nHealth nNursing: nA nClinical
nApproach, n8th nEdition nVarcarolis’
nCOMPLETE nTEST nBANK
1
,Foundations nof nPsychiatric nMental
nHealth nNursing: nA nClinical
nApproach, n8th nEdition nVarcarolis’
nCOMPLETE nTEST nBANK
2
, Foundations nof nPsychiatric nMental
nHealth nNursing: nA nClinical
nApproach, n8th nEdition nVarcarolis’
nCOMPLETE nTEST nBANK
Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
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ClinicalApproach, 8th Edition
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MULTIPLE CHOICE n
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
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advancedpractice nurse to perform which additional intervention? a.
n n Conduct mental
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health assessments.
n n
b. Prescribe psychotropic medication. n n
c. Establish therapeutic relationships. n n
d. Individualize nursing care plans. n n n
ANS: B n
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners
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nandclinical nurse specialists who have taken special courses on prescribing medication. The
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nnurseprepared at the basic level is permitted to perform mental health assessments, establish
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nrelationships, and provide individualized care planning. n n n n n
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23
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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
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n nursingskills.‖ 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-
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patientratios must be better because of the nature of the patients‘ problems.‖
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, Foundations nof nPsychiatric nMental
nHealth nNursing: nA nClinical
nApproach, n8th nEdition nVarcarolis’
nCOMPLETE nTEST nBANK
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to
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solvemultidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology
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monitoringequipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical–
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surgical nurses do. That appeals to me.‖
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ANS: B n
The practice of psychiatric nursing requires a different set of skills than medical–surgical
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nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
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with medical as well as mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
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increased,just like other specialties. Psychiatric nursing involves clinical practice, not just
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documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
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PTS: 1 n DIF: Cognitive Level: Apply (Application) n n n n
REF: Pages 1-2, 21
n n TOP: Nursing Process:
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ImplementationMSC: Client Needs: Safe, Effective Care Environment
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