Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical, 10th Edition by Halter978-0443127236 Covering Chapters 1-36 | Includes Rationales

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, Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproa
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ch, 10th Edition
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MULTIPLE CHOICE C/




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanc
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edpractice nurse to perform which additional intervention? a.
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Conduct mental health assessments. C/ C/ C/


b. Prescribe psychotropic medication. C/ C/


c. Establish therapeutic relationships. C/ C/


d. Individualize nursing care plans. C/ C/ C/




ANS: B C/


In most states, prescriptive privileges are granted to master‘s-
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prepared nurse practitioners andclinical nurse specialists who have taken special courses on pres
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cribing medication. The nurseprepared at the basic level is permitted to perform mental health a
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ssessments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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23 TOP:Nursing Process: Implementation
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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 nursi
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ngskills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
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patientratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking to sol
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vemultidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitorin
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gequipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medica C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


l–surgical nurses do. That appeals to me.‖
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ANS: B C/


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 hel
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p patients with medical as well as mental health problems, reflecting the holistic perspectiv
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e these nurses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased,just like other specialties.
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Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain an
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d suffering are as real as physical pain and suffering.
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