and Answers
Ethical Principles - correct answers✅✅• Each person has worth, dignity
• The goal of each person is growth
• All persons have common, basic needs
• All persons have a right to access health
care
• All persons have the right to selfdetermination
Role of Nurse Generalist - correct answers✅✅• Assess patient problems
• Provide direct care
• Provide a continuum of care
• Manage the treatment milieu
• Lead group therapy
• Do crisis management, supportive
therapy
Role of the Nurse Specialist - correct answers✅✅• Direct care : complex
problems
• Psychotherapy
• Supervision
• Independent practice
• Consultation-liaison
• Prescriptive authority
Evidence‐Based Practice slide - correct answers✅✅• Sources of
Information
- Standards of Practice
,Mental Health Nursing Exam 1 Questions
and Answers
- Research Reports
- Cochrane Reviews: regularly updated electronic library w/ unique,
frequently updated systematic reviews
- Practice Guidelines
Why are evidence-based practices a priority in mental healthcare? - correct
answers✅✅Large gap exists between
the mental health care research that is most effective
&
the mental health care that most people receive
What do psychiatric nurses do? - correct answers✅✅• Self-assessment,
reflection, and values
clarification
• Facilitate expression of feelings
• Use therapeutic communication
• Work with patient toward goals—biological
therapies such as medications, ECT.
• Patient education
• Apply the nursing process
Evidence-Based Practice, defn - correct answers✅✅-The conscientious,
explicit, and judicious use of the best evidence gained from a systematic
research for the purpose of making informed decisions about the care of
individual patients.
-Blends a nurse's clinical expertise with the best available research evidence
, Mental Health Nursing Exam 1 Questions
and Answers
Four Bases of E-V Practice - correct answers✅✅1. First/lowest level:
*traditional basis*: includes rituals, unverified rules, anecdotes, customs,
opinions and unit culture.
2. Second level: *regulatory basis*: state practice
acts/reimbursement/regulatory requirements
3. Third level: *Philosophical/conceptual basis*: mission, values, and vision of
org; professional practice models; untested conceptual frameworks; ethical
frameworks; professional codes.
4. Fourth level/highest level: *Evidence-based practice*: well-established
research findings, performance data, consensus recommendations of
recognized experts.
Developing stages of Evidence-Based Care - correct answers✅✅1.
Defining clinical question: define pt. problem, current existing nursing
intervention, specify expected outcome. Clear answers require clear
questions.
2. Finding the evidence: Textbooks, drug booklets, and MOSTLY journal
articles.
3. Systematic reviews
4. Meta-analysis- formal quantitative synthesis
5. Analyze the evidence: high quality? appropriate research findings?
6. Use evidence: apply it. hard, so use practice guidelines.
7. Evaluating outcome: final activity. Application of evidence leads to
improvement in care?
Practice Guidelines - correct answers✅✅Provide methods/procedures for
effective treatment of each disorder.