Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)

Chapter 01: Mental Health and Mental Illness HaOWeU: VaUcaUROLV¶ FRXQdaWLRQV Rf PVcKLaWULc MeQWaO HeaOWK NXUVLQg: A COLQLcaO Approach, 8th Edition MULTIPLE CHOICE 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 IQ PRVW VWaWeV, SUeVcUiSWiYe SUiYiOegeV aUe gUaQWed WR PaVWeU¶V-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 QXUViQg VWXdeQW e[SUeVVeV cRQceUQV WhaW PeQWaO heaOWh QXUVeV ³ORVe aOO WheiU cOiQicaO QXUViQg VNiOOV.´ Select the best response by the mental health nurse. a. ³PVchiaWUic QXUVeV SUacWice iQ VafeU eQYiURQPeQWV WhaQ RWheU VSeciaOWieV. Nurse-to-SaWieQW UaWiRV PXVW be beWWeU becaXVe Rf Whe QaWXUe Rf Whe SaWieQWV¶ SURbOePV.´ b. ³PVchiaWUic QXUVeV XVe cRPSOe[ communication skills as well as critical thinking WR VROYe PXOWidiPeQViRQaO SURbOePV. I aP chaOOeQged b WhRVe ViWXaWiRQV.´ c. ³ThaW¶V a PiVcRQceSWiRQ. PVchiaWUic QXUVeV fUeTXeQWO XVe high WechQRORg monitoring equipment and manage complex intravenous WheUaSieV.´ d. ³PVchiaWUic QXUVeV dR QRW haYe WR deaO ZiWh aV PXch SaiQ aQd VXffeUiQg aV medical±VXUgicaO QXUVeV dR. ThaW aSSeaOV WR Pe.´ 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. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 1-2, 21 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled