Question 1

A nurse working on a geropsychiatric unit designs new clinical protocols. Which potential problems have the highest priority?&#10;A) Risks for falls&#10;B) Cognitive errors&#10;C) Memory deficits&#10;D) Nutritional deficits

Accepted Answer

Risks for falls have the highest priority because elderly patients with mental health issues are at an increased risk for falls due to the possible use of medications that can cause dizziness, confusion, and impaired mobility. Falls can result in serious injuries, including fractures and head trauma, which can lead to increased morbidity and mortality. Additionally, falls can further exacerbate cognitive and functional impairments, further complicating the patient's care. Therefore, preventing falls is a top priority to ensure patient safety and promote positive outcomes.

Question 2

What is the priority treatment goal for a patient with severe and persistent mental illness being treated in a community-based facility?&#10;A) Formation of new relationships&#10;B) Ability to self-administer medications&#10;C) Interest in participating in community activities&#10;D) Ability to attend to activities of daily living

Accepted Answer

The ability to attend to activities of daily living is the priority treatment goal for a patient with severe and persistent mental illness being treated in a community-based facility. This is because if they are not able to attend to their basic needs of personal hygiene, nutrition, and safety, it will affect their overall health and well-being. Once this is achieved, then other goals, such as self-administering medications, participating in community activities, and forming new relationships can be addressed.

Question 3

A large mental health facility has several specialized units. A patient admitted for alcohol withdrawal asks, "Will I be with patients who have schizophrenia or dementia while I'm here?" Select the nurse's best answer.

A) "No. Patients with alcoholism often become violent and must be isolated from our general psychiatric population."
B) "No. Patients with needs for alcohol detoxification are treated on our acute substance abuse unit."
C) "Yes. Our patients often help each other, so they are all on the same unit."
D) "Your question leads me to wonder if you're feeling frightened."

"No. Patients with needs for alcohol detoxification are treated on our acute substance abuse unit."

Accepted Answer

Patients admitted for alcohol detoxification are typically treated on a specialized substance abuse unit, separate from units that may have patients with schizophrenia or dementia. This ensures that patients receive the appropriate care for their specific needs and promotes a safer environment for all patients. Option A is not an accurate statement and can be stigmatizing. Option C is not based on evidence-based practice and may not be safe for patients with different psychiatric conditions. Option D does not address the patient's concern and may be interpreted as evasive.

Question 4

A patient says, &#34;I'm like a wind-tossed leaf. My goal is to find meaning in life.&#34; The nurse should consider referring the patient to which group?&#10;A) Self-help&#10;B) Spirituality&#10;C) Reality orientation&#10;D) Psychoeducational

Accepted Answer

The patient's statement suggests a desire to find a deeper purpose or connection to something greater than themselves, which aligns with spiritual concerns. Referring the patient to a spirituality group may help them explore and find meaning in life through a spiritual lens. Self-help groups focus on helping members cope with specific challenges or issues, while reality orientation and psychoeducational groups are not as relevant to this particular patient statement.

Question 5

What is the primary purpose of a community meeting?&#10;A) Making assignments for patients' chores for the day&#10;B) Determining patients' eligibility for increases in privileges&#10;C) Encouraging patients to share their feelings and individual problems&#10;D) Providing a forum for patients to have input into daily program operations

Accepted Answer

The primary purpose of a community meeting is to provide a forum for patients to have input into daily program operations, such as providing feedback, discussing concerns, or suggesting changes. While chores and privileges may be discussed, the focus should ultimately be on promoting patient involvement and self-governance within the treatment community. Encouraging patients to share their feelings and individual problems may also be beneficial for promoting open communication and a sense of community, but it is not the primary purpose of the meeting.

Question 6

During the community meeting a patient says, &#34;I'm having problems in my sex life.&#34; The leader of the meeting should make which response to support effective patient care?&#10;A) &#34;Go on. We are here to listen.&#34;&#10;B) &#34;That's a topic to discuss with your therapist today.&#34;&#10;C) &#34;How does everyone else feel about discussing this topic?&#34;&#10;D) &#34;Perhaps you should leave the meeting until you are in better control.&#34;

Accepted Answer

The answer of During the community meeting a patient says,...

Question 7

An adolescent has an autism spectrum disorder. Which psychoeducational group topic would best meet the patient's needs?&#10;A) Signs of relapse&#10;B) Interpersonal skills&#10;C) Anger management&#10;D) Medication management

Accepted Answer

Interpersonal skills would be the best choice for a patient with autism spectrum disorder as they often struggle with social interactions and communication. This group would focus on helping the patient develop and improve their social and communication skills to better navigate relationships and environments. The other options (signs of relapse, anger management, medication management) may not be as relevant or effective for this specific patient population.

Question 8

Which diagnosis meets criteria for admission to a co-occurring inpatient unit?&#10;A) Bipolar disorder, manic phase, patient has abused alcohol daily to self-medicate&#10;B) Undifferentiated schizophrenia and hallucinations of angels playing harps&#10;C) Major depression, suicidal intent, and a highly lethal suicide plan&#10;D) Anorexia nervosa and 30% underweight

Accepted Answer

The answer of Which diagnosis meets criteria for admission to...

Question 9

Which therapeutic intervention should the nurse suggest for a patient with panic attacks and problems with concentration?&#10;A) Occupational therapy&#10;B) Medication education&#10;C) Recreational therapy&#10;D) Group therapy

Accepted Answer

The answer of Which therapeutic intervention should the nurse suggest...

Question 10

What is the best way to support the need for physical activity when the patient moves from acute care into community-based care?&#10;A) Use video-based exercise programs on television.&#10;B) Enroll in a swim class at the community center.&#10;C) Attend outpatient psychoeducational groups.&#10;D) Join a social club.

Accepted Answer

Enrolling in a swim class at the community center is a good option because it provides an opportunity for regular physical activity that is enjoyable and has low impact on joints. It also allows for socialization with others, which can improve the patient's overall well-being. Video-based exercise programs on television may not provide the same level of socialization or motivation as a group class. attending psychoeducational groups or joining a social club may not necessarily address the need for physical activity.

Question 11

A nurse works in a geropsychiatric unit. Which intervention will be most helpful for patients experiencing confusion and disorientation?&#10;A) Door locks&#10;B) Environmental cues&#10;C) Community meetings&#10;D) Psychoeducational groups

Accepted Answer

The answer of A nurse works in a geropsychiatric unit....

Question 12

A patient asks, &#34;Who will be at the community meeting?&#34; How should the nurse responds?&#10;A) &#34;Patient representatives and staff&#34;&#10;B) &#34;Members of the mental health team&#34;&#10;C) &#34;All patients and the nurse manager&#34;&#10;D) &#34;All patients, nursing staff, and students&#34;

Accepted Answer

The answer of A patient asks, &#34;Who will be at...

Question 13

A patient diagnosed with depression has a need for divisional activities. Which team member is best qualified to assess the patient's leisure needs and plan the interventions?&#10;A) Occupational therapist&#10;B) Recreational therapist&#10;C) Exercise physiologist&#10;D) Chaplain

Accepted Answer

The answer of A patient diagnosed with depression has a...

Question 14

Which treatment setting would necessitate the most restrictive environment?&#10;A) Partial hospitalization&#10;B) Geropsychiatric unit&#10;C) Forensic hospital&#10;D) Group home

Accepted Answer

The answer of Which treatment setting would necessitate the most...

Question 15

Which outcome of hospital-based psychiatric care should the nurse consider a priority for a patient to achieve before discharge?&#10;A) Referral for vocational rehabilitation&#10;B) Safe level of functioning&#10;C) Medication stabilization&#10;D) Problem resolution

Accepted Answer

The answer of Which outcome of hospital-based psychiatric care should...

Question 16

A nurse working in an intensive inpatient psychiatric unit should place emphasis on which area of care?&#10;A) Behavior modification principles&#10;B) Personality restructuring and insight&#10;C) Improving interpersonal relationships&#10;D) Symptom stabilization and daily living skills

Accepted Answer

The answer of A nurse working in an intensive inpatient...

Question 17

Which patient would benefit most from closed, process-oriented group therapy?&#10;A) Adult with disorganized schizophrenia admitted to an acute psychiatric unit&#10;B) Outpatient living independently with chronic low self-esteem and anxiety&#10;C) Patient receiving treatment in an assertive community treatment program&#10;D) Resident of a group home attending a partial hospitalization program

Accepted Answer

The answer of Which patient would benefit most from closed,...

Deck 22: Therapeutic Environment in Various Treatment Settings