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Varcarolis' Foundations of Psychiatric Test Bank -Mental Health Nursing A Clinical 10th Edition by Margaret Jordan Halter

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Varcarolis' Foundations of Psychiatric Test Bank -Mental Health Nursing A Clinical 10th Edition by Margaret Jordan Halter Chapter 01: Mental Health and Mental Illness MULTIPLE CHOICE 1. A nursing student expresses concernsthat mental health nurses ―lose all their clinical nursing skills.�...

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  • 28 septembre 2023
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1 Varcarolis' Foundations of Psychiatric Test Bank -Mental Health Nursing A Clinical 10th Edition by Margaret Jordan Halter Chapter 01: Mental Health and Mental Illness MULTIPLE CHOICE 1. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing skills.‖ Select the best response by the mental health nurse. a. ―Psychiatric nurses practice in safer environme nts than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients‘ problems .‖ b. ―Psychiatric nurses use compl ex communic ation 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 a nd manage complex intravenous therapies.‖ d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medi cal– surgical nurses do. That appeals to me.‖ ANS: B 2 The practice of psychiatric nursing requires a different set of skills than medica l–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. 3 PTS: 1 DIF: Cognitive Level: Apply (Applicat ion) REF: Pages 1-2, 21 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 4 2. 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 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. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 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? a. Recovery b. Attending c. Advocacy d. Evidence -based practice ANS: C An advocate defends or asserts another‘s cause, particula rly 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 publicatio n 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. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment 4. A family has a long history of conflicted relationships among the members. Which family member‘s comment best reflects a mentally healthy perspective? a. ―I‘ve made mistak es but everyone else in this family has also.‖ b. ―I remember joy and mutual respect from our early years together.‖ c. ―I will make some changes in my behavior for the good of the family.‖ d. ―It‘s best for me to move away from my family. Things will never change.‖ ANS: C

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