Mental Health Exam 1 (2/1/2024) Practice Questions: 1,7,8,21,23,31
1. A newly licensed nurse asks a nursing recruiter for a description of
nursing practice in the psychiatric setting. What is the nurse recruiter's best
response?
a. "The nurse primarily serves in a supportive role to members of the health
care delivery team."
b. "The multidisciplinary approach eliminates the need to clearly define the
responsibilities of nursing in such a setting."
c. "Nursing actions are identified by the institution that distinguishes
nursing from other mental health professions."
d. "Nursing offers unique contributions to the psychotherapeutic manage-
ment of psychiatric patients.": d. "Nursing offers unique contributions to the
psychotherapeutic management of psychiatric patients."
Professional role overlap cannot be denied; however, nursing is unique in its focus
on and application of psychotherapeutic management.
Neither the facility nor the multidisciplinary team define the professional
responsibilities of its members but rather utilizes their unique skills to provide
holistic care.
Ideally, all team members support each other and have functions within the team.
2. Which component of the nursing process will the nurse focus upon to
address the responsibility to match individual patient needs with
appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation: c. Assessment
Proper assessment is critical for being able to determine the appropriate level of
services that will provide optimal care while considering patient input and at the
lowest cost.
Planning and implementation utilizes the assessment data to identify and execute
actions (treatment plan) that will provide appropriate care.
, Mental Health Exam 1 (2/1/2024) Practice Questions: 1,7,8,21,23,31
Evaluation validates the effectiveness of the treatment plan.
3. An adult diagnosed with paranoid schizophrenia frequent experiences
auditory hallucinations and walks about the unit, muttering. Which nursing
action demonstrates the nurse's understanding of effective
psychotherapeutic management of this client?
a. Discussing the disease process of schizophrenia with the client and their
domestic partner
b. Minimizing contact between this patient and other patients to assure a
stress free milieu
c. Administering PRN medication when first observing the evidence that
the client may be hallucinating
d. Independently determining that behavior modification is appropriate to
decrease the client's paranoid thoughts: a. Discussing the disease process of
schizophrenia with the client and their domestic partner
An understanding of psychopathology is the foundation on which the three
components of psychotherapeutic management rest.
It facilitates therapeutic communication and provides a basis for understanding
psychopharmacology and milieu management.
Minimizing contact between the patient and others and administering PRN
medication indiscriminately are nontherapeutic interventions.
Using behavior modification to decrease the frequency of hallucinations would
need to be incorporated into the plan of care by the care team.
4. An adult diagnosed with chronic depression is hospitalized after a suicide
attempt. Which intervention is critical in assuring long-term, effective client
care as described by psychotherapeutic management?
a. Involvement in group therapies
b. Focus of close supervision by the unit staff
c. Maintaining effective communication with support system
d. Frequently scheduled one-on-one time with nursing staff: d. Frequently
scheduled one-on-one time with nursing staff
, Mental Health Exam 1 (2/1/2024) Practice Questions: 1,7,8,21,23,31
A critical element of psychotherapeutic management is the presence of a
therapeutic nurse-patient relationship.
One-on-one time with nursing staff will help in establishing this connection.
***********Nurse-client relation is critical in the long-term delivery of quality effective
care to this client.**********
5. A patient's haloperidol dosage was reduced 2 weeks ago to decrease side
effects. What assessment question demonstrates the nurse's understanding
of the resulting needs of the client?
a. "Will you have any difficulty getting your prescription refilled?"
b. "Have you begun experiencing any forms of hallucinations?"
c. "What do you expect will occur since the dosage has been reduced?"
d. "What can I do to help you manage this reduction in haloperidol therapy?"-
: b. "Have you begun experiencing any forms of hallucinations?"
Haloperidol is used to treat nervous, emotional, and mental conditions (eg,
schizophrenia). It is also used to control the symptoms of Tourette's disorder.
It will be necessary for the nurse to assess for exacerbation of the patient's
symptoms of psychosis as well as for a lessening of side effects.
Dosage decrease might lead to the return or worsening of positive symptoms such
as hallucinations and delusions, and negative symptoms such as blunted affect,
social withdrawal, and poor grooming.
Identify emerging psychotic behaviors.
6. Which statement forms the foundation upon which a nurse should base the
implementation of psychotherapeutic management to the care of a patient
with mental illness?
a. The nurse's role in client care is supported by the multidisciplinary team.
b. Omitting any one component will compromise the effectiveness of the
treatment.
c. The most important element of psychotherapeutic management is drug
therapy.
, Mental Health Exam 1 (2/1/2024) Practice Questions: 1,7,8,21,23,31
d. A therapeutic nurse-patient relationship is the most important aspect of
treatment: b. Omitting any one component will compromise the effectiveness of
the treatment.
When one element is missing, treatment is usually compromised.
No single element is more important than the others; however, patients' needs
govern the application of the components and permit judicious use.
The remaining options identify components of the psychotherapeutic management
process.
7. Which statement most accurately describes a nurse's role regarding
psychopharmacology?
a. "You will need to frequently make decisions regarding the administration
of
PRN medications to help the client manage anger."
b. "It's a nursing responsibility to adjust a medication dose to assure effective
patient responses."
c. "Nurses administers medications while evaluating drug effectiveness is a
medical responsibility."
d. "To best assure appropriate response, a patient's questions about drug
therapy should be referred to the psychiatrist.": a. "You will need to frequently
make decisions regarding the administration of PRN medications to help the
client manage anger."
Nursing assessment and analysis of data might suggest the need for PRN
medication as patient anxiety increases or psychotic symptoms become more
acute.
******The nurse is the health team member who makes this determination******.
Nurses are responsible for monitoring drug effectiveness as well as administering
medication.
Nurses should assume responsibility for teaching patients about the side effects of
medications.
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