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Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLE CHOICE n
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would
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thenurse expect as an advanced practice intervention?
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a. Conduct mental health assessments n n n
b. Prescribe psychotropic medication n n
c. Establish therapeutic relationships n n
d. Individualize nursing care plans n n n
ANSWER: B n
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
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special courses on prescribing medication; thus it is an advanced-practice intervention. The
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nurse prepared at the basic level is permitted to perform mental health assessments,
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establishrelationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) n n n
TOP: Nursing Process: Implementation
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2. When a nursing student expresses concerns about how mental health nurses “lose all
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theirnursing skills,” which of the following is the best response by the mental health nurse?
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a. “Psychiatric nurses practise in safer environments than other specialties. n n n n n n n n
Nurse-to-patient ratios must be better because of the nature of the
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patients’
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problems. .
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b. “Psychiatric nurses use complex communication skills as well as critical thinkingto n n n n n n n n n n n
solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high- n n n n n n n
technologymonitoring equipment and manage complex intravenous n n n n n n
therapies.”
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d. “Psychiatric nurses do not have to deal with as much pain and suffering n n n n n n n n n n n n
asmedical–surgical nurses do. That appeals to me.”
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ANSWER: B n
The practice of psychiatric nursing requires a different set of skills from medical–surgical
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nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
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nursing: behavioural, including communication, coping, and education; and safety,
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coveringcrisis and risk management. Basic psychosocial nursing concepts are central to
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psychiatric nursing practice and increase your competency as a practitioner in all clinical
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settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the lives
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ofpeople who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself
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and greatly increase your insight into the experiences of others. This part of nursing
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educationcan provide guidelines for and the opportunity to learn new skills for dealing with a
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variety ofchallenging behaviours. Psychosocial pain and suffering are as real as physical pain
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and suffering.
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, DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Implementation
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