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