Mental Health Final Exam
A nurse performed these actions while caring for patients in an inpatient
psychiatric setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D.Permitted a patient with psychosis to refuse oral psychotropic
medication. correct answersA. Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's
rights with a newly admitted patient. Which rights should be included?
(Select all that apply)
The right to:
E. Have visitors
F. confidentiality
G. A private Room
H. complain about inadequate care
I. select the nurse assigned to their care correct answersA. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a
patient with schizophrenia. As the nurse swabs the site, the patient
shouts, "Stop! I don't want to take that medicine anymore. I hate the side
effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with injection, using
restrains if necessary.
B. Stop the medication administration procedure and say to the patient,
"Tell me more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here are
medications that will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the
syringe, I'm required to give it, but let's talk to the doctor about delaying
next month's dose." correct answersB. Stop the medication administration
procedure and say to the patient, "Tell me more about the side effects
you've been having."
,An Adolescent hospitalized after a violent physical outburst tells the nurse,
"i'm going to kill my father, but you can't tell anyone." Select the nurse's
best response
A. "you are right. Federal law requires me to keep clinical information
private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D."You should share this thought with your psychiatrist." correct
answersB. "I Am obligated to share that information with the treatment
team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for
discharge. I want to leave now." Select the nurse's best response.
E. "I Will get the form for you right now and bring them to your room."
F. "Since you signed your consent for treatment, you may leave if you
desire."
G. "I will get them for you, but let's talk about your decision to leave
treatment."
H."I cannot give you those forms without your healthcare provider's
permission." correct answersC. "I will get them for you, but lets talk about
your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric
hospitalization the most? An individual:
I. Who has a panic attack after her child gets lost in a shopping mall.
J. With visions of demons emerging from cemetery plots throughout the
community
K.Who takes 38 acetaminophen tablets after the person's stock
portfolio becomes worthless.
L.Diagnosed with major depression who stops taking prescribed
antidepressant medication correct answersC. Who take 38 acetaminophen
tablets after the person's stock portfolio becomes worthless
During which phase of the nurse-patient relationship can the nurse
anticipate that identified patient issues will be explored and resolved?
M.Preorientation
N. Orientation
O. Working
P. Termination correct answersC. Working
, A staff nurse completes orientation to a psychiatric unit. The nurse
may expert an advanced practice nurse to perform which additional
intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
D.Individualize nursing care plans. correct answersB. Prescribed
psychotropic medication
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
E. Sees self as capable of achieving ideals and meeting demands
F. Behaves without considering the consequences of personal action
G. Aggressively meets own needs without considering the rights of others.
H.Seeks help from others when assuming responsibility for major
areas of own life. correct answersA. Sees self as capable of achieving
ideals and meeting demands
A nurse uses Maslow's Hierarchy of needs to plan care for a patient with
mental illness. Which problem will receive priority?
I. Refuses to eat or bathe
J. Reports feelings of alienation from family
K. Is reluctant to participate in unti social activities.
L.Is unaware of medication action and side effects correct answersA.
Refuses to eat or bathe
Inpatient hospitalization for persons with mental illness is generally reserved
for patients who:
M.Present a clear danger to self or others
N. are noncompliant with medication at home
O. Have limited support system in the community.
P.Develop new symptoms during the course of an illness correct
answersA. Present a clear danger to self or others
A nurse inspects an inpatient psychiatric unit and finds that exits are free
of obstructions, no one is smoking, and the janitor's close is locked. These
observations relate to:
A nurse performed these actions while caring for patients in an inpatient
psychiatric setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D.Permitted a patient with psychosis to refuse oral psychotropic
medication. correct answersA. Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's
rights with a newly admitted patient. Which rights should be included?
(Select all that apply)
The right to:
E. Have visitors
F. confidentiality
G. A private Room
H. complain about inadequate care
I. select the nurse assigned to their care correct answersA. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a
patient with schizophrenia. As the nurse swabs the site, the patient
shouts, "Stop! I don't want to take that medicine anymore. I hate the side
effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with injection, using
restrains if necessary.
B. Stop the medication administration procedure and say to the patient,
"Tell me more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here are
medications that will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the
syringe, I'm required to give it, but let's talk to the doctor about delaying
next month's dose." correct answersB. Stop the medication administration
procedure and say to the patient, "Tell me more about the side effects
you've been having."
,An Adolescent hospitalized after a violent physical outburst tells the nurse,
"i'm going to kill my father, but you can't tell anyone." Select the nurse's
best response
A. "you are right. Federal law requires me to keep clinical information
private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D."You should share this thought with your psychiatrist." correct
answersB. "I Am obligated to share that information with the treatment
team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for
discharge. I want to leave now." Select the nurse's best response.
E. "I Will get the form for you right now and bring them to your room."
F. "Since you signed your consent for treatment, you may leave if you
desire."
G. "I will get them for you, but let's talk about your decision to leave
treatment."
H."I cannot give you those forms without your healthcare provider's
permission." correct answersC. "I will get them for you, but lets talk about
your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric
hospitalization the most? An individual:
I. Who has a panic attack after her child gets lost in a shopping mall.
J. With visions of demons emerging from cemetery plots throughout the
community
K.Who takes 38 acetaminophen tablets after the person's stock
portfolio becomes worthless.
L.Diagnosed with major depression who stops taking prescribed
antidepressant medication correct answersC. Who take 38 acetaminophen
tablets after the person's stock portfolio becomes worthless
During which phase of the nurse-patient relationship can the nurse
anticipate that identified patient issues will be explored and resolved?
M.Preorientation
N. Orientation
O. Working
P. Termination correct answersC. Working
, A staff nurse completes orientation to a psychiatric unit. The nurse
may expert an advanced practice nurse to perform which additional
intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
D.Individualize nursing care plans. correct answersB. Prescribed
psychotropic medication
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
E. Sees self as capable of achieving ideals and meeting demands
F. Behaves without considering the consequences of personal action
G. Aggressively meets own needs without considering the rights of others.
H.Seeks help from others when assuming responsibility for major
areas of own life. correct answersA. Sees self as capable of achieving
ideals and meeting demands
A nurse uses Maslow's Hierarchy of needs to plan care for a patient with
mental illness. Which problem will receive priority?
I. Refuses to eat or bathe
J. Reports feelings of alienation from family
K. Is reluctant to participate in unti social activities.
L.Is unaware of medication action and side effects correct answersA.
Refuses to eat or bathe
Inpatient hospitalization for persons with mental illness is generally reserved
for patients who:
M.Present a clear danger to self or others
N. are noncompliant with medication at home
O. Have limited support system in the community.
P.Develop new symptoms during the course of an illness correct
answersA. Present a clear danger to self or others
A nurse inspects an inpatient psychiatric unit and finds that exits are free
of obstructions, no one is smoking, and the janitor's close is locked. These
observations relate to:
