Varcarolis Mental Health
Nursing Chapter 4 – Study
Guide & Test Questions
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Page 1 of 22 Varcarolis Mental Health Nursing Chapter 4 – Study Guide & Test Questions (1).pdf
,Varcarolis Mental Health Chapter 4 Page 2 2026-03-20
Which of the following structural safety precautions is most important when attempting to prevent a common type of
inpatient suicide?
A) Break-away closet bars to prevent hanging
B) Bedroom and dining areas with locked windows to prevent jumping
C) Double-locked doors to prevent escaping from the unit
D) Platform beds to prevent crush injuries
A
Hangings are the most common method of inpatient suicide. The other options are important safety measures but
don't directly address the suicide method of hanging.
Page 2 of 22 2 of 22 Varcarolis Mental Health Chapter 4.pdf
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Which of the following patients would be appropriate to refer to a partial hospitalization program (PHP)?
A) A depressed patient with a suicidal plan
B) A patient being discharged from an inpatient alcohol rehabilitation unit
C) A client who has stopped taking his or her antipsychotic medication and is neglecting his or her basic needs
D) Jeff, who has mild depression symptoms and is starting outpatient therapy
B
PHP is for patients who may need a "step-down" environment from inpatient status or for those who are being
diverted from hospitalization with intensive, short-term care from which they return home each day. This patient would
be a good candidate after completing alcohol rehab; PHP could possibly help prevent relapse in the early stages
after rehab. This patient can be managed with regular outpatient therapy and does not need intensive short-term
therapy such as PHP. Someone who is suicidal would require inpatient hospitalization for safety as would someone
who is decompensated and not caring for herself. A patient exhibiting mild depression would be managed with
outpatient therapy and would not need intensive short-term therapy such as PHP.
Page 3 of 22 3 of 22 Varcarolis Mental Health Chapter 4.pdf