Question 1

Which treatment setting would necessitate the most restrictive environment?

Accepted Answer

A)  Partial hospitalization 
B)  Geropsychiatric unit 
C)  Forensic hospital 
D)  Group home 
A)  Partial hospitalization 
B)  Geropsychiatric unit 
C)  Forensic hospital 
D)  Group home C

Question 2

Which patient would benefit most from closed, process-oriented group therapy?

Accepted Answer

A)  Adult with disorganized schizophrenia admitted to an acute psychiatric unit 
B)  Outpatient living independently with chronic low self-esteem and anxiety 
C)  Patient receiving treatment in an assertive community treatment program 
D)  Resident of a group home attending a partial hospitalization program 
A)  Adult with disorganized schizophrenia admitted to an acute psychiatric unit 
B)  Outpatient living independently with chronic low self-esteem and anxiety 
C)  Patient receiving treatment in an assertive community treatment program 
D)  Resident of a group home attending a partial hospitalization program B

Question 3

A patient asks, "Who will be at the community meeting?" The nurse responds:

Accepted Answer

A)  "Patient representatives and staff" 
B)  "Members of the mental health team" 
C)  "All patients and the nurse manager" 
D)  "All patients, nursing staff, and students" 
A)  "Patient representatives and staff" 
B)  "Members of the mental health team" 
C)  "All patients and the nurse manager" 
D)  "All patients, nursing staff, and students" D

Question 4

What is the best way to support the need for physical activity when the patient moves from acute care into community-based care?

Accepted Answer

A)  Use video-based exercise programs on television. 
B)  Enroll in a swim class at the community center. 
C)  Attend outpatient psychoeducational groups. 
D)  Join a social club. 
A)  Use video-based exercise programs on television. 
B)  Enroll in a swim class at the community center. 
C)  Attend outpatient psychoeducational groups. 
D)  Join a social club.

Question 5

During the community meeting a patient says, "I'm having problems in my sex life." The leader of the meeting will make which response?

Accepted Answer

A)  "Go on. We are here to listen." 
B)  "That's a topic to discuss with your therapist today." 
C)  "How does everyone else feel about discussing this topic?" 
D)  "Perhaps you should leave the meeting until you are in better control." 
A)  "Go on. We are here to listen." 
B)  "That's a topic to discuss with your therapist today." 
C)  "How does everyone else feel about discussing this topic?" 
D)  "Perhaps you should leave the meeting until you are in better control."

Question 6

A large mental health facility has several specialized units. A patient admitted for alcohol withdrawal asks, "Will I be with patients who have schizophrenia or dementia while I'm here?" Select the nurse's best solve.

Accepted Answer

A)  "No. Patients with alcoholism often become violent and must be isolated from our general psychiatric population." 
B)  "No. Patients with needs for alcohol detoxification are treated on our acute substance abuse unit." 
C)  "Yes. Our patients often help each other, so they are all on the same unit." 
D)  "Your question leads me to wonder if you're feeling frightened." 
A)  "No. Patients with alcoholism often become violent and must be isolated from our general psychiatric population." 
B)  "No. Patients with needs for alcohol detoxification are treated on our acute substance abuse unit." 
C)  "Yes. Our patients often help each other, so they are all on the same unit." 
D)  "Your question leads me to wonder if you're feeling frightened."

Question 7

Which outcome of hospital-based psychiatric care should the nurse consider a priority for a patient to achieve before discharge?

Accepted Answer

A)  Referral for vocational rehabilitation 
B)  Safe level of functioning 
C)  Medication stabilization 
D)  Problem resolution 
A)  Referral for vocational rehabilitation 
B)  Safe level of functioning 
C)  Medication stabilization 
D)  Problem resolution

Question 8

A patient says, "I'm like a wind-tossed leaf. My goal is to find meaning in life." The nurse should consider referring the patient to which group?

Accepted Answer

A)  Self-help 
B)  Spirituality 
C)  Reality orientation 
D)  Psychoeducational 
A)  Self-help 
B)  Spirituality 
C)  Reality orientation 
D)  Psychoeducational

Question 9

A nurse working on a geropsychiatric unit designs new clinical protocols. Which potential problems have the highest priority?

Accepted Answer

A)  Risks for falls 
B)  Cognitive errors 
C)  Memory deficits 
D)  Nutritional deficits 
A)  Risks for falls 
B)  Cognitive errors 
C)  Memory deficits 
D)  Nutritional deficits

Question 10

The priority treatment goal for a patient with severe and persistent mental illness being treated in a community-based facility will be to:

Accepted Answer

A)  form new relationships. 
B)  self-administer medications. 
C)  participate in community activities. 
D)  independently attend to activities of daily living. 
A)  form new relationships. 
B)  self-administer medications. 
C)  participate in community activities. 
D)  independently attend to activities of daily living.

Question 11

Which diagnosis meets criteria for admission to a co-occurring inpatient unit?

Accepted Answer

A)  Bipolar disorder, manic phase, patient has abused alcohol daily to self-medicate 
B)  Undifferentiated schizophrenia and hallucinations of angels playing harps 
C)  Major depression, suicidal intent, and a highly lethal suicide plan 
D)  Anorexia nervosa and 30% underweight 
A)  Bipolar disorder, manic phase, patient has abused alcohol daily to self-medicate 
B)  Undifferentiated schizophrenia and hallucinations of angels playing harps 
C)  Major depression, suicidal intent, and a highly lethal suicide plan 
D)  Anorexia nervosa and 30% underweight

Question 12

A patient diagnosed with depression has a need for divisional activities. Which team member is best qualified to assess the patient's leisure needs and plan the interventions?

Accepted Answer

A)  Occupational therapist 
B)  Recreational therapist 
C)  Exercise physiologist 
D)  Chaplain 
A)  Occupational therapist 
B)  Recreational therapist 
C)  Exercise physiologist 
D)  Chaplain

Question 13

An adolescent has an autism spectrum disorder. Which psychoeducational group topic would best meet the patient's needs?

Accepted Answer

A)  Signs of relapse 
B)  Interpersonal skills 
C)  Anger management 
D)  Medication management 
A)  Signs of relapse 
B)  Interpersonal skills 
C)  Anger management 
D)  Medication management

Question 14

A nurse works in a geropsychiatric unit. Which intervention will be most helpful for patients experiencing confusion and disorientation?

Accepted Answer

A)  Door locks 
B)  Environmental cues 
C)  Community meetings 
D)  Psychoeducational groups 
A)  Door locks 
B)  Environmental cues 
C)  Community meetings 
D)  Psychoeducational groups

Question 15

Which therapeutic intervention should the nurse suggest for a patient with panic attacks and problems with concentration?

Accepted Answer

A)  Occupational therapy 
B)  Medication education 
C)  Recreational therapy 
D)  Group therapy 
A)  Occupational therapy 
B)  Medication education 
C)  Recreational therapy 
D)  Group therapy

Question 16

What is the primary purpose of a community meeting?

Accepted Answer

A)  Making assignments for patients' chores for the day 
B)  Determining patients' eligibility for increases in privileges 
C)  Encouraging patients to share their feelings and individual problems 
D)  Providing a forum for patients to have input into daily program operations 
A)  Making assignments for patients' chores for the day 
B)  Determining patients' eligibility for increases in privileges 
C)  Encouraging patients to share their feelings and individual problems 
D)  Providing a forum for patients to have input into daily program operations

Question 17

A nurse working in an intensive inpatient psychiatric unit should place emphasis on which area of care?

Accepted Answer

A)  Behavior modification principles 
B)  Personality restructuring and insight 
C)  Improving interpersonal relationships 
D)  Symptom stabilization and daily living skills 
A)  Behavior modification principles 
B)  Personality restructuring and insight 
C)  Improving interpersonal relationships 
D)  Symptom stabilization and daily living skills

Exam 22: Therapeutic Environment in Various Treatment Settings

Which treatment setting would necessitate the most restrictive environment?

Which patient would benefit most from closed, process-oriented group therapy?

A patient asks, "Who will be at the community meeting?" The nurse responds:

What is the best way to support the need for physical activity when the patient moves from acute care into community-based care?

During the community meeting a patient says, "I'm having problems in my sex life." The leader of the meeting will make which response?

A large mental health facility has several specialized units. A patient admitted for alcohol withdrawal asks, "Will I be with patients who have schizophrenia or dementia while I'm here?" Select the nurse's best solve.

Which outcome of hospital-based psychiatric care should the nurse consider a priority for a patient to achieve before discharge?

A patient says, "I'm like a wind-tossed leaf. My goal is to find meaning in life." The nurse should consider referring the patient to which group?

A nurse working on a geropsychiatric unit designs new clinical protocols. Which potential problems have the highest priority?

The priority treatment goal for a patient with severe and persistent mental illness being treated in a community-based facility will be to:

Which diagnosis meets criteria for admission to a co-occurring inpatient unit?

A patient diagnosed with depression has a need for divisional activities. Which team member is best qualified to assess the patient's leisure needs and plan the interventions?

An adolescent has an autism spectrum disorder. Which psychoeducational group topic would best meet the patient's needs?

A nurse works in a geropsychiatric unit. Which intervention will be most helpful for patients experiencing confusion and disorientation?

Which therapeutic intervention should the nurse suggest for a patient with panic attacks and problems with concentration?

What is the primary purpose of a community meeting?

A nurse working in an intensive inpatient psychiatric unit should place emphasis on which area of care?

Me, Meds, Milieu

Historical Issues

Legal Issues

Psychobiologic Bases of Behavior

Cultural Issues

Spiritual Issues

Models for Working with Psychiatric Patients

Learning to Communicate Professionally

Working with an Individual Patient

Working with Groups of Patients

Working with the Family

Introduction to Psychotropic Drugs

Antiparkinsonian Drugs

Antipsychotic Drugs

Antidepressant Drugs

Antimanic Drugs

Antianxiety Drugs

Antidementia Drugs

Over-the-Counter Drugs

Introduction to Milieu Management

Variables Affecting the Therapeutic Environment: Violence and Suicide

Introduction to Psychopathology

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar Disorders

Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

Cognitive Disorders

Personality Disorders

Sexual Disorders

Substance Abuse Disorders

Eating Disorders

Survivors of Violence and Trauma

Children and Adolescents

Mental Disorders of Older Adults

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