Exam 3: Overview of Psychiatric Mental Health Nursing Care Within Various Settings

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

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A

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship?

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A, B, D

A Category V tornado hits a community, destroying many homes and businesses. Which nursing intervention would best demonstrate compassion and caring?

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A

A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following:

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A psychiatrist prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?

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The nurse assigned to assertive community treatment (ACT) should explain the program's treatment goal as which of the following?

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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.

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Select the response that is an example of primary prevention.

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Clinical pathways are used by the multidisciplinary team, in managed care settings, to do which of the following?

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A patient with which of the following diagnoses would be most appropriate to refer for assertive community treatment (ACT)?

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A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.

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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?

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A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient. Which rights should be included?

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Select the response that is an example of tertiary prevention.

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A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?

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A nurse receives the following three phone calls regarding a community patient. .The psychiatrist wants to complete a follow-up assessment. .An internist wants to schedule 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?

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

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

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Which statements most clearly reflect the stigma of mental illness?

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

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