Exam 4: Psychiatric Mental Health Nursing in Acute Care Settings

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:

The case manager plans to discuss the treatment plan with a patient's family.Select the case manager's first action.

An interdisciplinary health care team met 12 hours after an adolescent was hospitalized following a suicide attempt.What result can be expected from this meeting?

A patient was admitted after being brought to the hospital by police after a fight with a roommate.The patient told the nurse,"My roommate cast a spell by looking at me intently,so I fought to protect myself." The patient admits stopping prescribed antipsychotic medication a week ago when the prescription needed refill.Which outcome should the nurse working in a managed behavioral health inpatient unit select for this patient?

At age 19,an individual developed a serious mental illness.Symptoms continued for 2 years despite treatment,and the individual is unable to work.For which resource should this individual apply?

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

When responding to a patient who has agitated,hostile behavior during a community meeting,the initial action the nurse should take is to:

The nurse records this entry in a patient's progress notes: Patient escorted to unit by ER nurse at 2130.Patient's clothing was dirty.In interview room,patient sat with hands over face,sobbing softly.Did not acknowledge nurse or reply to questions.After several minutes,abruptly arose,ran to window,and pounded.Shouted repeatedly,"Let me out of here." Verbal intervention unsuccessful.Order for stat dose 2 mg haloperidol PO obtained;medication administered at 2150.By 2215,patient stopped shouting and returned to sit wordlessly in chair.Patient placed on one-to-one observation. How should this documentation be evaluated?

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

A patient usually watches television all day,seldom going out in the community or socializing with others.The patient says,"I just don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?

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

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

A nurse performed these actions while caring for patients in an inpatient psychiatric setting. 1)Removed cuticle scissors from a suicidal patient. 2)Helped a patient make an appointment with an attorney. 3)In patient's presence,opened a package mailed to patient. 4)Remained within arm's length of patient with homicidal ideation. 5)Permitted a patient with psychosis to refuse oral psychotropic medication. Which action violated patients' rights? (Select all that apply. )

Which scenario best depicts a behavioral crisis? A patient is:

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 secretary handle the request?

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. )

A patient with schizophrenia had an exacerbation related to medication noncompliance.During 4 days of hospitalization,medication was resumed.The patient's thought processes are now more organized,and discharge is planned.The patient's family is upset and tells the nurse,"It's too soon for discharge.We will just go through all this again." The nurse should:

A nurse receives three phone calls regarding a newly admitted patient. The psychiatrist wishes complete an assessment interview. The medical doctor 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?

Which principle takes priority when addressing a behavioral crisis in an inpatient setting?

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