NURS 3381 Exam 2 Questions and Answers Already Passed
Planning for patients with mental illness is facilitated by understanding that inpatient
hospitalization is generally reserved for patients who: - Answers present a clear danger to self
or others
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: - Answers 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? - Answers A treatment plan will be determined.
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:
- Answers 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: - Answers management of milieu safety
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: - Answers 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: - Answers 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? - Answers No treatment plan is present in record
Which principle takes priority for the psychiatric inpatient staff when addressing behavioral
crises? - Answers 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? - Answers 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. - Answers 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?
- Answers 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? - Answers 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? - Answers Availability of
transportation to the clinic
Which assessment finding for a patient in the community requires priority intervention by the
nurse? The patient: - Answers purchases and uses marijuana on a frequent basis.
A patient tells the nurse at the clinic, "I haven't been taking my antidepressant medication as
directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me
about the pills." Select the nurse's most appropriate intervention - Answers Investigate the
possibility of once-daily dosing of the antidepressant.
A community psychiatric nurse assesses that a patient with a mood disorder is more depressed
than on the previous visit a month ago; however, the patient says, "I feel the same." Which
intervention supports the nurse's assessment while preserving the patient's autonomy? -
Answers Schedule weekly clinic appointments
A patient hurriedly tells the community mental health nurse, "Everything's a disaster! I can't
concentrate. My disability check didn't come. My roommate moved out, and I can't afford the
rent. My therapist is moving away. I feel like I'm coming apart." Which nursing diagnosis applies?
- Answers Anxiety, related to changes perceived as threatening to psychological equilibrium
Which patient would a nurse refer to partial hospitalization? An individual who: - Answers states,
"I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
Which employer's health plan is required to include parity provisions related to mental illnesses?
- Answers Employer with more than 50 employees
, Which scenario best demonstrates an example of eustress? An individual: - Answers prepares
to take a 1 week vacation to a tropical island with a group of close friends.
A patient with liver failure has been on the transplant waiting list for 8 months. The patient says
to the nurse, "Why is it taking so long to have the surgery? Maybe I'm meant to die for all the bad
things I've done." The nurse should document the patient's comment in which section of the
assessment? - Answers Spiritual
A person with a fear of heights drives across a high bridge. Which structure will stimulate a
response from the autonomic nervous system? - Answers Hypothalamus
A person with a fear of heights drives across a high bridge. Which division of the autonomic
nervous system is stimulated in response to this experience? - Answers Sympathetic nervous
system
A patient is brought to the emergency department after a motorcycle accident. The patient is
alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T),
98.6° F; pulse (P), 72 beats per minute (bpm); and respirations (R), 16 breaths per minute. After
being informed that surgery is required for the broken leg, which vital sign readings would be
expected? - Answers T, 98.6°; P, 84; R, 22
As part of the stress response, the HPA axis is stimulated. Which structures make up this
system? - Answers Hypothalamus, pituitary gland, and adrenal glands
Cortisol is released in response to a patient's prolonged stress. Which initial effect would the
nurse expect to result from the increased cortisol level? - Answers Focused and alert mental
status
A soldier returns to the United States from active duty in a combat zone in Afghanistan. The
soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to
screen this soldier for which problem? - Answers Major depression
A soldier returns to the United States from active duty in a combat zone in Afghanistan. The
soldier is diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier
requires the nurse's immediate attention? - Answers "I saw my best friend get killed by a
roadside bomb. It should have been me instead."
A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed
with post-traumatic stress disorder (PTSD). The soldier says, "If there's a loud noise at night, I
get under my bed because I think we're getting bombed." What type of experience has the
soldier described? - Answers Flashback
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? -
Answers Fireworks display on July 4th
Planning for patients with mental illness is facilitated by understanding that inpatient
hospitalization is generally reserved for patients who: - Answers present a clear danger to self
or others
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: - Answers 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? - Answers A treatment plan will be determined.
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:
- Answers 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: - Answers management of milieu safety
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: - Answers 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: - Answers 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? - Answers No treatment plan is present in record
Which principle takes priority for the psychiatric inpatient staff when addressing behavioral
crises? - Answers 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? - Answers 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. - Answers 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?
- Answers 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? - Answers 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? - Answers Availability of
transportation to the clinic
Which assessment finding for a patient in the community requires priority intervention by the
nurse? The patient: - Answers purchases and uses marijuana on a frequent basis.
A patient tells the nurse at the clinic, "I haven't been taking my antidepressant medication as
directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me
about the pills." Select the nurse's most appropriate intervention - Answers Investigate the
possibility of once-daily dosing of the antidepressant.
A community psychiatric nurse assesses that a patient with a mood disorder is more depressed
than on the previous visit a month ago; however, the patient says, "I feel the same." Which
intervention supports the nurse's assessment while preserving the patient's autonomy? -
Answers Schedule weekly clinic appointments
A patient hurriedly tells the community mental health nurse, "Everything's a disaster! I can't
concentrate. My disability check didn't come. My roommate moved out, and I can't afford the
rent. My therapist is moving away. I feel like I'm coming apart." Which nursing diagnosis applies?
- Answers Anxiety, related to changes perceived as threatening to psychological equilibrium
Which patient would a nurse refer to partial hospitalization? An individual who: - Answers states,
"I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
Which employer's health plan is required to include parity provisions related to mental illnesses?
- Answers Employer with more than 50 employees
, Which scenario best demonstrates an example of eustress? An individual: - Answers prepares
to take a 1 week vacation to a tropical island with a group of close friends.
A patient with liver failure has been on the transplant waiting list for 8 months. The patient says
to the nurse, "Why is it taking so long to have the surgery? Maybe I'm meant to die for all the bad
things I've done." The nurse should document the patient's comment in which section of the
assessment? - Answers Spiritual
A person with a fear of heights drives across a high bridge. Which structure will stimulate a
response from the autonomic nervous system? - Answers Hypothalamus
A person with a fear of heights drives across a high bridge. Which division of the autonomic
nervous system is stimulated in response to this experience? - Answers Sympathetic nervous
system
A patient is brought to the emergency department after a motorcycle accident. The patient is
alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T),
98.6° F; pulse (P), 72 beats per minute (bpm); and respirations (R), 16 breaths per minute. After
being informed that surgery is required for the broken leg, which vital sign readings would be
expected? - Answers T, 98.6°; P, 84; R, 22
As part of the stress response, the HPA axis is stimulated. Which structures make up this
system? - Answers Hypothalamus, pituitary gland, and adrenal glands
Cortisol is released in response to a patient's prolonged stress. Which initial effect would the
nurse expect to result from the increased cortisol level? - Answers Focused and alert mental
status
A soldier returns to the United States from active duty in a combat zone in Afghanistan. The
soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to
screen this soldier for which problem? - Answers Major depression
A soldier returns to the United States from active duty in a combat zone in Afghanistan. The
soldier is diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier
requires the nurse's immediate attention? - Answers "I saw my best friend get killed by a
roadside bomb. It should have been me instead."
A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed
with post-traumatic stress disorder (PTSD). The soldier says, "If there's a loud noise at night, I
get under my bed because I think we're getting bombed." What type of experience has the
soldier described? - Answers Flashback
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? -
Answers Fireworks display on July 4th
