CMN 350 PSYCHIATRIC-MENTAL HEALTH
NURSING EXAM #1 QUESTIONS AND
CORRECT ANSWERS
\.Why would someone need to be admitted into a psychiatric hospital? -
ANSWERS✔-If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
\.If patient is acutely psychotic - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--therapist
-order drugs
-interpret testing
\.A nurse can disclose patient information when - ANSWERS✔--the patient is a
harm to self or others
-under a subpoena
-court order
\.you need a court order to - ANSWERS✔-force medication or you could be
accused of assault and battery
\.assault - ANSWERS✔-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 - ANSWERS✔-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 - ANSWERS✔-↑______________ syndrome
↓depression
\.dopamine - ANSWERS✔-↑Schizophrenia
, ↓Parkinson's
\.norepinephrine - ANSWERS✔-↑hypertensive crisis
↓depression
\.GABA - ANSWERS✔-↑seizures
↓anxiety
\.Glutamate - ANSWERS✔-↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
\.Acetylcholine - ANSWERS✔-↓Alzheimer disease
\.Priority when dealing with patients from a different culture - ANSWERS✔--
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?
NURSING EXAM #1 QUESTIONS AND
CORRECT ANSWERS
\.Why would someone need to be admitted into a psychiatric hospital? -
ANSWERS✔-If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
\.If patient is acutely psychotic - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--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 - ANSWERS✔--therapist
-order drugs
-interpret testing
\.A nurse can disclose patient information when - ANSWERS✔--the patient is a
harm to self or others
-under a subpoena
-court order
\.you need a court order to - ANSWERS✔-force medication or you could be
accused of assault and battery
\.assault - ANSWERS✔-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 - ANSWERS✔-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 - ANSWERS✔-↑______________ syndrome
↓depression
\.dopamine - ANSWERS✔-↑Schizophrenia
, ↓Parkinson's
\.norepinephrine - ANSWERS✔-↑hypertensive crisis
↓depression
\.GABA - ANSWERS✔-↑seizures
↓anxiety
\.Glutamate - ANSWERS✔-↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
\.Acetylcholine - ANSWERS✔-↓Alzheimer disease
\.Priority when dealing with patients from a different culture - ANSWERS✔--
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?
