NURS 3381 Exam 2 questions with answers |\ |\ |\ |\ |\ |\
Planning for patients with mental illness is facilitated by
|\ |\ |\ |\ |\ |\ |\ |\ |\
understanding that inpatient hospitalization is generally reserved |\ |\ |\ |\ |\ |\ |\
for patients who: - CORRECT 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: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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? - CORRECT 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: |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT 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: - CORRECT 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: - CORRECT 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: - CORRECT 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? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔No treatment plan is present in record
|\ |\ |\ |\ |\ |\
Which principle takes priority for the psychiatric inpatient staff
|\ |\ |\ |\ |\ |\ |\ |\ |\
when addressing behavioral crises? - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Availability of transportation to the clinic
|\ |\ |\ |\ |\ |\ |\
, Which assessment finding for a patient in the community
|\ |\ |\ |\ |\ |\ |\ |\ |\
requires priority intervention by the nurse? The patient: -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT 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? - CORRECT 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? - CORRECT ANSWERS ✔✔Anxiety,
|\ |\ |\ |\ |\ |\ |\
related to changes perceived as threatening to psychological
|\ |\ |\ |\ |\ |\ |\ |\
equilibrium
Which patient would a nurse refer to partial hospitalization? An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
individual who: - CORRECT ANSWERS ✔✔states, "I'm not sure I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Planning for patients with mental illness is facilitated by
|\ |\ |\ |\ |\ |\ |\ |\ |\
understanding that inpatient hospitalization is generally reserved |\ |\ |\ |\ |\ |\ |\
for patients who: - CORRECT 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: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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? - CORRECT 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: |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT 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: - CORRECT 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: - CORRECT 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: - CORRECT 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? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔No treatment plan is present in record
|\ |\ |\ |\ |\ |\
Which principle takes priority for the psychiatric inpatient staff
|\ |\ |\ |\ |\ |\ |\ |\ |\
when addressing behavioral crises? - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Availability of transportation to the clinic
|\ |\ |\ |\ |\ |\ |\
, Which assessment finding for a patient in the community
|\ |\ |\ |\ |\ |\ |\ |\ |\
requires priority intervention by the nurse? The patient: -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT 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? - CORRECT 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? - CORRECT ANSWERS ✔✔Anxiety,
|\ |\ |\ |\ |\ |\ |\
related to changes perceived as threatening to psychological
|\ |\ |\ |\ |\ |\ |\ |\
equilibrium
Which patient would a nurse refer to partial hospitalization? An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
individual who: - CORRECT ANSWERS ✔✔states, "I'm not sure I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
