,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 nCHOICE x
1. A nstaff nnurse ncompletes norientation nto na npsychiatric nunit. nWhich nof nthe nfollowing
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would nthennurse nexpect nas nan nadvanced npractice nintervention?
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a. Conduct nmental nhealth nassessments x x x
b. Prescribe npsychotropic nmedication x x
c. Establish ntherapeutic nrelationships x x
d. Individualize nnursing ncare nplans x x x
ANSWER: n B x
Prescriptive nprivileges nare ngranted nto nmaster’s-prepared nnurse npractitioners nwho nhave
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ntaken nspecial ncourses non nprescribing nmedication; nthus nit nis nan nadvanced-practice
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nintervention. nThe nnurse nprepared nat nthe nbasic nlevel nis npermitted nto nperform nmental
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nhealth nassessments, nestablishn
x relationships, nand nprovide nindividualized ncare nplanning.
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DIF: Cognitive nLevel: nUnderstand n(Comprehension) x x x
TOP: n Nursing nProcess: nImplementation MSC: n Client nNeeds: nSafe nEffective nCare nEnvironment
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2. When na nnursing nstudent nexpresses nconcerns nabout nhow nmental nhealth nnurses n“lose
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all ntheirnnursing nskills,” nwhich nof nthe nfollowing nis nthe nbest nresponse nby nthe nmental
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nhealth nnurse?
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a. “Psychiatric nnurses npractise nin nsafer nenvironments nthan nother x x x x x x x
nspecialties. nNurse-to-patient nratios nmust nbe nbetter nbecause nof nthe
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nnature nof nthe npatients’
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problems. .
”
b. “Psychiatric nnurses nuse ncomplex ncommunication nskills nas nwell nas ncritical x x x x x x x x x
nthinkingn
x to nsolve nmultidimensional nproblems. nI nam nchallenged nby nthose
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nsituations.”
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c. “That’s na nmisconception. nPsychiatric nnurses nfrequently nuse nhigh-
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technologynmonitoring nequipment nand nmanage ncomplex nintravenous x x x x x x
ntherapies.”
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d. “Psychiatric nnurses ndo nnot nhave nto ndeal nwith nas nmuch npain nand x x x x x x x x x x x
nsuffering nasn
x medical–surgical nnurses ndo. nThat nappeals nto nme.” x x x x x x x x
ANSWER: n B x
The npractice nof npsychiatric nnursing nrequires na ndifferent nset nof nskills nfrom nmedical–
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surgical nnursing, nthough nthere nis nsubstantial noverlap. nTwo ndomains nrelate nspecifically
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nto npsychiatric nnursing: nbehavioural, nincluding ncommunication, ncoping, nand neducation;
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nand nsafety, ncoveringn
x x crisis nand nrisk nmanagement. nBasic npsychosocial nnursing nconcepts
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nare ncentral nto npsychiatric nnursing npractice nand nincrease nyour ncompetency nas na
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npractitioner nin nall nclinical nsettings.
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Whatever nsetting nyou nchoose nto nwork nin, nyou nwill nhave nthe nopportunity nto nimprove
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nthe nlives nofn
x people nwho nare nexperiencing nmental nillness nas nan nadditional nchallenge nto
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ntheir nhealth.
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Your nexperience nin nthe nmental nhealth nnursing nrotation ncan nhelp nyou ngain ninsight ninto
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nyourself nand ngreatly nincrease nyour ninsight ninto nthe nexperiences nof nothers. nThis npart nof
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, nursing neducationncan nprovide nguidelines nfor nand nthe nopportunity nto nlearn nnew nskills
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for ndealing nwith na nvariety nofnchallenging nbehaviours. nPsychosocial npain nand nsuffering
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nare nas nreal nas nphysical npain nand nsuffering.
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DIF: Cognitive nLevel: nApply n(Application)
x x x
TOP: n Nursing nProcess: nImplementation MSC:
x x x x n Client nNeeds: nSafe nEffective nCare nEnvironment
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