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Mental Health Final Exam/68 Questions and answers
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Mental Health Final Exam/68 Questionsand answers
A nurse performed these actions while caring for patients in an inpatient
psychiatric setting. Which action violated patients' rights?
a. Prohibited a patient from using the telephone
b. In patient's presence, opened a package mailed to patient
c. Remained within arm's length of patient with homicidal ideation
d. Permitted a patient with psychosis to refuse oral psychotropic medication -
-a.
-A psychiatric nurse discusses rules of the therapeutic milieu and patients
rights with a newly admitted patient. Which rights should be included? SATA
a. Have visitors
b. confidentiality
c. a private room
d. complain about inadequate care
e. select the nurse assigned to their care - -a, b, d
-A nurse prepares to administer a scheduled injection of haloperidol to a
patient w/ schizophrenia. As the nurse swabs the site, the patient shouts,
"Stop! I dont want to take that medicine anymore. I hate the side effects."
Select nurses best action.
A. assemble other staff for a show of force and proceed with injection
b. Stop the medication administration procedure
c. proceed with the injection but explain to the patient that there are
medications that will help reduce the unpleasant side effects.
d.say to the patient, "Since i've already drawn the medications that will help
reduce the unpleasant side effects." - -B.
-An adolescent hospitalized after a violent physical outburst tells the nurse,
"I'm going to kill my father, but you can't tell anyone" Select Nurse's best
response.
a."You are right. Federal law requires me to keep clinical info private."
b. I am obligated to share that info with the treatment team.
c. those kinds of thoughts will make your hospitalization longer
d. you should share this thought with you psychiatrist. - -b.
-A voluntarily hospitalized patient tells the nurse, "Get me the forms for
discharge. I want to leave now." Select the nurse's best response.
a. "I will get the forms for you right now and bring them to your room."
, b. "Since you signed your consent for treatment, you may leave if you
desire."
c. "I will get them for you, but let's talk about your decision to leave
treatment."
d. "I cannot give you those forms without your health care provider's
permission." - -c
-Which individual diagnosed with a medical illness needs psychiatric
hospitalization the most? An individual:
a. who has a panic attack after her child gets lost in a shopping mall
b. with visions of demons emerging from cemetery plots throughout the
community
c. who takes 38 acetaminophen tablets after the person's stock portfolio
becomes worthless
d. diagnosed with major depression who stops taking prescribed
antidepressant medication - -c
-During which phase of the nurse-patient relationship can the nurse
anticipate that identified patient issues will be explored and resolved?
a. preorientation
b. orientation
c. working
d. termination - -c.
-A staff nurse completes orientation to a psychiatric unit. This nurse may
expect an advanced practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans. - -b
-Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
a. sees self as capable of achieving ideals and meeting demands
b. behaves without considering the consequences of personal actions
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of
own life. - -a.
-A nurse uses Maslow's hierarchy of needs to plan care for a patient with
mental illness. Which problem will receive priority? The patient:
a. refuses to eat or bathe.
b. reports feelings of alienation from family.
c. is reluctant to participate in unit social activities.
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