Exam 1: Me, Meds, Milieu

Which guideline should a nurse use when applying the components of psychotherapeutic management to the care of a patient with mental illness?

A patient tells the nurse, "This medication makes me feel weird. I don't think I should take it anymore. Do you?" Select the nurse's best response.

The primary element required to match individual patient needs with appropriate services is proper:

An adult with paranoid schizophrenia is hospitalized. This patient has frequent auditory hallucinations and walks about the unit, muttering. To use psychotherapeutic management effectively, it is most important for the nurse to:

During an interaction with a patient, a nurse encourages the patient to express feelings, identify stressors, and review coping strategies. These nursing interventions relate most to the use of:

Which observation during morning rounds should receive a nurse's priority attention?

A depressed adult is hospitalized after a suicide attempt. The patient receives an antidepressant medication, is closely supervised, attends a variety of group therapies and activities, watches television during free time, and talks to visitors in the evening. Which additional intervention is needed in the patient's care?

During the risk assessment phase of care for a psychiatric patient, the nurse will:

What data should a nurse analyze when deciding to refer a patient with a psychiatric disorder to community-based care? Select all that apply.

What explanation about the unit milieu would be most important for the nurse to give to a newly admitted patient?

Which scenarios demonstrate that a nurse is functioning within the scope of psychotherapeutic management? The nurse (select all that apply)

When the treatment team in an inpatient psychiatric unit institutes a new unit schedule that provides for all patients to be involved in activities continuously throughout both the day and early evening, which element of milieu management needs reflection and reconsideration?

A patient attends outpatient programs at a community mental health center and meets with the primary nurse regularly. Last week, the patient's haloperidol (Haldol) dose was reduced from 5 mg to 2 mg daily to decrease side effects. The nurse will need to monitor changes in:

A patient with long-standing bipolar disorder comes to the mental health center. The patient says, "I lost my job and home. Now, I eat in soup kitchens and sleep at a shelter. I am so depressed that I thought about jumping from a railroad bridge into a river." Which factor has priority for the nurse who determines the appropriate level of care?

Risk assessment for a patient shows these findings: schizophrenia but not acutely psychotic at the moment; not a danger to self or others; lives in parents' home. Which decision regarding placement on the continuum of care is appropriate?

When explaining risk assessment, the nurse would indicate that the highest priority for admission to hospital-based care is:

Select the best description of nursing practice in the psychiatric setting.

The spouse of a patient with panic attacks tells the nurse, "I am afraid my husband has a permanent disorder and will have many hospitalizations in the future. I wonder how I will be able to raise our children alone." The nurse's reply should be based on knowledge of:

An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been adapted?

A nurse considers environmental aspects of milieu management while planning care for a newly admitted patient. Which element has the highest priority?