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

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

A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's closet is locked. These observations relate to which of the following?

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.

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." Which of the following should the nurse do?

Inpatient hospitalization for persons with mental illness is generally reserved for which of the following patients?

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

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

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

Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse?

Which principle has the highest priority when addressing a behavioural crisis in an inpatient setting?

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned that the patient received a notice of eviction immediately prior to admission. Select the nurse's most appropriate action.

The nurse should refer which of the following patients to a partial hospitalization program?

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 of the following scenarios best depicts a behavioural crisis?

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

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