Question 1

During the risk assessment phase of care for a psychiatric patient, what is the nurse's primary goal?

Accepted Answer

A)  Making an initial assessment 
B)  Confirming the patient's problem 
C)  Assessing potential dangerousness to self or others 
D)  Determining the level of supervision needed for the patient 
A)  Making an initial assessment 
B)  Confirming the patient's problem 
C)  Assessing potential dangerousness to self or others 
D)  Determining the level of supervision needed for the patient

Question 2

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

Accepted Answer

A)  Breakfast is late being served. 
B)  A sink is leaking, leaving water on the bathroom floor. 
C)  The daily schedule has not been posted on the unit bulletin board. 
D)  A small group of patients is complaining that one patient turned down the TV volume. 
A)  Breakfast is late being served. 
B)  A sink is leaking, leaving water on the bathroom floor. 
C)  The daily schedule has not been posted on the unit bulletin board. 
D)  A small group of patients is complaining that one patient turned down the TV volume.

Question 3

An acutely psychotic patient is restricted to an inpatient unit. This intervention demonstrates that which milieu element has been adapted?

Accepted Answer

A)  Norms 
B)  Balance 
C)  Therapy 
D)  Psychopathology 
A)  Norms 
B)  Balance 
C)  Therapy 
D)  Psychopathology

Question 4

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

Accepted Answer

A)  "Your behavior will be carefully monitored during your hospital stay." 
B)  "Unit activities will help you cope with immediate needs and stressors." 
C)  "You will be given enough medication to bring your symptoms under control." 
D)  "I will be gathering information about you to plan your care and your discharge." 
A)  "Your behavior will be carefully monitored during your hospital stay." 
B)  "Unit activities will help you cope with immediate needs and stressors." 
C)  "You will be given enough medication to bring your symptoms under control." 
D)  "I will be gathering information about you to plan your care and your discharge."

Question 5

Which statement most accurately describes a nurse's role regarding psychopharmacology?

Accepted Answer

A)  "You will need to frequently make decisions regarding the administration of PRN medications to help the client manage anger." 
B)  "It's a nursing responsibility to adjust a medication dose to assure effective patient responses." 
C)  "Nurses administers medications while evaluating drug effectiveness is a medical responsibility." 
D)  "To best assure appropriate response, a patient's questions about drug therapy should be referred to the psychiatrist." 
A)  "You will need to frequently make decisions regarding the administration of PRN medications to help the client manage anger." 
B)  "It's a nursing responsibility to adjust a medication dose to assure effective patient responses." 
C)  "Nurses administers medications while evaluating drug effectiveness is a medical responsibility." 
D)  "To best assure appropriate response, a patient's questions about drug therapy should be referred to the psychiatrist."

Question 6

When considering environmental aspects of milieu management, which intervention has the highest priority for a client admitted after a failed suicide attempt?

Accepted Answer

A)  Sending the client's new medication prescriptions to the pharmacy 
B)  Assigning a staff member to one-on-one observation of the client 
C)  Orienting the client to the milieu's public and private spaces 
D)  Having all potentially dangerous items removed from the client's belongings 
A)  Sending the client's new medication prescriptions to the pharmacy 
B)  Assigning a staff member to one-on-one observation of the client 
C)  Orienting the client to the milieu's public and private spaces 
D)  Having all potentially dangerous items removed from the client's belongings

Exam 1: Med, Meds, Milieu

During the risk assessment phase of care for a psychiatric patient, what is the nurse's primary goal?

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

An acutely psychotic patient is restricted to an inpatient unit. This intervention demonstrates that which milieu element has been adapted?

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

Which statement most accurately describes a nurse's role regarding psychopharmacology?

When considering environmental aspects of milieu management, which intervention has the highest priority for a client admitted after a failed suicide attempt?

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

Therapeutic Environment in Various Treatment Settings

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

Older Adults

Soldiers and Veterans

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