CMN 350 Psychiatric-Mental Health Nursing Exam
1 – Questions & Answers 2026/2027
Why would someone need to be admitted into a psychiatric hospital? - correct
answer-If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
If patient is acutely psychotic - correct answer--They could be placed in a long
term care facility (e.g., group home)
-they can't take care of themselves
-most likely have schizophrenia
-may be going home with family who can take care of them
The nurse's role in psychopharmacological management - correct answer--assess
patients' responses to medication, plan to respond to side effects should they
occur, implement those plans, and evaluate for desired results.
,-has a pivotal role, particularly in an inpatient setting, allows intervention before
serious drug-related problems occur. In addition, administers medications and
makes decisions regarding as needed (prn) medications.
-needs a sound foundation in it to teach patients about drugs.
-must have immediate access to information about psychotropic drugs.
The nurse's role in the therapeutic nurse-patient relationship - correct answer--is
therapeutic not a therapist
-communication skills
-respect and a desire to help
-understanding
•mental mechanisms
•adaptation styles
•coping strategies
•theraputic intervention skillls
The nurse's role in milieu management - correct answer--can change the
environment
-The five environmental elements that nurses must consider in creating a
therapeutic atmosphere are the following:
1. Safety: keeping the patient free from danger or harm
2. Structure: the physical environment, regulations, and schedules
3. Norms: specific expectations of behavior (e.g., acceptance, nonviolence,
privacy)
4. Limit setting: clear and enforceable limitations on behaviors
,5. Balance: negotiating the line between dependence and independence.
Nurses don't/aren't - correct answer--therapist
-order drugs
-interpret testing
A nurse can disclose patient information when - correct answer--the patient is a
harm to self or others
-under a subpoena
-court order
you need a court order to - correct answer-force medication or you could be
accused of assault and battery
assault - correct answer-making a threat to a client's person, such as approaching
the client in a threatening manner with a syringe in hand, is considered assault
battery - correct answer-touching a client in a harmful or offensive way. This
could occur if the nurse threatening a client with a syringe actually grabbed the
client and gave an injection.
serotonin - correct answer-↑______________ syndrome
↓depression
dopamine - correct answer-↑Schizophrenia
↓Parkinson's
, norepinephrine - correct answer-↑hypertensive crisis
↓depression
GABA - correct answer-↑seizures
↓anxiety
Glutamate - correct answer-↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
Acetylcholine - correct answer-↓Alzheimer disease
Priority when dealing with patients from a different culture - correct answer--
Communication
1. Do you speak any foreign languages?
2. Is English your first language?
3. Does the patient speak English fluently?
4. Does the patient prefer an interpreter?
5. Does the patient believe that appropriate touching is acceptable?
6. Does the patient use ethnic behaviors?
5 areas of the milieu (environment) - correct answer-1. Safety: keeping the
patient free from danger or harm
2. Structure: the physical environment, regulations, and schedules
1 – Questions & Answers 2026/2027
Why would someone need to be admitted into a psychiatric hospital? - correct
answer-If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
If patient is acutely psychotic - correct answer--They could be placed in a long
term care facility (e.g., group home)
-they can't take care of themselves
-most likely have schizophrenia
-may be going home with family who can take care of them
The nurse's role in psychopharmacological management - correct answer--assess
patients' responses to medication, plan to respond to side effects should they
occur, implement those plans, and evaluate for desired results.
,-has a pivotal role, particularly in an inpatient setting, allows intervention before
serious drug-related problems occur. In addition, administers medications and
makes decisions regarding as needed (prn) medications.
-needs a sound foundation in it to teach patients about drugs.
-must have immediate access to information about psychotropic drugs.
The nurse's role in the therapeutic nurse-patient relationship - correct answer--is
therapeutic not a therapist
-communication skills
-respect and a desire to help
-understanding
•mental mechanisms
•adaptation styles
•coping strategies
•theraputic intervention skillls
The nurse's role in milieu management - correct answer--can change the
environment
-The five environmental elements that nurses must consider in creating a
therapeutic atmosphere are the following:
1. Safety: keeping the patient free from danger or harm
2. Structure: the physical environment, regulations, and schedules
3. Norms: specific expectations of behavior (e.g., acceptance, nonviolence,
privacy)
4. Limit setting: clear and enforceable limitations on behaviors
,5. Balance: negotiating the line between dependence and independence.
Nurses don't/aren't - correct answer--therapist
-order drugs
-interpret testing
A nurse can disclose patient information when - correct answer--the patient is a
harm to self or others
-under a subpoena
-court order
you need a court order to - correct answer-force medication or you could be
accused of assault and battery
assault - correct answer-making a threat to a client's person, such as approaching
the client in a threatening manner with a syringe in hand, is considered assault
battery - correct answer-touching a client in a harmful or offensive way. This
could occur if the nurse threatening a client with a syringe actually grabbed the
client and gave an injection.
serotonin - correct answer-↑______________ syndrome
↓depression
dopamine - correct answer-↑Schizophrenia
↓Parkinson's
, norepinephrine - correct answer-↑hypertensive crisis
↓depression
GABA - correct answer-↑seizures
↓anxiety
Glutamate - correct answer-↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
Acetylcholine - correct answer-↓Alzheimer disease
Priority when dealing with patients from a different culture - correct answer--
Communication
1. Do you speak any foreign languages?
2. Is English your first language?
3. Does the patient speak English fluently?
4. Does the patient prefer an interpreter?
5. Does the patient believe that appropriate touching is acceptable?
6. Does the patient use ethnic behaviors?
5 areas of the milieu (environment) - correct answer-1. Safety: keeping the
patient free from danger or harm
2. Structure: the physical environment, regulations, and schedules
