NURS 3381 Exam 2 LATEST 2025 WITH CORRECT QUESTIONS AND
DETAILED ANSWERS/ALREADY GRADED A+
Planning for patients with mental illness is facilitated by understanding that inpatient
hospitalization is generally reserved for patients who: - CORRECT ANSWER-present a clear danger
to self or others
The relapse of a patient with schizophrenia is related to medication noncompliance. The patient
is hospitalized for 5 days, medication is restarted, and the patient's thoughts are now more
organized. The patient's family members are upset and say, "It's too soon about the patient
being scheduled for discharge. Hospitalization is needed for at least a month." The nurse
should: - CORRECT ANSWER-explain that the patient will continue to improve if medication is taken
regularly.
A nurse assesses an inpatient psychiatric unit, noting that exits are free from obstruction, no
one is smoking, the janitor's closet is locked, and all sharp objects are being used under staff
supervision. These observations relate to: - CORRECT ANSWER-management of milieu safety
A patient is hospitalized for a reaction to a psychotropic medication and then is closely
monitored for 24 hours. During a predischarge visit, the case manager learns the patient
received a notice of eviction on the day of admission. The most appropriate intervention for the
case manager is to: - CORRECT ANSWER-arrange a temporary place for the patient to stay until new
housing can be arranged.
A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a
suicide attempt. Members of the team report their assessments. What outcome can be
expected from this meeting? - CORRECT ANSWER-A treatment plan will be determined.
The following patients are seen in the emergency department. The psychiatric unit has one bed
available. Which patient should the admitting officer recommend for admission to the hospital?
The patient who: - CORRECT ANSWER-who is a single parent and hears voices saying, "Smother
your infant."
,A student nurse prepares to administer oral medications to a patient with major depression, but
the patient refuses the medication. The student nurse should: - CORRECT ANSWER-explore the
patient's concerns about the medication, and report to the staff nurse
A nurse surveys the medical records for violations of patients' rights. Which finding signals a
violation? - CORRECT ANSWER-No treatment plan is present in record
Which principle takes priority for the psychiatric inpatient staff when addressing behavioral
crises? - CORRECT ANSWER-Resolve behavioral crises with the least restrictive intervention
possible.
To provide comprehensive care to patients, which competency is more important for a nurse
who works in a community mental health center than a psychiatric nurse who works in an
inpatient unit? - CORRECT ANSWER-Ability to cross service systems
A suspicious and socially isolated patient lives alone, eats one meal a day at a nearby shelter,
and spends the remaining daily food allowance on cigarettes. Select the community psychiatric
nurse's best initial action. - CORRECT ANSWER-Assess the patient's weight; determine the foods
and amounts eaten
A patient with schizophrenia has been stable in the community. Today, the spouse reports the
patient is delusional and explosive. The patient says, "I'm willing to take my medicine, but I
forgot to get my prescription refilled." Which outcome should the nurse add to the plan of care?
- CORRECT ANSWER-Patient's spouse will mark dates for prescription refills on the family calendar.
A community mental health nurse has worked for 6 months to establish a relationship with a
delusional, suspicious patient. The patient recently lost employment and stopped taking
medications because of inadequate money. The patient says, "Only a traitor would make me go
to the hospital." Which solution is best? - CORRECT ANSWER-Negotiate a way to provide
medication so the patient can remain at home.
,A community psychiatric nurse facilitates medication compliance for a patient by having the
health care provider prescribe depot medications by injection every 3 weeks at the clinic. For
this plan to be successful, which factor will be of critical importance? - CORRECT ANSWER-
Availability of transportation to the clinic
A soldier returned 3 months ago from Afghanistan and was diagnosed with post-traumatic
stress disorder (PTSD). Which social event would most likely be disturbing for this soldier? -
CORRECT ANSWER-Fireworks display on July 4th
A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2011.
When is it most important for the nurse to screen for signs and symptoms of post-traumatic
stress disorder (PTSD)? - CORRECT ANSWER-Screening should be ongoing
A nurse assesses soldiers in a combat zone in Afghanistan. When is it most important for the
nurse to screen for signs and symptoms of traumatic brain injury (TBI)? - CORRECT ANSWER-After a
fall, vehicle crash, or exposure to a blast
A soldier in a combat zone tells the nurse, "I saw a child get blown up over a year ago, but I keep
seeing bits of flesh everywhere. I see something red and the visions race back to my mind."
Which phenomenon associated with post-traumatic stress disorder (PTSD) is this soldier
describing? - CORRECT ANSWER-Reexperiencing
A soldier who served in a combat zone returned to the United States. The soldier's spouse
complains to the nurse, "We had planned to start a family, but now he won't talk about it. He
won't even look at children." The spouse is describing which symptom associated with post-
traumatic stress disorder (PTSD)? - CORRECT ANSWER-Avoidance
A soldier returned home last year after deployment to a war zone. The soldier's spouse
complains, "We were going to start a family but now he won't talk about it. He will not look at
children. I wonder if we're going to make it as a couple." Select the nurse's best response. -
, CORRECT ANSWER-"Posttraumatic stress disorder often strains relationships. Here are some
community resources for help and support."
A nurse talks with the caregiver of a combat veteran with severe traumatic brain injuries. The
caregiver says, "I don't know how much longer I can do it. My whole life is consumed with
taking care of my partner." Select the nurse's best response. - CORRECT ANSWER-"How are you
taking care of yourself?"
A professor's 4-year-old child has a body temperature of 101.6° F, diarrhea, and complains of
stomach pain. The professor is scheduled to teach three classes today. Which nursing diagnosis
best applies to this scenario? - CORRECT ANSWER-Decisional conflict
A patient became severely depressed when the last of six children moved out of the home 4
months ago. The patient repeatedly says, "No one cares about me. I'm not worth anything."
Which response by the nurse would be the most helpful? - CORRECT ANSWER-"I'll sit with you for
10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon."
A patient became depressed after the last of six children moved out of the home 4 months ago.
The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, "No one
cares about me anymore. I'm not worth anything." Select an appropriate initial outcome for the
nursing diagnosis Situational low self-esteem, related to feelings of abandonment. The patient
will: - CORRECT ANSWER-verbalize realistic positive characteristics about self by (date) .
A patient with major depression says, "No one cares about me anymore. I'm not worth
anything." The nurse wants to reinforce positive self-esteem. Today, the patient is wearing a
new shirt and has neat, clean hair. Which remark is most appropriate? - CORRECT ANSWER-"You're
wearing a new shirt."
An adult with depression was treated with medication and cognitive behavioral therapy. The
patient now recognizes how passivity contributed to the depression. Which intervention should
the nurse suggest? - CORRECT ANSWER-Social skills training
DETAILED ANSWERS/ALREADY GRADED A+
Planning for patients with mental illness is facilitated by understanding that inpatient
hospitalization is generally reserved for patients who: - CORRECT ANSWER-present a clear danger
to self or others
The relapse of a patient with schizophrenia is related to medication noncompliance. The patient
is hospitalized for 5 days, medication is restarted, and the patient's thoughts are now more
organized. The patient's family members are upset and say, "It's too soon about the patient
being scheduled for discharge. Hospitalization is needed for at least a month." The nurse
should: - CORRECT ANSWER-explain that the patient will continue to improve if medication is taken
regularly.
A nurse assesses an inpatient psychiatric unit, noting that exits are free from obstruction, no
one is smoking, the janitor's closet is locked, and all sharp objects are being used under staff
supervision. These observations relate to: - CORRECT ANSWER-management of milieu safety
A patient is hospitalized for a reaction to a psychotropic medication and then is closely
monitored for 24 hours. During a predischarge visit, the case manager learns the patient
received a notice of eviction on the day of admission. The most appropriate intervention for the
case manager is to: - CORRECT ANSWER-arrange a temporary place for the patient to stay until new
housing can be arranged.
A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a
suicide attempt. Members of the team report their assessments. What outcome can be
expected from this meeting? - CORRECT ANSWER-A treatment plan will be determined.
The following patients are seen in the emergency department. The psychiatric unit has one bed
available. Which patient should the admitting officer recommend for admission to the hospital?
The patient who: - CORRECT ANSWER-who is a single parent and hears voices saying, "Smother
your infant."
,A student nurse prepares to administer oral medications to a patient with major depression, but
the patient refuses the medication. The student nurse should: - CORRECT ANSWER-explore the
patient's concerns about the medication, and report to the staff nurse
A nurse surveys the medical records for violations of patients' rights. Which finding signals a
violation? - CORRECT ANSWER-No treatment plan is present in record
Which principle takes priority for the psychiatric inpatient staff when addressing behavioral
crises? - CORRECT ANSWER-Resolve behavioral crises with the least restrictive intervention
possible.
To provide comprehensive care to patients, which competency is more important for a nurse
who works in a community mental health center than a psychiatric nurse who works in an
inpatient unit? - CORRECT ANSWER-Ability to cross service systems
A suspicious and socially isolated patient lives alone, eats one meal a day at a nearby shelter,
and spends the remaining daily food allowance on cigarettes. Select the community psychiatric
nurse's best initial action. - CORRECT ANSWER-Assess the patient's weight; determine the foods
and amounts eaten
A patient with schizophrenia has been stable in the community. Today, the spouse reports the
patient is delusional and explosive. The patient says, "I'm willing to take my medicine, but I
forgot to get my prescription refilled." Which outcome should the nurse add to the plan of care?
- CORRECT ANSWER-Patient's spouse will mark dates for prescription refills on the family calendar.
A community mental health nurse has worked for 6 months to establish a relationship with a
delusional, suspicious patient. The patient recently lost employment and stopped taking
medications because of inadequate money. The patient says, "Only a traitor would make me go
to the hospital." Which solution is best? - CORRECT ANSWER-Negotiate a way to provide
medication so the patient can remain at home.
,A community psychiatric nurse facilitates medication compliance for a patient by having the
health care provider prescribe depot medications by injection every 3 weeks at the clinic. For
this plan to be successful, which factor will be of critical importance? - CORRECT ANSWER-
Availability of transportation to the clinic
A soldier returned 3 months ago from Afghanistan and was diagnosed with post-traumatic
stress disorder (PTSD). Which social event would most likely be disturbing for this soldier? -
CORRECT ANSWER-Fireworks display on July 4th
A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2011.
When is it most important for the nurse to screen for signs and symptoms of post-traumatic
stress disorder (PTSD)? - CORRECT ANSWER-Screening should be ongoing
A nurse assesses soldiers in a combat zone in Afghanistan. When is it most important for the
nurse to screen for signs and symptoms of traumatic brain injury (TBI)? - CORRECT ANSWER-After a
fall, vehicle crash, or exposure to a blast
A soldier in a combat zone tells the nurse, "I saw a child get blown up over a year ago, but I keep
seeing bits of flesh everywhere. I see something red and the visions race back to my mind."
Which phenomenon associated with post-traumatic stress disorder (PTSD) is this soldier
describing? - CORRECT ANSWER-Reexperiencing
A soldier who served in a combat zone returned to the United States. The soldier's spouse
complains to the nurse, "We had planned to start a family, but now he won't talk about it. He
won't even look at children." The spouse is describing which symptom associated with post-
traumatic stress disorder (PTSD)? - CORRECT ANSWER-Avoidance
A soldier returned home last year after deployment to a war zone. The soldier's spouse
complains, "We were going to start a family but now he won't talk about it. He will not look at
children. I wonder if we're going to make it as a couple." Select the nurse's best response. -
, CORRECT ANSWER-"Posttraumatic stress disorder often strains relationships. Here are some
community resources for help and support."
A nurse talks with the caregiver of a combat veteran with severe traumatic brain injuries. The
caregiver says, "I don't know how much longer I can do it. My whole life is consumed with
taking care of my partner." Select the nurse's best response. - CORRECT ANSWER-"How are you
taking care of yourself?"
A professor's 4-year-old child has a body temperature of 101.6° F, diarrhea, and complains of
stomach pain. The professor is scheduled to teach three classes today. Which nursing diagnosis
best applies to this scenario? - CORRECT ANSWER-Decisional conflict
A patient became severely depressed when the last of six children moved out of the home 4
months ago. The patient repeatedly says, "No one cares about me. I'm not worth anything."
Which response by the nurse would be the most helpful? - CORRECT ANSWER-"I'll sit with you for
10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon."
A patient became depressed after the last of six children moved out of the home 4 months ago.
The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, "No one
cares about me anymore. I'm not worth anything." Select an appropriate initial outcome for the
nursing diagnosis Situational low self-esteem, related to feelings of abandonment. The patient
will: - CORRECT ANSWER-verbalize realistic positive characteristics about self by (date) .
A patient with major depression says, "No one cares about me anymore. I'm not worth
anything." The nurse wants to reinforce positive self-esteem. Today, the patient is wearing a
new shirt and has neat, clean hair. Which remark is most appropriate? - CORRECT ANSWER-"You're
wearing a new shirt."
An adult with depression was treated with medication and cognitive behavioral therapy. The
patient now recognizes how passivity contributed to the depression. Which intervention should
the nurse suggest? - CORRECT ANSWER-Social skills training
