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Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of
psychiatric illnesses - ANSWER-Ans: D
Feedback: Although student nurses do not use the DSM to
diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building
knowledge about the nature of psychiatric illnesses. Identifying
the medical diagnosis, treating, and evaluating treatments are
not a part of the nursing process.
.The legislation enacted in 1963 was largely responsible for
which of the following shifts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care -
ANSWER-Ans: A Feedback: The Community Mental Health
, Centers Construction Act of 1963 accomplished the release
of individuals from long-term stays in state institutions, the
decrease in admissions to hospitals, and the development of
community-based services as an alternative to hospital care
.Which one of the following is a result of federal legislation?A)
Making it easier to commit people for mental health treatment
against their will.
B) Making it more difficult to commit people for mental health
treatment against their will.
C) State mental institutions being the primary source of care for
mentally ill persons.
D) Improved care for mentally ill persons. - ANSWER-Ans: B
Feedback: Commitment laws changed in the early 1970s,
making it more difficult to commit people for mental health
treatment against their will. Deinstitutionalization accomplished
the release of individuals from long-term stays in state
institutions. Deinstitutionalization also had negative effects in
that some mentally ill persons are subjected to the revolving
door effect, which may limit care for mentally ill persons.
Which of the following is defined as an advanced-level function
in the practice area of psychiatric mental health nursing?
A) Case management
B) Counseling
C) Evaluation
D) Health teaching - ANSWER-Ans: C
Feedback: Advanced-level functions are psychotherapy,
prescriptive authority, consultation and liaison, evaluation, and
,program development and management. Case management,
counseling, and health teaching are basiclevel functions in the
practice area of psychiatric mental health nursing.
A new graduate nurse has accepted a staff position at an
inpatient mental health facility. The graduate nurse can expect
to be responsible for basic-level functions, including
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
D) directing program development. - ANSWER-Ans: B
Feedback: Basic-level functions include counseling, milieu
therapy, self-care activities, psychobiologic interventions,
health teaching, case management, and health promotion and
maintenance. Advanced-level functions include psychotherapy,
prescriptive authority for drugs, consultation and liaison,
evaluation, program development and management, and
clinical supervision
. A student appears very nervous on the first day of clinical in
a psychiatric setting. The student reviews the instructor's
guidelines and appropriately takes which of the following
actions? Select all that apply. A) Tells the client about
personal events and interests
B) Discusses the anxious feelings with the instructor
C) Assumes that the client's unwillingness to talk to a student
nurse is a personal insult or failure
D) Builds rapport with the patient before asking personal
questions
, E) Consults the instructor if a shocking situation arises
F) Gravitates to clients that the student may know personally -
ANSWER-Ans:
B, D, E
Feedback: Listening carefully, showing genuine interest, and
caring about the client are extremely important rather than
speaking about oneself. The student must deal with his or her
own anxiety about approaching a stranger to talk about very
sensitive and personal issues. Student nurses should not see
the client's unwillingness to talk to a student nurse as a
personal insult or behavior. Being available and willing to listen
are often all it takes to begin a significant interaction with
someone. Questions involving personal matters should not be
the first thing a student says to the client. These issues usually
arise after some trust and rapport have been established. The
nursing instructor and staff are always available to assist if the
client is shocking or distressing to the student. If the student
recognizes someone he or she knows, it is usually best for the
student to talk with the client and reassure him or her about
confidentiality. The
client should be reassured that the student will not read the
client's record and
will not be assigned to work with
the client.
The nurse is assessing the factors contributing to the well-
being of a newly admitted client. Which of the following would
the nurse identify as having a positive impact on the
individual's mental health?