,1
,2
, Chapter 01: Mental Health and Mental Illness
@X @X @X @X @X @X
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
@X @X @X @X @X @X @X @X @X @
X
proach, 9th Edition
@X @X
MULTIPLE CHOICE @X
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.
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Conduct mental health assessments.
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b. Prescribe psychotropic medication. @X @X
c. Establish therapeutic relationships.@X @X
d. Individualize nursing care plans. @X @X @X
ANS: B @X
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
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X @X @X @X @X @X @X @X @X
on prescribing medication. The nurse prepared at the basic level is permitted to perform
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X @X @X @X @X @X @X @X @X @X
mental health assessments, establish relationships, and provide individualized care plannin
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g.
2. A nursing student expresses concerns that mental health nurses ―lose all their clinica
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l nursing 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
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to solve multidimensional problems. I am challenged by those situations.‖
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X @X @X @X @X @X @X @X
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology mon
@X @X @X @X @X @X @X @X @X
itoring 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
@X @X @X @X @X @X @X @X @X @X @X @X @X
medical– surgical nurses do. That appeals to me.‖
@X @
X @X @X @X @X @X @X
ANS: B @X
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
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Xto help patients with medical as well as mental health problems, reflecting the holis
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tic perspective these nurses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased, just like other spec
@X @X @X @X @X @X @X @X @
X @X @X @X
ialties. Psychiatric nursing involves clinical practice, not just documentation. Psychoso
@X @X @X @X @X @X @X @X @X
cial pain and suffering are as real as physical pain and suffering.
@X @X @X @X @X @X @X @X @X @X @X
3
,2
, Chapter 01: Mental Health and Mental Illness
@X @X @X @X @X @X
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
@X @X @X @X @X @X @X @X @X @
X
proach, 9th Edition
@X @X
MULTIPLE CHOICE @X
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
@X @X @X @X @X @X @X @X @X @X @X @X @X @
advanced practice nurse to perform which additional intervention? a.
X @
X @X @X @X @X @X @X @X
Conduct mental health assessments.
@X @X @X
b. Prescribe psychotropic medication. @X @X
c. Establish therapeutic relationships.@X @X
d. Individualize nursing care plans. @X @X @X
ANS: B @X
In most states, prescriptive privileges are granted to master‘s-
@X @X @X @X @X @X @X @X
prepared nurse practitioners and clinical nurse specialists who have taken special courses
@X @X @X @
X @X @X @X @X @X @X @X @X
on prescribing medication. The nurse prepared at the basic level is permitted to perform
@X @X @X @X @
X @X @X @X @X @X @X @X @X @X
mental health assessments, establish relationships, and provide individualized care plannin
@X @X @X @X @X @X @X @X @X
g.
2. A nursing student expresses concerns that mental health nurses ―lose all their clinica
@X @X @X @X @X @X @X @X @X @X @X @X
l nursing skills.‖ Select the best response by the mental health nurse.
@X @
X @X @X @X @X @X @X @X @X @X
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
@X @X @X @X @X @X @X @X @X
patient ratios must be better because of the nature of the patients‘ problems.‖
@
X @X @X @X @X @X @X @X @X @X @X @X
b. ―Psychiatric nurses use complex communication skills as well as critical thinking
@X @X @X @X @X @X @X @X @X @X @X
to solve multidimensional problems. I am challenged by those situations.‖
@X @
X @X @X @X @X @X @X @X
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology mon
@X @X @X @X @X @X @X @X @X
itoring equipment and manage complex intravenous therapies.‖
@
X @X @X @X @X @X
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
@X @X @X @X @X @X @X @X @X @X @X @X @X
medical– surgical nurses do. That appeals to me.‖
@X @
X @X @X @X @X @X @X
ANS: B @X
The practice of psychiatric nursing requires a different set of skills than medical–
@X @X @X @X @X @X @X @X @X @X @X @X
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able
@X @X @X @X @X @X @X @X @X @X @X @
Xto help patients with medical as well as mental health problems, reflecting the holis
@X @X @X @X @X @X @X @X @X @X @X @X @X
tic perspective these nurses must have. Nurse–
@X @X @X @X @X @X
patient ratios and workloads in psychiatric settings have increased, just like other spec
@X @X @X @X @X @X @X @X @
X @X @X @X
ialties. Psychiatric nursing involves clinical practice, not just documentation. Psychoso
@X @X @X @X @X @X @X @X @X
cial pain and suffering are as real as physical pain and suffering.
@X @X @X @X @X @X @X @X @X @X @X
3