CMNvb350vbPsychiatric-MentalvbHealthvbNursingvbExamvb#1
Whyvbwouldvbsomeonevbneedvbtovbbevbadmittedvbintovbavbpsychiatricvbhospital
?vb-vbcorrectvbanswer✔ ✔ Ifvbtheyvbare:
-Dangerousvbtovbselfvborvbothers
-Gravelyvbdisabled
-Acutelyvbpsychotic
-Suicidalvborvbhomicidal
Ifvbpatientvbisvbacutelyvbpsychoticvb-vbcorrectvbanswer✔ ✔ -
Theyvbcouldvbbevbplacedvbinvbavblongvbtermvbcarevbfacilityvb(e.g.,vbgroupvbhome
)
-theyvbcan'tvbtakevbcarevbofvbthemselves
-mostvblikelyvbhavevbschizophrenia
-mayvbbevbgoingvbhomevbwithvbfamilyvbwhovbcanvbtakevbcarevbofvbthem
Thevbnurse'svbrolevbinvbpsychopharmacologicalvbmanagementvb-
vbcorrectvbanswer✔ ✔ -
assessvbpatients'vbresponsesvbtovbmedication,vbplanvbtovbrespondvbtovbsidevbeffe
ctsvbshouldvbtheyvboccur,vbimplementvbthosevbplans,vbandvbevaluatevbforvbdesir
edvbresults.vb
-
hasvbavbpivotalvbrole,vbparticularlyvbinvbanvbinpatientvbsetting,vballowsvbinterve
,ntionvbbeforevbseriousvbdrug-
relatedvbproblemsvboccur.vbInvbaddition,vbadministersvbmedicationsvbandvbma
kesvbdecisionsvbregardingvbasvbneededvb(prn)vbmedications.vb
-needsvbavbsoundvbfoundationvbinvbitvbtovbteachvbpatientsvbaboutvbdrugs.vb
-
mustvbhavevbimmediatevbaccessvbtovbinformationvbaboutvbpsychotropicvbdrugs
.
Thevbnurse'svbrolevbinvbthevbtherapeuticvbnurse-patientvbrelationshipvb-
vbcorrectvbanswer✔ ✔ -isvbtherapeuticvbnotvbavbtherapist
-communicationvbskills
-respectvbandvbavbdesirevbtovbhelp
-understanding
vb •mentalvbmechanisms
vb •adaptationvbstyles
vb •copingvbstrategies
vb •theraputicvbinterventionvbskillls
Thevbnurse'svbrolevbinvbmilieuvbmanagementvb-vbcorrectvbanswer✔ ✔ -
canvbchangevbthevbenvironment
-
Thevbfivevbenvironmentalvbelementsvbthatvbnursesvbmustvbconsidervbinvbcreati
ngvbavbtherapeuticvbatmospherevbarevbthevbfollowing:
,1.vbSafety:vbkeepingvbthevbpatientvbfreevbfromvbdangervborvbharm
2.vbStructure:vbthevbphysicalvbenvironment,vbregulations,vbandvbschedules
3.vbNorms:vbspecificvbexpectationsvbofvbbehaviorvb(e.g.,vbacceptance,vbnonvio
lence,vbprivacy)
4.vbLimitvbsetting:vbclearvbandvbenforceablevblimitationsvbonvbbehaviors
5.vbBalance:vbnegotiatingvbthevblinevbbetweenvbdependencevbandvbindependen
ce.
Nursesvbdon't/aren'tvb-vbcorrectvbanswer✔ ✔ -therapist
-ordervbdrugs
-interpretvbtesting
Avbnursevbcanvbdisclosevbpatientvbinformationvbwhenvb-vbcorrectvbanswer✔
✔ -thevbpatientvbisvbavbharmvbtovbselfvborvbothers
-undervbavbsubpoena
-courtvborder
youvbneedvbavbcourtvbordervbtovb-vbcorrectvbanswer✔ ✔
forcevbmedicationvborvbyouvbcouldvbbevbaccusedvbofvbassaultvbandvbbattery
, assaultvb-vbcorrectvbanswer✔ ✔
makingvbavbthreatvbtovbavbclient'svbperson,vbsuchvbasvbapproachingvbthevbclien
tvbinvbavbthreateningvbmannervbwithvbavbsyringevbinvbhand,vbisvbconsideredvbassa
ult
batteryvb-vbcorrectvbanswer✔ ✔
touchingvbavbclientvbinvbavbharmfulvborvboffensivevbway.vbThisvbcouldvboccurv
bifvbthevbnursevbthreateningvbavbclientvbwithvbavbsyringevbactuallyvbgrabbedvbthev
bclientvbandvbgavevbanvbinjection.
serotoninvb-vbcorrectvbanswer✔ ✔ ↑______________vbsyndrome
↓depression
dopaminevb-vbcorrectvbanswer✔ ✔ ↑Schizophrenia
↓Parkinson's
norepinephrinevb-vbcorrectvbanswer✔ ✔ ↑hypertensivevbcrisis
↓depression
GABAvb-vbcorrectvbanswer✔ ✔ ↑seizures
↓anxiety
Whyvbwouldvbsomeonevbneedvbtovbbevbadmittedvbintovbavbpsychiatricvbhospital
?vb-vbcorrectvbanswer✔ ✔ Ifvbtheyvbare:
-Dangerousvbtovbselfvborvbothers
-Gravelyvbdisabled
-Acutelyvbpsychotic
-Suicidalvborvbhomicidal
Ifvbpatientvbisvbacutelyvbpsychoticvb-vbcorrectvbanswer✔ ✔ -
Theyvbcouldvbbevbplacedvbinvbavblongvbtermvbcarevbfacilityvb(e.g.,vbgroupvbhome
)
-theyvbcan'tvbtakevbcarevbofvbthemselves
-mostvblikelyvbhavevbschizophrenia
-mayvbbevbgoingvbhomevbwithvbfamilyvbwhovbcanvbtakevbcarevbofvbthem
Thevbnurse'svbrolevbinvbpsychopharmacologicalvbmanagementvb-
vbcorrectvbanswer✔ ✔ -
assessvbpatients'vbresponsesvbtovbmedication,vbplanvbtovbrespondvbtovbsidevbeffe
ctsvbshouldvbtheyvboccur,vbimplementvbthosevbplans,vbandvbevaluatevbforvbdesir
edvbresults.vb
-
hasvbavbpivotalvbrole,vbparticularlyvbinvbanvbinpatientvbsetting,vballowsvbinterve
,ntionvbbeforevbseriousvbdrug-
relatedvbproblemsvboccur.vbInvbaddition,vbadministersvbmedicationsvbandvbma
kesvbdecisionsvbregardingvbasvbneededvb(prn)vbmedications.vb
-needsvbavbsoundvbfoundationvbinvbitvbtovbteachvbpatientsvbaboutvbdrugs.vb
-
mustvbhavevbimmediatevbaccessvbtovbinformationvbaboutvbpsychotropicvbdrugs
.
Thevbnurse'svbrolevbinvbthevbtherapeuticvbnurse-patientvbrelationshipvb-
vbcorrectvbanswer✔ ✔ -isvbtherapeuticvbnotvbavbtherapist
-communicationvbskills
-respectvbandvbavbdesirevbtovbhelp
-understanding
vb •mentalvbmechanisms
vb •adaptationvbstyles
vb •copingvbstrategies
vb •theraputicvbinterventionvbskillls
Thevbnurse'svbrolevbinvbmilieuvbmanagementvb-vbcorrectvbanswer✔ ✔ -
canvbchangevbthevbenvironment
-
Thevbfivevbenvironmentalvbelementsvbthatvbnursesvbmustvbconsidervbinvbcreati
ngvbavbtherapeuticvbatmospherevbarevbthevbfollowing:
,1.vbSafety:vbkeepingvbthevbpatientvbfreevbfromvbdangervborvbharm
2.vbStructure:vbthevbphysicalvbenvironment,vbregulations,vbandvbschedules
3.vbNorms:vbspecificvbexpectationsvbofvbbehaviorvb(e.g.,vbacceptance,vbnonvio
lence,vbprivacy)
4.vbLimitvbsetting:vbclearvbandvbenforceablevblimitationsvbonvbbehaviors
5.vbBalance:vbnegotiatingvbthevblinevbbetweenvbdependencevbandvbindependen
ce.
Nursesvbdon't/aren'tvb-vbcorrectvbanswer✔ ✔ -therapist
-ordervbdrugs
-interpretvbtesting
Avbnursevbcanvbdisclosevbpatientvbinformationvbwhenvb-vbcorrectvbanswer✔
✔ -thevbpatientvbisvbavbharmvbtovbselfvborvbothers
-undervbavbsubpoena
-courtvborder
youvbneedvbavbcourtvbordervbtovb-vbcorrectvbanswer✔ ✔
forcevbmedicationvborvbyouvbcouldvbbevbaccusedvbofvbassaultvbandvbbattery
, assaultvb-vbcorrectvbanswer✔ ✔
makingvbavbthreatvbtovbavbclient'svbperson,vbsuchvbasvbapproachingvbthevbclien
tvbinvbavbthreateningvbmannervbwithvbavbsyringevbinvbhand,vbisvbconsideredvbassa
ult
batteryvb-vbcorrectvbanswer✔ ✔
touchingvbavbclientvbinvbavbharmfulvborvboffensivevbway.vbThisvbcouldvboccurv
bifvbthevbnursevbthreateningvbavbclientvbwithvbavbsyringevbactuallyvbgrabbedvbthev
bclientvbandvbgavevbanvbinjection.
serotoninvb-vbcorrectvbanswer✔ ✔ ↑______________vbsyndrome
↓depression
dopaminevb-vbcorrectvbanswer✔ ✔ ↑Schizophrenia
↓Parkinson's
norepinephrinevb-vbcorrectvbanswer✔ ✔ ↑hypertensivevbcrisis
↓depression
GABAvb-vbcorrectvbanswer✔ ✔ ↑seizures
↓anxiety
