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Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,
,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
CHOICE
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A staff nurse completes orientation to a psychiatric unit. Which of the
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following would thenurse expect as an advanced practice intervention?
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a. Conduct mental health assessments ss ss ss
b. Prescribe psychotropic medication ss ss
c. Establish therapeutic relationships ss ss
d. Individualize nursing care plans ss ss ss
ANSWER: B ss
Prescriptive privileges are granted to master‘s-prepared nurse ss ss ss ss ss ss
practitioners who have taken special courses on prescribing medication;
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thus it is an advanced-practice intervention. The nurse prepared at the
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basic level is permitted to perform mental health assessments,
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establishrelationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Implementation
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Effective Care Environment
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2. When a nursing student expresses concerns about how mental health
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nurses ―lose all theirnursing skills,‖ which of the following is the best
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response by the mental health nurse?
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a. ―Psychiatric nurses practise in safer environments than ss ss ss ss ss ss
other specialties. Nurse-to-patient ratios must be better
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because of the nature of the patients‘
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problem .
s.‖
b. ―Psychiatric nurses use complex communication skills as well as ss ss ss ss ss ss ss ss
critical thinkingto solve multidimensional problems. I am
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challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use ss ss ss ss ss ss
high-technologymonitoring equipment and manage
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complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain ss ss ss ss ss ss ss ss ss ss
and suffering asmedical–surgical nurses do. That appeals
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to me.‖ss ss
ANSWER: B ss
, The practice of psychiatric nursing requires a different set of skills from
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medical–surgical nursing, though there is substantial overlap. Two
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domains relate specifically to psychiatric nursing: behavioural, including
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communication, coping, and education; and safety, coveringcrisis and
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risk management. Basic psychosocial nursing concepts are central to
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psychiatric nursing practice and increase your competency as a
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practitioner in all clinical settings.
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Whatever setting you choose to work in, you will have the opportunity to
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improve the lives ofpeople who are experiencing mental illness as an
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additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain
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insight into yourself and greatly increase your insight into the experiences
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of others. This part of nursing educationcan provide guidelines for and
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the opportunity to learn new skills for dealing with a variety ofchallenging
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behaviours. Psychosocial pain and suffering are as real as physical pain
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and suffering.
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DIF: Cognitive Level: Apply (Application) ss ss ss
TOP: Nursing Process: Implementation
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Effective Care Environment
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