Test Bank For Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical Approach 9th Edition

Test Bank For Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical Approach 9th Edition Chapter 01: Mental Health and Mental Illness Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 9th Edition MULTIPLE CHOICE A staf 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. Prescribe psychotropic medication. Establish therapeutic relationships. 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, Efective Care Environment A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing skills.‖ Select the best response by the mental health nurse. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients‘ problems.‖ ―Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations.‖ ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies.‖ This study source was downloaded by from CourseH on :47:04 GMT -05:00 johngatheca ―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 diferent 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 sufering are as real as physical pain and sufering. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 1-2, 21 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Efective Care Environment When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? Recovery Attending Advocacy Evidence-based practice ANS: C An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability to do that for self. Examples of individual advocacy include helping patients understand their rights or make decisions. On a community scale, advocacy includes political activity, public speaking, and publication in the interest of improving the human condition. Since funding is necessary to deliver quality programming for persons with mental illness, the letterwriting campaign advocates for that cause on behalf of patients who are unable to articulate their own needs. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Efective Care Environment