Foundations of Mental Health Care 8th Edition Morrison-Valfre: Questions & Answers

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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. c. Establi... sh therapeutic relationships. b. Prescribe psychotropic medication. d. Individualize nursing care plans. ANS: B In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners 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. 2. 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: “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient a. ratios must be better because of the nature of the patients’ problems.” “Psychiatric nurses use complex communication skills as well as critical thinking to solve b. multidimensional problems. I am challenged by those situations.” “That’s a misconception. Psychiatric nurses frequently use high technology monitoring c. equipment and manage complex intravenous therapies.” “Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical d. nurses do. That appeals to me.” ANS: B 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. lOMoAR cPSD|21283334 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. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 10 | Page 13-14 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 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 c. Advocacy b. Attending d. Evidence-based practice ANS: C 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. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 16 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 4. 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.” spends time listening to me talk about my problems. That helps me feel like I am not c. alone.” told me that if I take all the medicines the doctor prescribes, then I will get discharged d. sooner.” ANS: C [Show More]

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