Chapter 4 Flashcards
. A patient needs supportive care for the maintenance treatment of bipolar disorder. The new nurse demonstrates an understanding of the services provided by the various members of the patient’s mental healthcare team when he makes which statement:
a. “Your social worker will help you learn to budget your money effectively.”
b. “Your counselor asked me to remind you of the group session on critical thinking at 2:00 today.”
c. “The mental health technician on staff today will administer the medication that you require.”
d. “Remember to ask the occupational therapist about sources of financial help that you are qualified for.”
b. “Your counselor asked me to remind you of the group session on critical thinking at 2:00 today.”
. A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient’s rights?
a. “I understand why I was restrained when I was out of control.”
b. “You can’t tell my boss about the suicide attempt without my permission.”
c. “I have a right to know what all of you are planning to do to me.”
d. “I can hurt myself if I want too. It’s none of your business.”
d. “I can hurt myself if I want too. It’s none of your business.”
Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply.
a. Identifying patients using both name and date of birth before drawing blood.
b. Sitting with the patient diagnosed with an eating disorder during meals.
c. Administering the Beck Scale on each patient at the time of admission.
d. Performing a medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times.
a. Identifying patients using both name and date of birth before drawing blood.
c. Administering the Beck Scale on each patient at the time of admission.
d. Performing a medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times.
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
a. “Is the patient expressing suicidal thoughts?”
b. “Does the patient have intact judgment and insight into his situation?”
c. “Does the patient have experiences with either community or inpatient mental healthcare facilities?”
d. “Does the patient require a therapeutic environment to support the management of psychotic symptoms?”
e. “Does the patient require the regular involvement of their family/significant other in planning and executing the plan of care?”
a. “Is the patient expressing suicidal thoughts?”
b. “Does the patient have intact judgment and insight into his situation?”
d. “Does the patient require a therapeutic environment to support the management of psychotic symptoms?”
e. “Does the patient require the regular involvement of their family/significant other in planning and executing the plan of care?”
The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient?
a. Family history of anxiety and symptoms of anxiety
b. Significant other has a chronic health issue
c. Hopes to retire in 6 months
d. Recently adopted infant twins
a. Family history of anxiety and symptoms of anxiety
A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient’s needs?
a. Assertive community treatment
b. Patients-centered medical home
c. Psychiatric home care
d. Primary care provider
d. Primary care provider
A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides:
a. Psychiatric home care
b. Care for hard-to-engage, seriously ill patients
c. Outpatient community mental health center care
d. A comprehensive emergency service model
b. Care for hard-to-engage, seriously ill patients
An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to accomplish upon admission?
a. Allowing the patient to return to her previous room so that she will feel safe
b. Orienting the patient to the unit and introduce her to patients and staff
c. Building trust through therapeutic communication
d. Checking the patient’s belongings for dangerous items
d. Checking the patient’s belongings for dangerous items
Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma’s family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try:
a. Telepsychiatry
b. Assertive community treatment
c. Psychiatric home care
d. Outpatient psychiatric care
a. Telepsychiatry
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
a. Intermittent supervision is available in inpatient settings.
b. He requires stabilization of multiple symptoms.
c. He has nutritional and self-care needs.
d. Medication adherence will be mandated.
e. He is in imminent danger of harming himself.
b. He requires stabilization of multiple symptoms.
c. He has nutritional and self-care needs.
e. He is in imminent danger of harming himself.
