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The client on the Answer: 2
psychiatric unit is asking
questions about
prevention of sexually
transmitted diseases. Given the
PsychiatricMental Health
Nursing
Standards of Practice,
which action would be most
appropriate for the nurse to
take at this time?
1. Consult with the mental
health care team.
2. Teach safer sexual practices.
3. Investigate the questions
in individual
psychotherapy.
4. Notify the attending
psychiatrist.
,The client asks the nurse if Answer: 2
certain changes can be
made in the unit milieu.
Which action by the nurse
indicates
understanding of the
nursing role in the
therapeutic milieu?
1. The nurse refers the
clients requests to the
psychiatric social
worker.
2. The nurse discusses the
desired changes with the
client.
3. The nurse refers the
clients requests to the
psychosocial
rehabilitation worker.
4. The nurse instructs the
client that no changes
can be made.
Due to a staff members Answer: 1
absence, the nurse is
reviewing staff assignments
for the day. Which task can
the nurse delegate to the
psychosocial
rehabilitation worker?
1. Conflict resolution
teaching to a small group
of clients
2. Comparison of
physicians orders with the
medication records
,3. Routine medication
administration to a stable
client
4. Assessment of a long-term
client
If psychiatric nurses used Answer: 3
Orems theory for structuring
much of their nursing practice,
a major focus area for
assessment would be the
clients ability to do which of
the
following?
1. Adapt and function to
meet various role
expectations.
2. Care about self and
participate in self-
healing.
3. Implement self-
care to meet
psychosocial
needs.
4. Enter into a therapeutic
one-to-one relationship
with the nurse.
, The psychiatric mental Answer: 2
health nurse is asked to
develop an intervention for
the nursing unit based on
Watsons theory of caring.
Given this assignment,
which
intervention is most
appropriate for the nurse to
implement?
1. One-to-one debriefing
sessions each week with
individual unit nurses and
the unit manager
2. Clarification of values and
cultural beliefs that might
pose barriers to caring for
clients
3. Identification of additional
coping skills for new
nurses on the unit
4. Discussion of the
impact of recent changes
in hospital policy on the
nursing staff
The unit manager is Answer: 1
consistently
advocating for self-
awareness among the
psychiatric mental health
nursing staff in
order to promote quality
care. From which
theoretical base is the unit
manager
operating?