Varcarolis Canadian Psychiatric Mental Health Nursing
2nd Edition By Pollard All Chapter -135
,
,Chapter01: Mental Healthand MentalIllness
Varcarolis’s Canadian Psychiatric Mental Health Nursing,
2nd Edition
MULTIPLE CHOICE
1. A staffnursecompletes orientation
to apsychiatricunit. Whichof thefollowing wouldthenurse
expect as anadvanced practiceintervention?
a. Conduct mentalhealthassessments
b. Prescribepsychotropicmedication
c. Establishtherapeuticrelationships
d. Individualizenursing careplans
ANSWER: B
Prescriptive privileges are granted to master’s
-prepared nurse practitioners who have taken
special
courses on prescribing medication; thus it is an advanced
-practice intervention. The
nurse
prepared atthebasiclevelis permittedto performmentalhealthassessments,establish
relationships,and provideindividualized careplanning.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs:SafeEffectiveCare Environment
2. When a nursing studentexpressesconcerns abouthow mentalhealthnurses “loseall their
nursing skills,” which of thefollowingis thebestresponseby themental healthnurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-
to-patientratiosmustbe betterbecauseof thenatureof thepatients’
problems.” .
b. “Psychiatricnursesusecomplexcommunicationskills as well as critical thinkingto
solvemultidimensional problems. I am challengedby thosesituations.”
c. “That’s a misconception. Psychiatric nurses frequently use -technology
high
monitoringequipment and manage complex intravenous therapies.”
d. “Psychiatricnursesdo not haveto dealwith as much pain and sufferingas
medical–surgicalnursesdo. That appealsto me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical
–surgicalnursing,
though there is substantial overlap. Two domains relate specifically to psychiatric
nursing:
behavioural, including communication, coping, and education; and safety, covering crisis and risk
management. Basic psychosocial nursing concepts are central to psychiatric nursing practice and
increaseyour competencyas a practitionerin all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve thepeople lives of
who areexperiencing mentalillness asan additionalchallengeto theirhealth.
Your experience in the mental health nursing rotation can help you gain insight into yourself
and
greatlyincreaseyour insightinto theexperiencesof others. Thispart of nursing education can
provide guidelines for and the opportunity to learn new skills for dealing with a variety
challenging
of
behaviours. Psychosocial pain and suffering are as real as physical pain suffering.
and
, DIF: CognitiveLevel:Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs:SafeEffectiveCare Environment