CMN 350 Psychiatric-Mental Health
Nursing Exam #1Test Questions With
100% Correct Answers 2025\2026
Edition.
Why would someone need to be admitted into a psychiatric hospital? - Answer If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
If patient is acutely psychotic - Answer -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 - Answer -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 - Answer -is therapeutic not a
therapist
-communication skills
-respect and a desire to help
-understanding
•mental mechanisms
•adaptation styles
,The nurse's role in milieu management - Answer -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 - Answer -therapist
-order drugs
-interpret testing
A nurse can disclose patient information when - Answer -the patient is a harm to self or others
-under a subpoena
-court order
you need a court order to - Answer force medication or you could be accused of assault and
battery
assault - Answer 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 - Answer 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 - Answer ↑______________ syndrome
↓depression
dopamine - Answer ↑Schizophrenia
↓Parkinson's
, GABA - Answer ↑seizures
↓anxiety
Glutamate - Answer ↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
Acetylcholine - Answer ↓Alzheimer disease
Priority when dealing with patients from a different culture - Answer -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?
5 areas of the milieu (environment) - Answer 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.
What the nurse must know/ do about restraints and seclusion? - Answer Nurses who are
aware of the potential negative physical, psychological, and legal consequences associated with
restraint and seclusion are more apt to look for alternative strategies. The most valuable
interventions are aimed at preventing a patient's escalation in behavior and loss of control.
Attention to the nurse-patient relationship, therapeutic milieu, and principles of pharmacologic
management can reduce the need for restrictive measures. Guidelines issued by the CMS for
use of restraint and seclusion are substantially different in medically necessary and behavioral
control situations. Although laws differ from state to state, general guidelines for use in
psychiatry include multiple elements important for the nurse to document.
Nursing Exam #1Test Questions With
100% Correct Answers 2025\2026
Edition.
Why would someone need to be admitted into a psychiatric hospital? - Answer If they are:
-Dangerous to self or others
-Gravely disabled
-Acutely psychotic
-Suicidal or homicidal
If patient is acutely psychotic - Answer -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 - Answer -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 - Answer -is therapeutic not a
therapist
-communication skills
-respect and a desire to help
-understanding
•mental mechanisms
•adaptation styles
,The nurse's role in milieu management - Answer -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 - Answer -therapist
-order drugs
-interpret testing
A nurse can disclose patient information when - Answer -the patient is a harm to self or others
-under a subpoena
-court order
you need a court order to - Answer force medication or you could be accused of assault and
battery
assault - Answer 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 - Answer 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 - Answer ↑______________ syndrome
↓depression
dopamine - Answer ↑Schizophrenia
↓Parkinson's
, GABA - Answer ↑seizures
↓anxiety
Glutamate - Answer ↑ Excitotoxicity leading to neuronal death
↓Psychotic thinking
Acetylcholine - Answer ↓Alzheimer disease
Priority when dealing with patients from a different culture - Answer -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?
5 areas of the milieu (environment) - Answer 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.
What the nurse must know/ do about restraints and seclusion? - Answer Nurses who are
aware of the potential negative physical, psychological, and legal consequences associated with
restraint and seclusion are more apt to look for alternative strategies. The most valuable
interventions are aimed at preventing a patient's escalation in behavior and loss of control.
Attention to the nurse-patient relationship, therapeutic milieu, and principles of pharmacologic
management can reduce the need for restrictive measures. Guidelines issued by the CMS for
use of restraint and seclusion are substantially different in medically necessary and behavioral
control situations. Although laws differ from state to state, general guidelines for use in
psychiatry include multiple elements important for the nurse to document.
