NUR 4290 CORE EXAM 2026 TEST QUESTIONS AND
ANSWERS RATED A+
✔✔homeless population that are mentally ill? - ✔✔25% bc some of the ppl choose to be
there not bc they have to be
✔✔emergency care psych - ✔✔quick dx and stabilize
CPEP: have a psych or NP / nurse, social worker and behavioral therapist to provide
groups . is a mini unit where they stay 24-72 hrs is to see if short term people need to
be in hospital
*all about least restrictive environment !!!
comprehensive psychiatric emergency program (everyone ownership of pt)
✔✔Hospital-Based Consultant Model - ✔✔psychiatrist who is on call or NP in psychiatry
who is on call , come based on a person calling about evaluating a pt
✔✔mobile crisis team - ✔✔psychiatrist, social worker , EMT will be called to someones
home to assess and make determination about pt needs to be brought w police to
hospital ER. or let family know there is no emergency here this pt will stay here with
you.
substance misuse person - can choose to or not go
psych crisis = WILL always take the pt
✔✔Which most accurately describes a patient-centered medical home?
A. All levels of mental and physical care are addressed by a team that coordinates with
the broader health system.
B .Emergency services, community and/or home-based services, and outpatient
services across the life span are provided.
C. The patient received psychiatric services in the home.
D. A multidisciplinary team works intensively with patients in their homes, or in
agencies, hospitals, or clinics—whatever settings patients find themselves in. - ✔✔A. All
levels of mental and physical care are addressed by a team that coordinates with the
broader health system.
✔✔Role of the Nurse in Outpatient Settings - ✔✔Strong problem-solving and clinical
skills-Biopsychosocial Assessment and Tx. Plan
Cultural competence
Flexibility
Knowledge of community resources-Case Management
Autonomy
Promoting recovery and continuation of treatment-RECOVERY Model
Autonomous in outpatient setting
,Assessment-assess if can live in community (housing, income, support, substance,
physical, psychiatric, safety)
Treatment plan-patient-centered, with patient not to patient
Case management- coordinate complex systems, higher risk physical illness and
substance use disorders
Recovery-all about self-involvement in Care. Incorporates pt's. preferences, needs, &
values
✔✔settings for inpatient care - ✔✔Crisis Stabilization/Observational Units
General Hospital and Private Hospital
State Hospital
●State hospital= pilgrim
●Private hospital = south oaks
●Transferring care to outpatient : declining number of beds
✔✔crisis stabilization units - ✔✔provide immediate mental health support and treatment
services in a therapeutic setting to individuals in acute behavioral health distress who
require urgent care beyond what an outpatient clinical service can provide.
✔✔inpatient psych care considerations - ✔✔Admit due to safety and basic need
provisions
Admission Legal Status
Patient Rights- bill of rights on walls ! can vote
Teamwork and Collaboration- interprofessional teams used to be called interdisciplinary
teams (psychiatrist, np , nurse social worker , psychologist etc, resp , pharmacist) meet
once a week
Therapeutic Milieu - consists of many components to keep unit safe have to be norms ,
rules, when limits are set and people have to follow, everyone gets report on psych unit
(who are most difficult/ medically compromised) since 2nd gen antipsychotics meds
there is a lot more diabetes and med comorbidities )
✔✔creating a safe environment for inpatient psych care ? - ✔✔Units are designed for
safety , everything is nonligature (meaning you cant tie anything on it )
✔✔what is anger? - ✔✔an emotion
✔✔what is agression? - ✔✔a behavior
a period where you can verbally de escalate
want to call code grey before pt gets violent , if it can be mitigated can prevent calling
code grey
✔✔what is violence? - ✔✔not explainable by what you can see, start trying to harm
, ✔✔After a suicide attempt, Edgar tells the nurse, "I need my belt to keep my pants up.
They keep falling down." Which response should the nurse provide?
A."Your belt is locked in the business office for safekeeping, along with all your other
valuables."
B."For safety reasons, hospitalized clients are not allowed to keep certain personal
possessions."
C."I cannot provide your belt, but I will help you get some pants with an elastic
waistband."
D."I will ask the psychiatric technician to get your belt for you." - ✔✔C."I cannot provide
your belt, but I will help you get some pants with an elastic waistband."
Clients' rights allow them to keep personal possessions except those that might prove
dangerous. A belt is potentially dangerous; so, the client should be prohibited from
having it. It is important however for the nurse to respond to the client's need. Elastic
banded pants are safe and the client would not need a belt.
✔✔nursing care on inpatient psychiatric unit - ✔✔Assessment and Treatment Plan
Therapeutic Groups
Medication Management
Emergencies-psychiatric and medical
✔✔Specialty Treatment Settings - ✔✔Pediatric psychiatric care
Geriatric psychiatric care
Veterans administration centers- Northport and St. Charles
Forensic psychiatric care- forensic history in almost all psych units
Alcohol and drug abuse treatment
Self-help options
✔✔ethics: - ✔✔The study of philosophical beliefs about what is considered right or
wrong in a society
✔✔bioethics - ✔✔Used in relation to ethical dilemmas surrounding health care
✔✔ethical dilemma - ✔✔Conflict between two or more courses of action, eachwith
favorable and unfavorable consequence
✔✔Beneficence - ✔✔doing good
✔✔Justice - ✔✔fairness; rightfulness
✔✔fidelity - ✔✔faithfulness; loyalty to pt making commitment to pt
✔✔veracity - ✔✔truthfulness, honesty (wouldn't lie ab dx)
ANSWERS RATED A+
✔✔homeless population that are mentally ill? - ✔✔25% bc some of the ppl choose to be
there not bc they have to be
✔✔emergency care psych - ✔✔quick dx and stabilize
CPEP: have a psych or NP / nurse, social worker and behavioral therapist to provide
groups . is a mini unit where they stay 24-72 hrs is to see if short term people need to
be in hospital
*all about least restrictive environment !!!
comprehensive psychiatric emergency program (everyone ownership of pt)
✔✔Hospital-Based Consultant Model - ✔✔psychiatrist who is on call or NP in psychiatry
who is on call , come based on a person calling about evaluating a pt
✔✔mobile crisis team - ✔✔psychiatrist, social worker , EMT will be called to someones
home to assess and make determination about pt needs to be brought w police to
hospital ER. or let family know there is no emergency here this pt will stay here with
you.
substance misuse person - can choose to or not go
psych crisis = WILL always take the pt
✔✔Which most accurately describes a patient-centered medical home?
A. All levels of mental and physical care are addressed by a team that coordinates with
the broader health system.
B .Emergency services, community and/or home-based services, and outpatient
services across the life span are provided.
C. The patient received psychiatric services in the home.
D. A multidisciplinary team works intensively with patients in their homes, or in
agencies, hospitals, or clinics—whatever settings patients find themselves in. - ✔✔A. All
levels of mental and physical care are addressed by a team that coordinates with the
broader health system.
✔✔Role of the Nurse in Outpatient Settings - ✔✔Strong problem-solving and clinical
skills-Biopsychosocial Assessment and Tx. Plan
Cultural competence
Flexibility
Knowledge of community resources-Case Management
Autonomy
Promoting recovery and continuation of treatment-RECOVERY Model
Autonomous in outpatient setting
,Assessment-assess if can live in community (housing, income, support, substance,
physical, psychiatric, safety)
Treatment plan-patient-centered, with patient not to patient
Case management- coordinate complex systems, higher risk physical illness and
substance use disorders
Recovery-all about self-involvement in Care. Incorporates pt's. preferences, needs, &
values
✔✔settings for inpatient care - ✔✔Crisis Stabilization/Observational Units
General Hospital and Private Hospital
State Hospital
●State hospital= pilgrim
●Private hospital = south oaks
●Transferring care to outpatient : declining number of beds
✔✔crisis stabilization units - ✔✔provide immediate mental health support and treatment
services in a therapeutic setting to individuals in acute behavioral health distress who
require urgent care beyond what an outpatient clinical service can provide.
✔✔inpatient psych care considerations - ✔✔Admit due to safety and basic need
provisions
Admission Legal Status
Patient Rights- bill of rights on walls ! can vote
Teamwork and Collaboration- interprofessional teams used to be called interdisciplinary
teams (psychiatrist, np , nurse social worker , psychologist etc, resp , pharmacist) meet
once a week
Therapeutic Milieu - consists of many components to keep unit safe have to be norms ,
rules, when limits are set and people have to follow, everyone gets report on psych unit
(who are most difficult/ medically compromised) since 2nd gen antipsychotics meds
there is a lot more diabetes and med comorbidities )
✔✔creating a safe environment for inpatient psych care ? - ✔✔Units are designed for
safety , everything is nonligature (meaning you cant tie anything on it )
✔✔what is anger? - ✔✔an emotion
✔✔what is agression? - ✔✔a behavior
a period where you can verbally de escalate
want to call code grey before pt gets violent , if it can be mitigated can prevent calling
code grey
✔✔what is violence? - ✔✔not explainable by what you can see, start trying to harm
, ✔✔After a suicide attempt, Edgar tells the nurse, "I need my belt to keep my pants up.
They keep falling down." Which response should the nurse provide?
A."Your belt is locked in the business office for safekeeping, along with all your other
valuables."
B."For safety reasons, hospitalized clients are not allowed to keep certain personal
possessions."
C."I cannot provide your belt, but I will help you get some pants with an elastic
waistband."
D."I will ask the psychiatric technician to get your belt for you." - ✔✔C."I cannot provide
your belt, but I will help you get some pants with an elastic waistband."
Clients' rights allow them to keep personal possessions except those that might prove
dangerous. A belt is potentially dangerous; so, the client should be prohibited from
having it. It is important however for the nurse to respond to the client's need. Elastic
banded pants are safe and the client would not need a belt.
✔✔nursing care on inpatient psychiatric unit - ✔✔Assessment and Treatment Plan
Therapeutic Groups
Medication Management
Emergencies-psychiatric and medical
✔✔Specialty Treatment Settings - ✔✔Pediatric psychiatric care
Geriatric psychiatric care
Veterans administration centers- Northport and St. Charles
Forensic psychiatric care- forensic history in almost all psych units
Alcohol and drug abuse treatment
Self-help options
✔✔ethics: - ✔✔The study of philosophical beliefs about what is considered right or
wrong in a society
✔✔bioethics - ✔✔Used in relation to ethical dilemmas surrounding health care
✔✔ethical dilemma - ✔✔Conflict between two or more courses of action, eachwith
favorable and unfavorable consequence
✔✔Beneficence - ✔✔doing good
✔✔Justice - ✔✔fairness; rightfulness
✔✔fidelity - ✔✔faithfulness; loyalty to pt making commitment to pt
✔✔veracity - ✔✔truthfulness, honesty (wouldn't lie ab dx)
