Exam 5: Settings for Psychiatric Care

A community psychiatric nurse facilitates medication compliance for a patient by having the health care provider prescribe depot medications by injection every 3 weeks at the clinic.For this plan to be successful,which factor will be of critical importance?

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

The relapse of a patient with schizophrenia is related to medication noncompliance.The patient is hospitalized for 5 days,medication is restarted,and the patient's thoughts are now more organized.The patient's family members are upset and say,"It's too soon about the patient being scheduled for discharge.Hospitalization is needed for at least a month." The nurse should:

A nurse can best address factors of critical importance to successful community treatment for persons with mental illness by including assessments related to which of the following? Select all that apply.

Which patient would a nurse refer to partial hospitalization? An individual who:

A patient tells the nurse at the clinic,"I haven't been taking my antidepressant medication as directed.I leave out the midday dose.I have lunch with friends and don't want them to ask me about the pills." Select the nurse's most appropriate intervention.

Which employer's health plan is required to include parity provisions related to mental illnesses?

A nurse assesses an inpatient psychiatric unit,noting that exits are free from obstruction,no one is smoking,the janitor's closet is locked,and all sharp objects are being used under staff supervision.These observations relate to:

A community mental health nurse has worked for 6 months to establish a relationship with a delusional,suspicious patient.The patient recently lost employment and stopped taking medications because of inadequate money.The patient says,"Only a traitor would make me go to the hospital." Which solution is best?

Planning for patients with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for patients who:

Which assessment finding for a patient in the community requires priority intervention by the nurse? The patient:

A nurse surveys the medical records for violations of patients' rights.Which finding signals a violation?

A community member asks a nurse,"People with mental illnesses used to go to a state hospital.Why has that changed?" Select the nurse's accurate responses.Select all that apply.

A patient is hospitalized for a reaction to a psychotropic medication and then is closely monitored for 24 hours.During a predischarge visit,the case manager learns the patient received a notice of eviction on the day of admission.The most appropriate intervention for the case manager is to:

A patient hurriedly tells the community mental health nurse,"Everything's a disaster! I can't concentrate.My disability check didn't come.My roommate moved out,and I can't afford the rent.My therapist is moving away.I feel like I'm coming apart." Which nursing diagnosis applies?

To provide comprehensive care to patients,which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?

Which principle takes priority for the psychiatric inpatient staff when addressing behavioral crises?

A patient with schizophrenia has been stable in the community.Today,the spouse reports the patient is delusional and explosive.The patient says,"I'm willing to take my medicine,but I forgot to get my prescription refilled." Which outcome should the nurse add to the plan of care?

A student nurse prepares to administer oral medications to a patient with major depression,but the patient refuses the medication.The student nurse should:

A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt.Members of the team report their assessments.What outcome can be expected from this meeting?