Exam 33: Hospital-Based Psychiatric Nursing Care

A nurse would determine that medication teaching was most successful for a patient starting on lithium (Lithobid) if the patient stated:

In order to best demonstrate the broad scope of practice knowledge and expertise required for contemporary psychiatric nursing a nurse must:

Which intervention by the nurse is most therapeutic when a patient loses a pool game on the unit and begins acting aggressively?

A patient with a history of chronic alcohol abuse and impaired cognitive function has been successfully taught to interpret a community bus schedule.The nurse should now be confident that the patient would benefit from attending:

When the nursing staff from the incoming and outgoing shifts has open report on the inpatient unit,which concept underlies this approach?

A patient shares with a nurse,"I don't seem to be sleeping any better since I came here." Which nursing intervention will the nurse implement initially?

The activity room is severely damaged while the nurse is addressing an emergency on the inpatient unit.Which communication by the nurse to the entire milieu would be the most therapeutic when the destruction is first discovered?

Which nursing intervention has priority when assisting a patient who has been transported to the hospital admissions unit by police for wandering barefoot and naked on the street in freezing weather?

The multidisciplinary team is meeting to discuss discharge planning with the family of a patient who recently attempted suicide.Which statement by a family member might constitute criteria for delaying discharge?

A patient has contracted to be allowed to walk about outside after meals with staff supervision.When the patient begins to make a habit of asking if it's time to go outside well before meals,the nurse should:

In order to best address the educational needs of a patient diagnosed with cognitive impairment,the teaching plan should incorporate which strategy?

Which nursing action would best promote the psychiatric stabilization of a patient who is both confused and agitated when found wandering barefoot in freezing weather?

A patient has just received information regarding the goals of a partial-hospitalization program.Which statement best indicates patient understanding?

Which is the initial nursing care intervention for a nurse admitting a patient recently discharged from an inpatient unit into a partial-hospitalization program?

A nurse is facilitating a teaching group for family members of patients with schizophrenia.A focus of the group will be the monitoring of medication administration and side effects.Priority teaching for this focus will concentrate on:

A nurse observes that a patient diagnosed with bipolar disorder who has left the seclusion room is soiled with feces.Which nursing intervention would be most likely to encourage a patient to comply with bathing?

When a partial-hospitalization patient is assessed as possibly having suicidal ideations,the treatment plan will focus on:

Which statement made by a nurse manager to personnel working short-staffed best reflects an understanding of the importance of safe unit staffing?

A patient who displays dependent tendencies follows the nurse around the unit and repeatedly asks,"What do you think I should do,nurse?" Which is the nurse's most therapeutic response?

Which of these patients is the most appropriate candidate for assignment to a crisis bed? A patient who: