Page 1 of 121
“CHAMBERLAIN UNIVERSITY PSYCHIATRIC-
MENTAL-HEALTH-NURSING EXAM ONE
ASSURED ”LATEST EXAM SOLVED QUESTIONS
& ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED GUARANTEE
PASS
Psychiatric-Mental-Health-Nursing Exam One
A patient was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the
patient received a notice of eviction immediately prior to admission. Select the
case manager's most appropriate action.
a. Postpone the patient's discharge from the hospital.
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because
the patient had nowhere to live.
ANS: C
The case manager should intervene by arranging temporary shelter for the patient
until an apartment can be found. This activity is part of the coordination and delivery
of services that falls under the case manager role. None of the other options is a
viable alternative.
, Page 2 of 121
Select the example of tertiary prevention.
a. Helping a person diagnosed with a serious mental illness learn to manage
money
b. Restraining an agitated patient who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child
ANS: A
Tertiary prevention involves services that address residual impairments, with a goal
of improved independent functioning. Restraint is a secondary prevention. Genetic
counseling and teaching school-age children about substance abuse and
dependence are examples of primary prevention.
A patient diagnosed with schizophrenia had an exacerbation related to
medication noncompliance and was hospitalized for 5 days. The patient's
thoughts are now more organized, and discharge is planned. The patient's
family says, "It's too soon for discharge. We will just go through all this again."
The nurse should:
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off
the unit.
c. explain that the patient will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge rationale.
ANS: C
Patients do not stay in a hospital until every symptom disappears. The nurse must
assume responsibility to advocate for the patient's right to the least restrictive setting
as soon as the symptoms are under control and for the right of citizens to control
health care costs. The health care provider will use the same rationale. Shifting
blame will not change the discharge. Security is unnecessary. The nurse can handle
this matter.
A nurse inspects an inpatient psychiatric unit and finds that exits are free of
obstructions, no one is smoking, and the janitor's closet is locked. These
observations relate to:
a. coordinating care of patients.
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b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies.
ANS: B
Nursing staff are responsible for all aspects of milieu management. The observations
mentioned in this question directly relate to the safety of the unit. The other options,
although part of the nurse's concerns, are unrelated to the observations cited.
The patients below were evaluated in the emergency department. The
psychiatric unit has one bed available. Which patient should be admitted? The
patient:
a. feeling anxiety and a sad mood after separation from a spouse of 10 years.
b. who self-inflicted a superficial cut on the forearm after a family argument.
c. experiencing dry mouth and tremor related to taking haloperidol (Haldol).
d. who is a new parent and hears voices saying, "Smother your baby."
ANS: D
Admission to the hospital would be justified by the risk of patient danger to self or
others. The other patients have issues that can be handled with less restrictive
alternatives than hospitalization.
A suspicious, socially isolated patient lives alone, eats one meal a day at a
local shelter, and spends the remaining daily food allowance on cigarettes.
Select a community psychiatric nurse's best initial action.
a. Explore ways to help the patient stop smoking.
b. Report the situation to the manager of the shelter.
c. Assess the patient's weight; determine foods and amounts eaten.
d. Arrange hospitalization for the patient in order to formulate a new treatment
plan.
ANS: C
Assessment of biopsychosocial needs and general ability to live in the community is
called for before any other action is taken. Both nutritional status and income
adequacy are critical assessment parameters. A patient may be able to maintain
adequate nutrition while eating only one meal a day. The rule is to assess before
taking action. Hospitalization may not be necessary. Smoking cessation strategies
can be pursued later.
, Page 4 of 121
A nurse surveys medical records. Which finding signals a violation of patients'
rights?
a. A patient was not allowed to have visitors.
b. A patient's belongings were searched at admission.
c. A patient with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a patient was assaultive toward a staff
member.
ANS: A
The patient has the right to have visitors. Inspecting patients' belongings is a safety
measure. Patients have the right to a safe environment, including the right to be
protected against impulses to harm self.
Which principle has the highest priority when addressing a behavioral crisis in
an inpatient setting?
a. Resolve the crisis with the least restrictive intervention possible.
b. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
c. Rights of an individual patient are superseded by the rights of the majority
of patients.
d. Patients should have opportunities to regain control without intervention if
the safety of others is not compromised.
ANS: A
The rule of using the least restrictive treatment or intervention possible to achieve
the desired outcome is the patient's legal right. Planned interventions are nearly
always preferable. Intervention may be necessary when the patient threatens harm
to self.
Clinical pathways are used in managed care settings to:
a. stabilize aggressive patients.
b. identify obstacles to effective care.
c. relieve nurses of planning responsibilities.
d. streamline the care process and reduce costs.
ANS: D
Clinical pathways provide guidelines for assessments, interventions, treatments, and
outcomes as well as a designated timeline for accomplishment. Deviations from the
timeline must be reported and investigated. Clinical pathways streamline the care
process and save money. Care pathways do not identify obstacles or stabilize
“CHAMBERLAIN UNIVERSITY PSYCHIATRIC-
MENTAL-HEALTH-NURSING EXAM ONE
ASSURED ”LATEST EXAM SOLVED QUESTIONS
& ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED GUARANTEE
PASS
Psychiatric-Mental-Health-Nursing Exam One
A patient was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the
patient received a notice of eviction immediately prior to admission. Select the
case manager's most appropriate action.
a. Postpone the patient's discharge from the hospital.
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because
the patient had nowhere to live.
ANS: C
The case manager should intervene by arranging temporary shelter for the patient
until an apartment can be found. This activity is part of the coordination and delivery
of services that falls under the case manager role. None of the other options is a
viable alternative.
, Page 2 of 121
Select the example of tertiary prevention.
a. Helping a person diagnosed with a serious mental illness learn to manage
money
b. Restraining an agitated patient who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child
ANS: A
Tertiary prevention involves services that address residual impairments, with a goal
of improved independent functioning. Restraint is a secondary prevention. Genetic
counseling and teaching school-age children about substance abuse and
dependence are examples of primary prevention.
A patient diagnosed with schizophrenia had an exacerbation related to
medication noncompliance and was hospitalized for 5 days. The patient's
thoughts are now more organized, and discharge is planned. The patient's
family says, "It's too soon for discharge. We will just go through all this again."
The nurse should:
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off
the unit.
c. explain that the patient will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge rationale.
ANS: C
Patients do not stay in a hospital until every symptom disappears. The nurse must
assume responsibility to advocate for the patient's right to the least restrictive setting
as soon as the symptoms are under control and for the right of citizens to control
health care costs. The health care provider will use the same rationale. Shifting
blame will not change the discharge. Security is unnecessary. The nurse can handle
this matter.
A nurse inspects an inpatient psychiatric unit and finds that exits are free of
obstructions, no one is smoking, and the janitor's closet is locked. These
observations relate to:
a. coordinating care of patients.
, Page 3 of 121
b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies.
ANS: B
Nursing staff are responsible for all aspects of milieu management. The observations
mentioned in this question directly relate to the safety of the unit. The other options,
although part of the nurse's concerns, are unrelated to the observations cited.
The patients below were evaluated in the emergency department. The
psychiatric unit has one bed available. Which patient should be admitted? The
patient:
a. feeling anxiety and a sad mood after separation from a spouse of 10 years.
b. who self-inflicted a superficial cut on the forearm after a family argument.
c. experiencing dry mouth and tremor related to taking haloperidol (Haldol).
d. who is a new parent and hears voices saying, "Smother your baby."
ANS: D
Admission to the hospital would be justified by the risk of patient danger to self or
others. The other patients have issues that can be handled with less restrictive
alternatives than hospitalization.
A suspicious, socially isolated patient lives alone, eats one meal a day at a
local shelter, and spends the remaining daily food allowance on cigarettes.
Select a community psychiatric nurse's best initial action.
a. Explore ways to help the patient stop smoking.
b. Report the situation to the manager of the shelter.
c. Assess the patient's weight; determine foods and amounts eaten.
d. Arrange hospitalization for the patient in order to formulate a new treatment
plan.
ANS: C
Assessment of biopsychosocial needs and general ability to live in the community is
called for before any other action is taken. Both nutritional status and income
adequacy are critical assessment parameters. A patient may be able to maintain
adequate nutrition while eating only one meal a day. The rule is to assess before
taking action. Hospitalization may not be necessary. Smoking cessation strategies
can be pursued later.
, Page 4 of 121
A nurse surveys medical records. Which finding signals a violation of patients'
rights?
a. A patient was not allowed to have visitors.
b. A patient's belongings were searched at admission.
c. A patient with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a patient was assaultive toward a staff
member.
ANS: A
The patient has the right to have visitors. Inspecting patients' belongings is a safety
measure. Patients have the right to a safe environment, including the right to be
protected against impulses to harm self.
Which principle has the highest priority when addressing a behavioral crisis in
an inpatient setting?
a. Resolve the crisis with the least restrictive intervention possible.
b. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
c. Rights of an individual patient are superseded by the rights of the majority
of patients.
d. Patients should have opportunities to regain control without intervention if
the safety of others is not compromised.
ANS: A
The rule of using the least restrictive treatment or intervention possible to achieve
the desired outcome is the patient's legal right. Planned interventions are nearly
always preferable. Intervention may be necessary when the patient threatens harm
to self.
Clinical pathways are used in managed care settings to:
a. stabilize aggressive patients.
b. identify obstacles to effective care.
c. relieve nurses of planning responsibilities.
d. streamline the care process and reduce costs.
ANS: D
Clinical pathways provide guidelines for assessments, interventions, treatments, and
outcomes as well as a designated timeline for accomplishment. Deviations from the
timeline must be reported and investigated. Clinical pathways streamline the care
process and save money. Care pathways do not identify obstacles or stabilize
