NURS 3381 Exam 2 Questions and Correct
Answers/ Latest Update / Already Graded
Planning for patients with mental illness is facilitated by
understanding that inpatient hospitalization is generally reserved for
patients who:
Ans: 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:
Ans: 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?
Ans: 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
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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:
Ans: 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:
Ans: 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:
Ans: 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:
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Ans: 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?
Ans: No treatment plan is present in record
Which principle takes priority for the psychiatric inpatient staff when
addressing behavioral crises?
Ans: 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?
Ans: 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.
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Ans: 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?
Ans: 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?
Ans: 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?
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