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Chapter 01 Mental Health and Mental Illness
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Chapter 02 Theories and Therapies Approach
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Chapter 03 Psychobiology and Psychopharmacology
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Chapter 04 Treatment Settings
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Chapter 05 Cultural Implications
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Chapter 06 Legal and Ethical Considerations
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Chapter 07 The Nursing Process and Standards of Care
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Chapter 08 Therapeutic Relationships
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Chapter 09 Therapeutic Communication
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Chapter 10 Stress Responses and Stress Management
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Chapter 11 Childhood and Neurodevelopmental Disorders
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Chapter 12 Schizophrenia Spectrum Disorders
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Chapter 13 Bipolar and Related Disorders
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Chapter 14 Depressive Disorders
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Chapter 15 Anxiety and Obsessive-Compulsive Disorders
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Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders
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Chapter 17 Somatic Symptom Disorders
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Chapter 18 Eating and Feeding Disorders
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Chapter 19 Sleep–Wake Disorders
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Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders
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Chapter 21 Impulse Control Disorders
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Chapter 22 Substance-Related and Addictive Disorders
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Chapter 23 Neurocognitive Disorders
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Chapter 24 Personality Disorders
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Chapter 25 Suicide and Nonsuicidal Self-Injury
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Chapter 26 Crisis and Disaster
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Chapter 27 Anger, Aggression, and Violence
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Chapter 28 Child, Older Adult, and Intimate Partner Violence
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Chapter 29 Sexual Assault
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Chapter 30 Dying, Death, and Grieving
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Chapter 31 Older Adults
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Chapter 32 Serious Mental Illness
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Chapter 33 Forensic Nursing
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Chapter 34 Therapeutic Groups
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Chapter 35 Family Interventions
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Chapter 36 Integrative Care
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, TestfbBankfb-fbVarcarolis'fbFoundationsfboffbPsychiatricfbMentalfbHealthfbNursing,fb9e
Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-
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Mental Health Nursing: A Clinical Approach, 9th Edition
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MULTIPLE CHOICE fb
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. fb fb fb fb
b. Prescribing psychotropic medication. fb fb
c. Establishing a therapeutic relationship. fb fb fb
d. Individualizing a nursing care plan. fb fb fb fb
ANSWER: B fb
In most states, prescriptive privileges are granted to master’s-
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prepared nurse practitioners and clinical nurse specialists who have taken special courses on
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prescribing medication. The nurse prepared at the basic level is permitted to perform mental
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health assessments, establish relationships, and provide individualized care planning.
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PTS: f b f b 1 DIF: Cognitive Level: Understand (Comprehension) fb fb fb
TOP: f b Nursing Process: Implementation fb fb MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursin
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g skills.” Select the best response by the mental health nurse.
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a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-
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to- client ratios must be better because of the nature of the clients’ problems.”
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b. “Psychiatric nurses use complex communication skills as well as critical thinkin fb fb fb fb fb fb fb fb fb fb
g to solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high technolog
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y monitoring equipment and manage complex intravenous therapies.”
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d. “Psychiatric nurses do not have to deal with as much pain and suffering a fb fb fb fb fb fb fb fb fb fb fb fb fb
s medical–surgical nurses do. That appeals to me.”
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ANSWER: f b B
The practice of psychiatric nursing requires a different set of skills than medical–
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surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help
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clients with medical as well as mental health problems, reflecting the holistic perspective thes
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e nurses must have. Nurse–
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client ratios and workloads in psychiatric settings have increased, just like other specialties.
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Psychiatric nursing involves clinical practice, not just documentation.
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, TestfbBankfb-fbVarcarolis'fbFoundationsfboffbPsychiatricfbMentalfbHealthfbNursing,fb9e
Psychosocial pain and suffering are as real as physical pain and suffering.
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