,Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach,
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8th Edition
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MULTIPLE CHOICE ..
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advancedpra
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ctice nurse to perform which additional intervention? a.
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Conduct mental health assessments. .. .. ..
b. Prescribe psychotropic medication. .. ..
c. Establish therapeutic relationships. .. ..
d. Individualize nursing care plans. .. .. ..
ANS: B ..
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 prescribi
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ng medication. The nurseprepared at the basic level is permitted to perform mental health assessmen
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ts, 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 nursingski
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lls.‖ 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- .. .. .. .. .. .. .. .. ..
patientratios must be better because of the nature of the patients‘ problems.‖. .. .. .. .. .. .. .. .. .. .. ..
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solvem .. .. .. .. .. .. .. .. .. .. .. .. .
ultidimensional problems. I am challenged by those situations.‖ .. .. .. .. .. .. ..
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoringe .. .. .. .. .. .. .. .. .. .
quipment and manage complex intravenous therapies.‖ .. .. .. .. ..
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– .. .. .. .. .. .. .. .. .. .. .. .. .. ..
surgical nurses do. That appeals to me.‖
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ANS: 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 pati
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ents with medical as well as mental health problems, reflecting the holistic perspective these nur
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ses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased,just like other specialties. Psy
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, chiatric nursing involves clinical practice, not just documentation. Psychosocial pain and sufferi
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ng are as real as physical pain and suffering.
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