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Varcarolis Foundations of Psych-Mental Nursing Chapter 1
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Varcarolis Foundations of Psych-Mental Nursing Chapter 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. Est...

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  • August 16, 2024
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  • 2024/2025
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Varcarolis Foundations of Psych-Mental Nursing Chapter 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.

B. prescribe psychotropic medication

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

When a nursing student expresses concerns about how mental health nurses "lose all their nursing
skills," the best response by the mental health nurse is:

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."

B. psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.

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

Brainpower

, Read More

When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group
of nurses writes letters to their elected representatives in opposition to the legislation. Which role have
the nurses fulfilled?

a. Recovery

b. Attending

c. Advocacy

d. Evidence-based practice

C. advocacy

An advocate defends or asserts another's cause, particularly when the other person lacks the ability to
do that for self. Examples of individual advocacy include helping patients understand their rights or
make decisions. On a community scale, advocacy includes political activity, public speaking, and
publication in the interest of improving the human condition. Since funding is necessary to deliver
quality programming for persons with mental illness, the letter-writing campaign advocates for that
cause on behalf of patients who are unable to articulate their own needs.



We have an expert-written solution to this problem!



Which comment best indicates that a patient perceived the nurse was caring? "My nurse:

a. always asks me which type of juice I want to help me swallow my medication."

b. explained my treatment plan to me and asked for my ideas about how to make it better."

c. spends time listening to me talk about my problems. That helps me feel like I am not alone."

d. told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner."

C. spends time listening to me talk about my problems. That helps me feel like I am not alone.

The correct response demonstrates the best evidence of a healthy recognition of the importance of
relationships. Mental health includes rational thinking, communication skills, learning, emotional
growth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy, but the correct
response shows a higher level of mental health. The other incorrect responses show blaming and
avoidance.

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