Exam 4: Settings for Psychiatric Care

Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?

Inpatient hospitalization for persons with mental illness is generally reserved for patients who:

A suspicious,socially isolated patient lives alone,eats one meal a day at a local shelter,and spends the remaining daily food allowance on cigarettes.Select a community psychiatric nurse's best initial action.

A patient diagnosed with schizophrenia has been stable for 2 months.Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking.The patient forgot to refill the prescription.The nurse arranges a refill.Select the best outcome to add to the plan of care.

Which aspect of direct care is an experienced,inpatient psychiatric nurse most likely to provide for a patient?

The health care team at an inpatient psychiatric facility drafts these criteria for admission.Which criteria should be included in the final version of the admission policy? Select all that apply.

Clinical pathways are used in managed care settings to:

A person in the community asks,"People with mental illnesses went to state hospitals in earlier times.Why has that changed?" Select the nurse's accurate responses.Select all that apply.

The patients below were evaluated in the emergency department.The psychiatric unit has one bed available.Which patient should be admitted? The patient:

A nurse receives these three phone calls regarding a newly admitted patient. •The psychiatrist wants to complete an initial assessment. • An internist wants to perform a physical examination. • The patient’s attorney wants an appointment with the patient. The nurse schedules the activities for the patient.Which role has the nurse fulfilled?

Select the example of tertiary prevention.

A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days.The patient's thoughts are now more organized,and discharge is planned.The patient's family says,"It's too soon for discharge.We will just go through all this again." The nurse should:

A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to: (Select all that apply.)

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? "My case manager: (select all that apply)

Which level of prevention activities would a nurse in an emergency department employ most often?

The unit secretary receives a phone call from the health insurer for a hospitalized patient.The caller seeks information about the patient's projected length of stay.How should the nurse instruct the unit secretary to handle the request?

A patient diagnosed with schizophrenia lives in the community.On a home visit,the community psychiatric nurse case manager learns that the patient: •wants to attend an activity group at the mental health outreach center. •is worried about being able to pay for the therapy. •does not know how to get from home to the outreach center. •has an appointment to have blood work at the same time an activity group meets. •wants to attend services at a church that is a half-mile from the patient’s home. Which tasks are part of the role of a community mental health nurse? Select all that apply.

A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient.Which rights should be included? (Select all that apply.) The right to:

Which statements most clearly reflect the stigma of mental illness? Select all that apply.

A community mental health nurse has worked for months to establish a relationship with a delusional,suspicious patient.The patient recently lost employment and could no longer afford prescribed medications.The patient says,"Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.