Test bank varcarolis foundations of psychiatric mental health nursing a clinical 9th edition by margaret jordan halter 2024

1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvanced practice nurse to perform which additional intervention? a. Conduct mental health assessments. b. Prescribepsychotropicmedication. c. Establishtherapeuticrelationships. d. Individualizenursingcareplans. ANS:B Inmoststates,prescriptiveprivilegesare granted tomaster‘s-preparednursepractitioners and clinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning. PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP: Nursing Process: Implementation MSC:ClientNeeds:Safe,EffectiveCareEnvironment 2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing skills.‖ Select the best response by the mental health nurse. a. ―Psychiatricnursespracticeinsaferenvironments thanotherspecialties.Nurse-to-patient ratios must be better because of the nature of the patients‘problems.‖ b. ―Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve multidimensional problems. I am challenged by those situations.‖ c. ―That‘samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring equipment and manage complex intravenous therapies.‖ d. ―Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical– 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. Psychiatricnurses must be able to help patients with medical as well as mental health problems, reflecting the holistic perspective these nursesmusthave.Nurse–patientratiosandworkloadsinpsychiatricsettingshaveincreased, just like other specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suffering are as real as physical pain and suffering.