Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This
nurse may expect an advanced practice nurse to perform which
additional intervention? a. 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-
prepared nurse practitioners and clinical nurse specialists who have
taken special courses on prescribing medication. The nurse
prepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized
care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-23 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses
―lose all their clinical nursing skills.‖ Select the best response by
the mental health nurse.
a. ―Psychiatric nurses practice in safer environments than other
specialties. Nurse-to-patient ratios must be better because of
the nature of the patients‘ problems.‖
b. ―Psychiatric nurses use complex communication skills as well as
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, critical thinking to solve multidimensional problems. I am
challenged by those situations.‖
c. ―That‘s a misconception. Psychiatric nurses frequently use high
technology monitoring equipment 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.‖
ANS: : B
The practice of psychiatric nursing requires a different set of skills
than medical–surgical nursing, though there is substantial overlap.
Psychiatric nurses must be able to help patients with medical as
well as mental health problems, reflecting the holistic perspective
these nurses must have. Nurse–patient ratios and workloads in
psychiatric settings have increased, just like other specialties.
Psychiatric nursing involves clinical practice, not just
documentation. Psychosocial pain and suffering are as real as
physical pain and suffering.
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, PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
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