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,Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach,
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g 8th Edition
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MULTIPLE CHOICE g
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
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advanced practice nurse to perform which additional intervention? a. Conduct mental
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g health assessments. g
b. Prescribe psychotropic medication. g g
c. Establish therapeutic relationships. g g
d. Individualize nursing care plans. g g g
ANS: B g
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
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g clinical nurse specialists who have taken special courses on prescribing medication. The nurse
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g prepared at the basic level is permitted to perform mental health assessments, establish
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g relationships, and provide individualized care planning. g g g g g
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
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g Nursing Process: Implementation g g
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 nursing
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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-to-
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patient ratios 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 solve
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g multidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
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equipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical–
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g surgical nurses do. That appeals to me.‖
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ANS: B g
The practice of psychiatric nursing requires a different set of skills than medical–surgical
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g nursing, though there is substantial overlap. Psychiatric nurses must be able to help
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g patients with medical as well as mental health problems, reflecting the holistic perspective
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g these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
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increased, just like other specialties. Psychiatric nursing involves clinical practice, not just
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g documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
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, PTS: 1
g DIF: Cognitive Level: Apply (Application)
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REF: Pages 1-2, 21
g g g TOP: Nursing Process: Implementation
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g MSC: Client Needs: Safe, Effective Care Environment
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