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TEST VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING A CLINICAL APPROACH, 8TH EDITION QUESTIONS WITH REVISED CORRECT ANSWERS A+ ALREADY GRADED

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TEST VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING A CLINICAL APPROACH, 8TH EDITION QUESTIONS WITH REVISED CORRECT ANSWERS A+ ALREADY GRADED 1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? a. Conduct mental health assessments. b. Prescribe psychotropic medication. c. Establish therapeutic relationships. d. Individualize nursing care plans. ANS: B In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and clinical nurse specialists who have taken special courses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing skills.‖ Select the best response by the mental health nurse. a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients‘ problems.‖ b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations.‖ c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies.‖ d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– 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. Psychiatric nurses must be able to help patients with medical as well as mental health problems, reflecting the holistic perspective these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suffering are as real as physical pain and suffering

Voorbeeld van de inhoud

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niesfgfacefgoverfgunstructuredfgdatafgraisefgconcernsfgthatfgneedfgtofgbefgaddressedfgwhenfgafgcompanyf
gusesfgsocialf g media.fgWithfgyourfgindustryfginfgmind,fgidentifyfgandfgdiscussfgthesefgconcernsfgan

dfgaddressfghowfgtheyfgcanfgbefgeffectivelyfghandled

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Chapter 01: Mental Health and Mental Illness
fg fg fg fg fg fg




Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approa
fg fg fg fg fg fg fg fg fg fg


ch, 8th Edition
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MULTIPLEfgCHOICE

1. Afgstafffgnursefgcompletesfgorientationfgtofgafgpsychiatricfgunit.fgThisfgnursefgmayfgexpectfganfgadvanc
edfgpracticefgnursefgtofgperformfgwhichfgadditionalfgintervention?fga.
Conductfgmentalfghealthfgassess
ments.
b. Prescribefgpsychotropicfgmedication.
c. Establishfgtherapeuticfgrelationships.
d. Individualizefgnursingfgcarefgplans.
ANS:fgB
Infgmostfgstates,fgprescriptivefgprivilegesfgarefggrantedfgtofgmaster‘s-
preparedfgnursefgpractitionersfgandfgclinicalfgnursefgspecialistsfgwhofghavefgtakenfgspecialfgcoursesfgonfg
prescribingfgmedication.fgThefgnursefgpreparedfgatfgthefgbasicfglevelfgisfgpermittedfgtofgperformfgmentalf
ghealthfgassessments,fgestablishfgrelationships,fgandfgprovidefgindividualizedfgcarefgplanning.



PTS:fg1fgDIF:fgCognitivefgLevel:fgUnderstandfg(Comprehension)fgREF:fgPagefg1-
23fgTOP:fgNursingfgProcess:fgImplementation
MSC:fgClientfgNeeds:fgSafe,fgEffectivefgCarefgEnvironment

2. Afgnursingfgstudentfgexpressesfgconcernsfgthatfgmentalfghealthfgnursesfg―losefgallfgtheirfgclinicalfgnursin
gfgskills.‖fgSelectfgthefgbestfgresponsefgbyfgthefgmentalfghealthfgnurse.
a. ―Psychiatricfgnursesfgpracticefginfgsaferfgenvironmentsfgthanfgotherfgspecialties.fgNurse-to-
patientfgratiosfgmustfgbefgbetterfgbecausefgoffgthefgnaturefgoffgthefgpatients‘fgproblems.‖
b. ―Psychiatricfgnursesfgusefgcomplexfgcommunicationfgskillsfgasfgwellfgasfgcriticalfgthinkingfgtofgsol
vefgmultidimensionalfgproblems.fgIfgamfgchallengedfgbyfgthosefgsituations.‖
c. ―That‘sfgafgmisconception.fgPsychiatricfgnursesfgfrequentlyfgusefghighfgtechnologyfgmonitorin
gfgequipmentfgandfgmanagefgcomplexfgintravenousfgtherapies.‖
d. ―Psychiatricfgnursesfgdofgnotfghavefgtofgdealfgwithfgasfgmuchfgpainfgandfgsufferingfgasfgmedical
–fgsurgicalfgnursesfgdo.fgThatfgappealsfgtofgme.‖
ANS:fgB
Thefgpracticefgoffgpsychiatricfgnursingfgrequiresfgafgdifferentfgsetfgoffgskillsfgthanfgmedical–
surgicalfgnursing,fgthoughfgtherefgisfgsubstantialfgoverlap.fgPsychiatricfgnursesfgmustfgbefgablefgtofghel
pfgpatientsfgwithfgmedicalfgasfgwellfgasfgmentalfghealthfgproblems,fgreflectingfgthefgholisticfgperspecti
vefgthesefgnursesfgmustfghave.fgNurse–
patientfgratiosfgandfgworkloadsfginfgpsychiatricfgsettingsfghavefgincreased,fgjustfglikefgotherfgspecialties

1

, 2




.fgPsychiatricfgnursingfginvolvesfgclinicalfgpractice,fgnotfgjustfgdocumentation.fgPsychosocialfgpainfg
andfgsufferingfgarefgasfgrealfgasfgphysicalfgpainfgandfgsuffering.




2

, 3




PTS:fg1 DIF:fgCognitivefgLevel:fgApplyfg(Application)
REF:fgPagesfg1-2,fg21
TOP:fgNursingfgProcess:fgImplementatio
nfgMSC:fgClientfgNeeds:fgSafe,fgEffectivefgCarefgEnvironment




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