suffers from mental illness. Which type of legal procedure is most appropriate for this patient? A. Civil commitment B. Conservatorship C. Voluntary observation D. Mandated involuntary outpatient treatment
B
How does the nurse explain to the mental health patient the definition of mental health? A. The ability to recognize adversity. B. The ability to realize one's abilities. C. The ability to commit to a spouse or significant other. D. The ability to contribute to society by being employed.
B
The mental health nurse teaches the mental health patient that the health promotion concept of resiliency is most closely related to which mental health process? A. Coping B. Adapting C. Assertiveness D. Self-awareness
B
The psychiatric nurse uses the HEADSSS tool when assessing which patient population? A. Child B. Adolescent C. Adult D. Older adult
B
What is the mental health nurse's primary goal as a member of the Mobile Crisis Team model? A. Organize staffing of clinic B. Stabilize patients in the field C. Arrange for patient discharge or transfer D. Refer the patient to the ED for medication reconciliation
B
Which is an example of a nursing short-term safety outcome statement for the mental health patient? A. Patient meets with therapist twice a week. B. Patient will state understanding of unit suicide precautions. C. Patient will remain free of injury throughout rehabilitation stay. D. Patient will identify two people to contact if feeling overwhelmed prior to discharge.
B
Which is the best action a mental health nurse can take to fight lawmakers who wish to decrease mental health funding? A. Organize a protest at work B. Become active in a consumer mental health group C. Become more knowledgeable about insurance reimbursement for nursing care D. Encourage mental health patients to band together and call their local political representatives
B
Which is the best placement option for a long-term prison inmate with diagnosable, severe mental illness who has been deemed too dangerous to remain in the prison? A. Rehabilitation facility B. State forensic hospital C. State psychiatric hospital D. Large maximum security prison
B
Which is the most important focus of therapeutic communication? A. The family's wishes B. The patient's needs C. The health care provider's goals for the patient D. The intimate relationship between the nurse and patient
B
Which rationale explains why the nurse facilitating a therapeutic group must continually assess the functional status of group members? A. Ground rules for the group need to be set by the nurse. B. Maladaptive behavior can pose a risk to others in the group. C. The nurse has to determine which patients are ready for discharge. D. The nurse has to determine consequences for a patient not adhering to group norms.
B
Which statement is true regarding the mental health nurse as activist? A. Acts as an activist when upholding patient confidentiality. B. Can help reverse negative media portrayal of mental illness. C. Can collaborate with other professionals to develop varying mental health practices. D. Can encourage the mental health interdisciplinary team to report acts of patient neglect or abuse.
B
Which statement is true regarding the practice of bioethics? A. Ethical guidelines should override laws. B. Bioethics pertain to the health care team members. C. Nurses are allowed to befriend mental health patients after discharge. D. It is the study of morals and ethics as they relate to the specialty of mental health.
B
Which type of nursing diagnosis is most appropriate to be used in the mental health setting? A. Risk for infection B. Risk for self-harm C. Impaired urinary elimination D. Risk for electrolyte imbalance
B
Why are laws needed to govern the care of patients with mental illness? A. Patients with mental illness are always incapable of making decisions. B. Laws are established for the protection of the patient and the public. C. Patients with mental illness are automatically entered into the court system. D. Any patient diagnosed with a mental illness must be appointed a legal guardian.
B
Why are mental health nurses in a good position to influence legislation that advocates for mental health patients? A. Nurses are mindful about being involved in policymaking. B. Nurses are members of the largest group of health care professionals. C. Nurses had an active role in the President's New Freedom Commission for Mental Health. D. Since nurses lead team planning meetings, they are in the best position to influence health care team members.
B
Which steps should the nurse take when providing spiritual care to psychiatric patients? Select all that apply. A. Pray with the patients B. Take a spiritual history C. Support the patient's beliefs D. Refer the patient to pastoral care E. Provide information on local churches
B, C, D
Which criteria must be met for a patient with mental illness to be admitted to the hospital on an inpatient status? Select all that apply. A. Extreme anxiety B. Intentional drug overdose C. Threat of danger to others D. Inability to provide shelter for self E. Disturbing hallucinations and delusions F. Admission of feelings of sadness, hopelessness, and lethargy
B, C, D, E
Which factors are characteristic of day treatment programs? Select all that apply. A. Patients attend 5 days a week. B. The programs usually lasts 4 weeks or less. C. The programs enhance patients' independence. D. The programs treat patients who are in acute crisis. E. Structured activities are usually less intense than those in PHP.
B, C, E
Which measures would the nurse expect to be taken in emergency departments (EDs) for the safety of patients with mental illness? Select all that apply. A. Use of private rooms B. Avoidance of sharp objects C. Use of special door handles D. Higher nurse-patient ratios E. Avoidance of the use of intravenous (IV) tubing
B, C, E
What are the criteria needed to plead guilty by reason of insanity? Select all that apply. A. The individual has a diagnosis of schizophrenia. B. The inability of the individual to understand the charges filed against him or her. C. The individual has a diagnosed mental illness and was on drugs at the time of the crime. D. The individual does not have the mental capacity to advise an attorney and defend the charges. E. The individual does not have the mental ability to understand legal processes and the consequences of the charges.
B, D, E
When an acute mental health episode occurs, hospitalization may be required for which reasons? Select all that apply. A. Providing comfort care B. Alleviating acute symptoms C. Managing chronic symptoms D. Stabilizing current living situation E. Adjusting medication regimen and monitoring changes
B, D, E
Which behavior management options are most helpful when treating adolescents who are harming themselves or others? Select all that apply. A. Group home setting B. Skills training groups C. Redirecting attention D. Time-out and seclusion E. One-to-one staff supervision
B, D, E
Which psychiatric nursing cultural competence constructs are found in Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services model? Select all that apply. A. Cultural bias B. Cultural skill C. Cultural values D. Cultural knowledge E. Cultural encounters
B, D, E
In which ways are clinical pathways helpful to the mental health nurse when providing care? Select all that apply. A. Decreases charting time. B. Decreases patient complications. C. Allows the nurse to contact the psychiatrist immediately. D. Provides standard practices for managing psychiatric care. E. Provides a link between evidence-based information and clinical practice.
B, E
A nursing student is observing a therapeutic group as part of a clinical experience. Which group characteristic would cause the student to describe it as an educational group? A. Each member of the group has an equal amount of time to speak. B. The focus of the group is to develop improved interpersonal communication skills. C. The nurse provides information about relapse prevention strategies to group members. D. The patients are encouraged to share experiences but hold any questions until after the group has concluded.
C
A patient admitted on involuntary status is now calm, cooperative, alert, oriented, and is requesting to be discharged. What is the best response by the nurse? A. "You can sign out against medical advice when you are ready to leave. B. "You will not be able to leave because you are here on a court order." C. "You will be evaluated by a psychiatrist shortly and she will work with you to make a determination about your discharge." D. "Because you are here on an involuntary hold, it is mandatory that you stay here for at least 48 hours. You cannot be released before your time is up."
C
A patient has been admitted to the inpatient mental health facility after being placed on involuntary status for being gravely disabled. After the involuntary treatment period has expired, the patient is asked to remain in the facility voluntarily. What is the next course of action if the patient refuses to stay? A. Call the police and report the situation. B. Call the next of kin and report the situation. C. Ask the patient to sign out against medical advice. D. Keep the patient in the facility with close monitoring.
C
A patient in inpatient psychiatric treatment has a conservatee who is not one of her sons or daughter. The nurse receives a call from her son requesting his mother be moved to a different facility. Which is the priority action of the nurse? A. Notify the other children of the wishes of the son. B. Facilitate a meeting with the children and the conservator to discuss the change of facility. C. Do not discuss the care of Mrs. Smith with her son without the consent of the conservator. D. Organize a family meeting with Mrs. Smith's children to discuss the care plan for the patient.
C
A patient is admitted with an exacerbation of a mental health diagnosis resulting from poor adherence to prescribed medication therapy. Which rationale would the nurse provide regarding the benefit of participating in a therapeutic group? A. The patient will be able to discuss concerns one-on-one with the nurse. B. Participation in the group is a required aspect of the inpatient admission. C. The patient may learn from others how to manage medication therapy at home. D. The patient's interaction will be peer focused to limit intimidation by health care professionals.
C
A patient is receiving court-ordered psychotropic medications. A researcher insists that an experimental psychotropic be given to the patient. Which nursing action is indicated? A. Inform the researcher that the Psychotropic Consent form must be completed. B. Include the experimental medication with other court-ordered psychotropic medication. C. Advise the researcher to obtain the patient's informed consent to participate in the research. D. Encourage the patient to consent to the experimental medication or the patient will be discharged immediately.
C
A patient on a 24-hour emergency psychiatric hold is believed to need further treatment. In order to keep the patient in the facility, what legal action is required? A. Informed consent B. Notification of a family member C. Filing of a probable cause statement D. Appointment of a conservator for the patient
C
Appearance is which form of nurse-patient communication? A. Verbal B. Spoken C. Nonverbal D. Paralinguistic
C
As defined which component of mental health is a focus of mental health nurses? A. Identifying legislative mandates B. Establishment of government's policies and procedures C. Considering professional biases and individual differences D. Recognition of the stability of the definition of mental health over time
C
In order to protect themselves and others in the workplace, nurses may engage in which professional activity? A. Educate mental health patients about dangers of violence B. Inform all unit staff to take a mandatory self-defense course C. Participate in setting policies that create a safe environment D. Hold a meeting with patients' families to ask for support in maintaining a safe environment
C
In which situation may the nurse legally administer a psychotropic medication, despite the patient's refusal? A. If the patient is under a legal hold. B. If the medication is medically beneficial to the patient. C. If the patient is an imminent danger to self or another person. D. If the patient shows medical proof that the medication is not required.
C
The nurse is working in the local jail and cares for a number of prisoners with underlying mental illness. What is the focus of the nurse working in the justice system? A. Educating about the disease process B. Documenting for forensic evaluation C. Monitoring for compliance with treatment D. Providing resources for treatment after discharge
C
What is the "message" component of nurse-patient communication? A. Response to the information B. How the information is being sent C. The feeling or idea that is being sent D. Reason or purpose for communication to occur
C
What is the purpose of an emergency hospitalization for a patient with a mental illness? A. To process patient requests for medication adjustment B. Helps patients who are unable to afford their psychiatric medications C. Cares for patients who are a danger to self or others and refuse voluntary treatment D. Assists patients who request to return to the hospital after being placed in a group home
C
What legally qualifies a person to be placed in conservatorship? A. The person is homeless. B. The person cannot afford medication. C. The person is gravely disabled because of a mental illness. D. The person has had at least 3 hospitalizations within 1 year because of mental illness.
C
When the nurse is formulating a discharge plan, what is the most appropriate placement option for an uninsured older adult patient diagnosed with severe schizophrenia who requires long-term care? A. State psychiatric hospital B. Outpatient treatment center C. Residential treatment facility D. Home with community resources
C
Which referral criteria is the primary consideration for a psychiatric patient transferring to PHP treatment level? A. Patient is no longer in crisis. B. Patient is stable on medications. C. Patient is safe to return home in the evening. D. Patient must be accompanied to treatment by a responsible adult.
C
Which statement about ground rules indicates that a nursing student understands this aspect of a therapeutic group? A. The nurse sets the ground rules for the group. B. Ground rules must be enforced by the nurse. C. Ground rules help the group stay focused on goals. D. Those who have been in the group the longest tend to break the ground rules.
C
Which type of treatment setting would be most beneficial for a 30-year-old patient experiencing an acute exacerbation of a mental illness who also has uncontrolled diabetes? A. Medical unit B. Geri-psychiatric unit C. Medical-psychiatric unit D. Outpatient treatment program
C
Who is in charge of admissions and discharges from state forensic hospitals? A. Nurses B. Counselors C. Court system D. Mental health treatment team
C
A patient in the mental health facility has been charged with a crime. The psychiatrist must evaluate the patient to determine competency to stand trial and the individual indicates that a plea will be entered as not guilty by reason of insanity. Which criteria are used to determine the plea of insanity? Select all that apply. A. Can the individual afford an attorney? B. Does the individual understand English? C. Does the individual understand the criminal charges? D. Does the individual understand the consequences of the charges? E. Can the individual advise the attorney and defend the charges?
C, D, E
Which actions by the mental health nurse demonstrate advocacy for mental health patients? Select all that apply. A. Leading staff meetings B. Organizing group therapy C. Engaging in public speaking D. Writing articles for the press E. Lobbying congressional representatives
C, D, E
Which are expected transformations of the mental health care system that may affect psychiatric nursing under "A Vision for Mental Health Care in America"? Select all that apply. A. Mental health care will be medically driven. B. Research in mental health will be commercially funded. C. Mental health care and information will be accessible via technology. D. Americans will understand the link between mental health and overall health. E. Common practice will include early mental health screening, assessment, and referral to services.
C, D, E
Which situation would indicate a patient might need long-term involuntary outpatient treatment? Select all that apply. A. The patient cannot afford medication for anxiety. B. The patient takes his antidepressant sporadically. C. The patient is in a court-mandated drug treatment program. D. The patient calls to reschedule her appointment at the clinic. E. The patient had 3 admissions within 2 months due to psychiatric treatment noncompliance. F. The patient requires a long-term injectable antipsychotic to manage his condition and has demonstrated noncompliance in the past.
C, F, E
A conserved older adult is admitted to the acute hospital for an emergent surgical procedure. The patient appears alert and oriented and verbalizes understanding of the need for surgery. How is consent obtained for the necessary procedure? A. The patient may sign himself in for the emergency because he is alert, oriented, and understands need for surgery. B. The patient's doctor may sign him in hospital in case of an emergency. C. The patient's wife can sign in her husband in the case of an emergency D. Conservator is contacted for consent.
D
A patient is refusing to take a court-ordered psychotropic medication. How should the nurse proceed? A. Seclude the patient B. Admonish the patient C. De-escalate the patient D. Temporarily restrain the patient with the designated team
D
A patient tells the nurse that participation in the therapeutic group was cathartic. Which statement by the patient best supports this claim? A. "I am so relieved to know that I am not the only one who has felt hopeless." B. "I have learned from you how to remain calm and speak quietly." C. "I feel like sharing my experiences has helped others in the group." E. "I can talk about how angry I was feeling now without scaring people."
D
A patient with suicidal ideation is being admitted and asks to wear her grandmother's scarf as a reminder of her. Which response by the nurse is most appropriate? A. "Be sure you tie the scarf very loosely." B. "It is a very nice scarf. Allow me tie it for you?" C. "It is your decision to wear the clothing you desire." D. "I understand; however, it is best for you not to wear the scarf. We will put it in a safe place."
D
How should the nurse utilize the DSM-5's Cultural Formulation Interview? A. To help develop illness-related outcomes B. To assist in interdisciplinary team communication C. To evaluate the patient's ability to cope with stress D. To assess the patient's attempts to cope with previous illness
D
The mental health nurse is providing care within the interdisciplinary team. Which describes the mental health nurse's role in assessment of the patient? A. Prescribe medications B. Provide orders for care C. Evaluate patient condition D. Perform baseline assessment
D
The nurse is caring for a patient with suicidal ideations who has a plan with a high level of lethality. The patient's inpatient psychiatric managed care benefits have expired. Which is the best action by the nurse? A. Discharge the patient to outpatient care. B. The nurse must discharge the patient due to insurance regulations. C. Send the patient to a medical surgical unit where different benefits apply. D. Maintain the patient on inpatient psychiatric care with a high level of suicide observation.
D
The nurse is caring for an angry patient on an involuntary emergency hold refusing antianxiety medication. Which is the best response by the nurse? A. "It is within your rights to refuse all medications." B. "If you do not take your medication, we will call security." C. "I see that you are angry. Your behavior is what brought you here and your uncooperative behavior is what can keep you here." D. "I understand you are angry about your admission. This medication can help you relax and we can sit and talk about what brought you here."
D
The nurse is reviewing discharge paperwork with the patient when the patient states, "I am eager to have vengeance upon my neighbor for triggering this admission." Which nursing intervention is indicated? A. Discharge the patient as ordered. B. Medicate the patient to stabilize his mood. C. Remind the patient of coping skills learned during hospitalization. D. Explore the potential for violence and confer with the psychiatrist about the need to delay discharge.
D
The nurse receives orders from a new resident psychiatrist for a patient being held on an involuntary short-term commitment petition. Which order should the nurse question? A. Change diet to regular. B. Begin sertraline 25 mg po daily. C. Administer acetaminophen 325 mg po now for headache. D. Allow patient to be accompanied by staff to attend son's graduation.
D
Which conditions are examples of co-occurring or dual diagnoses? A. Depression and bipolar disorder B. Schizophrenia and multiple sclerosis C. Dementia and cardiovascular disease D. Borderline personality disorder and alcohol use disorder
D
Which legal tool is used when the mental health patient is unable to participate in the decision-making process regarding his or her own care? A. Patient's civil rights B. Patient's basic rights C. Patient's bill of rights D. Patient's psychiatric advance directives
D
Which nursing action is indicated when an angry patient threatens to hurt his psychiatrist? A. Place the patient in seclusion. B. Initiate an investigation into the patient's past behavior and file the necessary report. C. Administer an antipsychotic to the patient to address paranoid delusions. D. Explore the patient's potential for violence and warn the psychiatrist of potential danger.
D
Which statement regarding the nurse's role as patient advocate as defined in the American Nurses Association Code of Ethics is correct? A. Nurses must fulfill patients' requests. B. The nurse's role as patient advocate is a legal role. C. Nurses lobby for better mental health practices. D. Nurses must report any health care team member that is incompetent.
D
Which substance abuse treatment program is best for the patient who can commit to one month of detoxification treatment? A. State psychiatric hospital B. Psychiatric inpatient program C. Long-term treatment program D. Short-term treatment program
D
Which statement is true regarding the nurse's use of touch with patients with a mental health disorder? Select all that apply. A. Patients with a mental health disorder need to be touched when communicating. B. Touch is an inappropriate form of nursing communication. C. Touch is paralinguistic communication that helps patients. D. Patients with a mental health disorder may view the nurse's touch as threatening, intimate, or sexual. E. Patients with a mental health disorder may respond to the nurse's touch with aggression, withdrawal, or an inappropriate sexual overture.
D, E
The nurse is evaluating a patient's chart for evidence that supports the need for a long-term involuntary commitment of an inpatient psychiatric patient. Which evidence supports the need for a court petition? Select all that apply. A. The patient attends group therapy. B. The patient is compliant with medications. C. The patient sometimes responds to unseen stimuli. D. The patient continues to require 1:1 care due to suicidality on day 10 of inpatient care. E. The patient ranks his depression as a 10 on a scale of 1-10 with 10 being the worse and is actively suicidal. F. The patient has threatened to harm people at her place of employment if she leaves the hospital and has verbalized a working plan.
D, E, F
Which role would the nurse have in a problem-solving therapeutic group? Select all that apply. A. Teaching signs and symptoms of relapse B. Role modeling appropriate phone conversation etiquette C. Teaching group members how to cope with family stress D. Discussing ways to minimize conflict with a significant other E. Assessing for side effects of psychotherapeutic medications F. Helping identify why patients discontinue medications at home
D, F
