CMN 350 Psychiatric-Mental Health Nursing Exam 1 Study Guide | Comprehensive Questions & Answers Review

CMNvb350vbPsychiatric-MentalvbHealthvbNursingvbExamvb#1


Whyvbwouldvbsomeonevbneedvbtovbbevbadmittedvbintovbavbpsychiatricvbhospital
?vb-vbcorrectvbanswer✔ ✔ Ifvbtheyvbare:

-Dangerousvbtovbselfvborvbothers
-Gravelyvbdisabled
-Acutelyvbpsychotic
-Suicidalvborvbhomicidal


Ifvbpatientvbisvbacutelyvbpsychoticvb-vbcorrectvbanswer✔ ✔ -
Theyvbcouldvbbevbplacedvbinvbavblongvbtermvbcarevbfacilityvb(e.g.,vbgroupvbhome
)
-theyvbcan'tvbtakevbcarevbofvbthemselves
-mostvblikelyvbhavevbschizophrenia
-mayvbbevbgoingvbhomevbwithvbfamilyvbwhovbcanvbtakevbcarevbofvbthem


Thevbnurse'svbrolevbinvbpsychopharmacologicalvbmanagementvb-
vbcorrectvbanswer✔ ✔ -
assessvbpatients'vbresponsesvbtovbmedication,vbplanvbtovbrespondvbtovbsidevbeffe
ctsvbshouldvbtheyvboccur,vbimplementvbthosevbplans,vbandvbevaluatevbforvbdesir
edvbresults.vb
-
hasvbavbpivotalvbrole,vbparticularlyvbinvbanvbinpatientvbsetting,vballowsvbinterve

,ntionvbbeforevbseriousvbdrug-
relatedvbproblemsvboccur.vbInvbaddition,vbadministersvbmedicationsvbandvbma
kesvbdecisionsvbregardingvbasvbneededvb(prn)vbmedications.vb
-needsvbavbsoundvbfoundationvbinvbitvbtovbteachvbpatientsvbaboutvbdrugs.vb
-
mustvbhavevbimmediatevbaccessvbtovbinformationvbaboutvbpsychotropicvbdrugs
.


Thevbnurse'svbrolevbinvbthevbtherapeuticvbnurse-patientvbrelationshipvb-
vbcorrectvbanswer✔ ✔ -isvbtherapeuticvbnotvbavbtherapist

-communicationvbskills
-respectvbandvbavbdesirevbtovbhelp
-understanding
vb •mentalvbmechanisms
vb •adaptationvbstyles
vb •copingvbstrategies
vb •theraputicvbinterventionvbskillls



Thevbnurse'svbrolevbinvbmilieuvbmanagementvb-vbcorrectvbanswer✔ ✔ -
canvbchangevbthevbenvironment
-
Thevbfivevbenvironmentalvbelementsvbthatvbnursesvbmustvbconsidervbinvbcreati
ngvbavbtherapeuticvbatmospherevbarevbthevbfollowing:

,1.vbSafety:vbkeepingvbthevbpatientvbfreevbfromvbdangervborvbharm
2.vbStructure:vbthevbphysicalvbenvironment,vbregulations,vbandvbschedules
3.vbNorms:vbspecificvbexpectationsvbofvbbehaviorvb(e.g.,vbacceptance,vbnonvio
lence,vbprivacy)
4.vbLimitvbsetting:vbclearvbandvbenforceablevblimitationsvbonvbbehaviors
5.vbBalance:vbnegotiatingvbthevblinevbbetweenvbdependencevbandvbindependen
ce.



Nursesvbdon't/aren'tvb-vbcorrectvbanswer✔ ✔ -therapist

-ordervbdrugs
-interpretvbtesting


Avbnursevbcanvbdisclosevbpatientvbinformationvbwhenvb-vbcorrectvbanswer✔
✔ -thevbpatientvbisvbavbharmvbtovbselfvborvbothers

-undervbavbsubpoena
-courtvborder


youvbneedvbavbcourtvbordervbtovb-vbcorrectvbanswer✔ ✔
forcevbmedicationvborvbyouvbcouldvbbevbaccusedvbofvbassaultvbandvbbattery

, assaultvb-vbcorrectvbanswer✔ ✔
makingvbavbthreatvbtovbavbclient'svbperson,vbsuchvbasvbapproachingvbthevbclien
tvbinvbavbthreateningvbmannervbwithvbavbsyringevbinvbhand,vbisvbconsideredvbassa
ult


batteryvb-vbcorrectvbanswer✔ ✔
touchingvbavbclientvbinvbavbharmfulvborvboffensivevbway.vbThisvbcouldvboccurv
bifvbthevbnursevbthreateningvbavbclientvbwithvbavbsyringevbactuallyvbgrabbedvbthev


bclientvbandvbgavevbanvbinjection.




serotoninvb-vbcorrectvbanswer✔ ✔ ↑______________vbsyndrome

↓depression



dopaminevb-vbcorrectvbanswer✔ ✔ ↑Schizophrenia

↓Parkinson's



norepinephrinevb-vbcorrectvbanswer✔ ✔ ↑hypertensivevbcrisis

↓depression



GABAvb-vbcorrectvbanswer✔ ✔ ↑seizures

↓anxiety