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ursing: A Clinical Approach, 8th Edition Test Bank
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Halter: Varcarolis’ Foun u u
dations of Psychiatric Me u u u
ntal Health Nursing: A Cl
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inical Approach, 8thEdit
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ion
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health N
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ursing: A Clinical Approach, 8th Edition Test Bank u u u u u u u
Chapter 01: Mental Health and Mental Illness
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MULTIPLE CHOICE u
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advancedpr
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actice nurse to perform which additional intervention? a.
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Conduct mental health assessments. u u u
b. Prescribe psychotropic medication. u u
c. Establish therapeutic relationships. u u
d. Individualize nursing care plans. u u u
ANS: B u
In most states, prescriptive privileges are granted to master‘s-
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prepared nurse practitioners andclinical nurse specialists who have taken special courses on pres
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cribing medication. The nurseprepared at the basic level is permitted to perform mental health as
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sessments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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23 TOP:Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursingsk
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ills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to- u u u u u u u u u
patient ratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve m
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ultidimensional problems. I am challenged by those situations.‖ u u u u u u u
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring e
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quipment and manage complex intravenous therapies.‖ u u u u u
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– u u u u u u u u u u u u u u
surgical nurses do. That appeals to me.‖
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ANS: B u
The practice of psychiatric nursing requires a different set of skills than medical–
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surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help pat
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ientswith medical as well as mental health problems, reflecting the holistic perspective these nu
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rses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased,just like other specialties. Ps
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ychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suff
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ering are as real as physical pain and suffering.
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2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health N
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ursing: A Clinical Approach, 8th Edition Test Bank
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PTS: 1
u DIF: Cognitive Level: Apply (Application)
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3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health N
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ursing: A Clinical Approach, 8th Edition Test Bank
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REF: Pages 1-2, 21
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TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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4