A patient with a guardian of person is admitted to the hospital inpatient psychiatric unit. Which of
the following are true? Select all that apply.
a. The power of attorney for healthcare should be contacted to verify awareness of the
admission.
b. The guardian of person will make decisions regarding finances for healthcare.
c. The nurse does not need to notify the guardian of person of basic medication changes.
d. The nurse will regularly update the guardian of person about the patient's treatment plan.
e. The nurse cannot force medications without a court order.
f. The patient is not permitted to consent for surgery. - ANSd, f
A patient is involuntarily emergency admitted (pink slipped) to the hospital inpatient psychiatric
unit. Which of the following might be true in this situation? Select all that apply.
a. The patient is at risk of harming self.
b. The patient is unable to care for self in the community due to mental illness.
c. The patient can sign out of the hospital at any time.
d. The patient is at risk of hurting others.
e. Medications may be forced upon the patient when the patient is calm.
f. Social service can retain the patient for 7 days awaiting for a court date. - ANSa, b, d
What is included in the Mental Status Exam? Select all that apply.
a. Thought processes.
b. Defense mechanisms.
c. Insight.
d. IQ level.
,e. Affect.
f. Memory - ANSa, c, e, f
A patient states, "The FBI keeps putting thoughts in my head. They want to kill me. I wish I was
dead already." How does the nurse chart this? Select all that apply.
a. Clang associations.
b. Thought insertion.
c. Visual hallucinations.
d. Suicidal ideation.
e. Paranoid delusion.
f. Psychotic symptoms. - ANSb, d, e, f
The patient unconsciously favors female nurses who are older with short gray hair, because
they remind him of his grandmother. What is the patient experiencing?
a. Transference.
b. Corrective recapitulation of the family group.
c.Countertransference
d. Catharsis. - ANSa
Which nursing interventions are generally considered non-therapeutic in the psychiatric patient
setting? Select all that apply.
a. Stating, "I will get to you when I am finished with this patient."
b. Hugging every patient the day of discharge.
c. Bringing gifts to select patients.
d. Discussing with a patient negative feelings the nurse is having about other staff members.
e. Providing telephone contact and home address for the primary nurse.
,f. Encouraging a patient to attend the nurse's church after discharge. - ANSa, b, c, d, e, f
A patient states, "Can cars conspiritate completely to congratulate?" during the nurse's
assessment. How does the nurse chart this? Select all that apply.
a. Neologism
b. Clang associations.
c. Depersonalization.
d. Euphoria.
e. Phobia.
f. Poverty of thought. - ANSa, b
What resulted from the major deinstitutionalization of patients with mental illness? Select all that
apply.
a. Increased access to care.
b. Decreased compliance with psychotropic medications in patients with chronic mental illness.
c. Reduced stigma for those people with mental illness.
d. Increased governmental funding for mental illness.
e. Decreased rates of crime in the population of patients with mental illness.
f. An increase in the number of people with mental illness who are homeless. - ANSb, f
What are treatment modalities for post-traumatic stress disorder? Select all that apply.
a. Eye movement desensitization and reprocessing.
b. Trans-magnetic stimulation.
c. Prazosin (Minipress).
d. Hypnosis.
e. Electro-convulsive therapy.
, f. Amphetamine
sulfate (Adderall). - ANSa, c
What are common side effects of risperidone (Risperdal) and olanzapine (Zyprexa)? Select all
that apply.
a. Addiction.
b. Weight gain.
c. Anticholinergic activity.
d. Insomnia.
e. Sedation.
f. Metabolic syndrome. - ANSb, e, f
A patient is experiencing mild increases in respirations, fidgeting, and focus to the point of
improved comprehension of surroundings. What level of anxiety is the patient experiencing?
a. Panic.
b. Severe.
c. Moderate.
d. Mild. - ANSd
During psychiatric group work in the outpatient setting, a patient is crying and complaining about
the awful care received from the therapist. What interventions by the nurse group leader are
therapeutic? Select all that apply.
a. Ignore the crying outburst.
b. Redirect the patient to a more neutral topic.
c. State, "It sounds like you are having a hard time. How can the group help today?"
d. State, "It is not appropriate to talk negatively about staff."
e. Allow the patient time to process feelings.
f. Ask a fellow patient to sit with the crying patient in the hallway until the crying stops. - ANSc, e
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