PMH Exam 1 study cards Questions With Complete
Solutions
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. Correct Answers 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. Correct
Answers A, D, 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. Correct
Answers A, B, D
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. Correct
Answers 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." Correct Answers 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.
Correct Answers 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. Correct Answers 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? Correct Answers C, D, E
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. Correct Answers 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.
Solutions
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. Correct Answers 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. Correct
Answers A, D, 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. Correct
Answers A, B, D
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. Correct
Answers 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." Correct Answers 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.
Correct Answers 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. Correct Answers 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? Correct Answers C, D, E
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. Correct Answers 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.
