CHAPTER 1: PSYCHIATRIC MENTAL HEALTH NURSING AND EVIDENCE-BASED PRACTIC, Exams of Nursing

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CHAPTER 1: PSYCHIATRIC MENTAL HEALTH

NURSING AND EVIDENCE-BASED PRACTIC

1.The nurse is working as a case manager in an inpatient psychiatric unit and preparing discharge planning for a client that is homeless. Which will be the primary goal of the case manager when coordinating the discharge care of this client?: Coordinating all types of care so that the client does not receive fragmented care. 2.The nurse is working in an inpatient mental health facility and caring for several clients. Which client is most likely to experience the revolving door phenomenon?: A client with a dual diagnosis of heroin use disorder and bipolar I disorder. 3.The nurse identifies that mental health issues are constantly evolving. Which is a standard of professional performance to keep in current practice?- : Education

4.What nursing action demonstrates the intended impact of the American Nurses Association (ANA) standards of care on mental health nursing care?- : Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a nurse's practice. 5.The nurse educator is teaching a group of students about the history of psychiatric nursing. Whom will the nurse identify as being responsible for stopping the practice of therapeutic bloodletting?: Quakers 6.A nurse is reading a journal article about the changes occurring in psychi- atric- mental health care over the years. The article describes the deinstitution- alization movement and the reasons for such movement. Which reason would the nurse most likely find?: View that institutionalization contributed to mental illness 7.A client comes to the community mental health center for a visit. During the interview, the client tells the nurse that now he has health insurance that will allow him to get the treatment he needs. "I couldn't get it before because of my history of depression." The nurse understands that the client's ability to obtain health insurance is most likely a direct result of which legislation?: Patient Protection and Affordable Care Act

8.Hydrotherapy, a primitive treatment, was used for what in the mentally ill population?: Calming effect 9.A nurse is watching a documentary about psychiatric-mental health nursing and its evolution over the years. One part of the documentary describes the development of the therapeutic relationship, mentioning which individual as its founder?: Hildegarde Peplau

10. The nurse educator is teaching a group of students about the early psy- chiatric nursing founders and their perspectives. Which statement(s) by the students indicate that the teaching is effective? Select all that apply.: "Florence Nightingale encouraged independence and self-care." "Hildegard Peplau identified nursing as a separate model from medicine."
11. The community health nurse wants to understand the trend of teen suicide rate in the community. Using an evidence-based approach, which action will the nurse take first?: Define the clinical question.

12. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I disorder. Which information will the nurse obtain to assist with the use of this resource?: Use as a guide for client assessment
13. According to Freud, in which phase does the toddler develop a sense of autonomy through withholding?: anal
14. In early Christian times, what was thought to cause mental illness?: De- monic control
15. During the moral treatment period, clients were routinely placed into which environment?: asylums
16. Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?: Hildegard Peplau
17. Which classification of medications was initially used to treat the people with mental illness?: Barbiturates
18. The nurse is revising policies on the behavioral health unit to align with current standards of practice to ensure safe, quality care. Which regulations that guide the nursing profession will guide the nurse?: ANA (American Nurses Association)