Exam 1: Med, Meds, Milieu

Which intervention demonstrates that a nurse is functioning within the scope of psychotherapeutic management? (Select all that apply.)

Which component of the nursing process will the nurse focus upon to address the responsibility to match individual patient needs with appropriate services?

A patient diagnosed with bipolar disorder has stabilized and is being discharged from the hospital. The patient will live independently at home but lacks social skills and transportation. Which referral would be most appropriate?

An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which intervention is critical in assuring long-term, effective client care as described by psychotherapeutic management?

The implementation of which unit policy directed at milieu balance would reflect a need for reconsideration on the part of the treatment team?

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

Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?

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 which form of nursing knowledge?

A community mental health nurse assessing a person with a psychiatric disorder, should refer this person to services based on which basic concept?

A newly licensed asks a nursing recruiter for a description of nursing practice in the psychiatric setting. What is the nurse recruiter's best response?

Which intervention should the nurse implement when focusing on communicating therapeutically with a client?

An individual diagnosed with schizophrenia has a history of medication nonadherence. When inpatient psychiatric care is not indicated, which service is the preferred referral?

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

A patient's haloperidol dosage was reduced 2 weeks ago to decrease side effects. What assessment question demonstrates the nurse's understanding of the resulting needs of the client?

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

A patient tells the nurse, "This medicine makes me feel weird. I don't think I should take it anymore. Do you?" The most effective reply that the nurse could make is based on which psychotherapeutic management model?

Which statement forms the foundation upon which a nurse should base the implementation of psychotherapeutic management to the care of a patient with mental illness?

When explaining risk assessment, the nurse would indicate that the highest priority for admission to hospital-based care is associated with which goal?

A patient diagnosed 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?

An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations and walks about the unit, muttering. Which nursing action demonstrates the nurse's understanding of effective psychotherapeutic management of this client?