Exam 1: Med, Meds, Milieu

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

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?

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

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

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

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

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?

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

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?

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?

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

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

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 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?

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?

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

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?

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

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?