Download Psychiatric Mental Health Nursing and Evidence-Based Practice and more Exams Psychiatry in PDF only on Docsity! Chapter 1: Psychiatric Mental Health Nursing and Evidence-Based Practice A psychiatric-mental health nurse is describing the various programs offered by the local community mental health center. When explaining how these programs work, the nurse would emphasize which concept? - collaboration If a client states, "I carry this lucky rabbit's foot for luck, my parent did too, and it really works," which statement by the nurse reflects respect for the client's belief? - "I can accept that you feel it is lucky, so let's get to our activities for the day." The nurse is assessing a newly admitted client with cholecystitis. When performing the admission assessment, which statement by the client is an indicator of optimal mental health? - "I practice yoga regularly since it helps manage any stress I am feeling." The first training of nurses to work with persons with mental illness was in 1882 in which state? - Massachusetts A client grieving the recent loss of a spouse, asks, "Am I becoming mentally ill? I feel so sad" Which is the nurse's best response? - "You are not mentally ill. This is an expected reaction to the loss you have experienced." A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Which treatment will be most beneficial that the client will receive in this setting? - Medical management of symptoms Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship? - Hildegard Peplau 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) A psychiatric-mental health clinical nurse specialist is conducting an in-service program for a group of psychiatric-mental nurses. The clinical nurse specialist is discussing the use of evidence-based practice, describing it as a: - problem-solving approach to clinical decision making. Which is a clinical activity of only the advanced practice registered nurse? - Psychotherapy Which skill is in the psychiatric-mental health registered nurse's scope of practice? - Evaluating the effectiveness of psychiatric medications Which item is considered the standard of care in psychiatric nursing and mental health care? - Evidence-based practice A psychiatric-mental health nurse is working as part of a team to develop programs to address the Healthy People 2020 goals. The team is tasked with addressing the conditions to improve mental health status. Which area would be a focus of program development for the group? Select all that apply. - Suicide Disordered eating behaviors Major depressive disorder If a client states, "I carry this lucky rabbit's foot for luck, my parent did too, and it really works," which statement by the nurse reflects respect for the client's belief? - "I can accept that you feel it is lucky, so let's get to our activities for the day." Why is the document Mental Health: A Report of the Surgeon General (1999) significant? - Because it states clearly that there are effective treatments for mental illness Which law prevents insurance companies from excluding people because of preexisting conditions? - Patient Protection and Affordable Care Act The psychiatric nurse is providing teaching on the ways in which the recovery philosophy and practices have changed over the years. Which concept will the nurse identify as the biggest reason for the change? - consumer advocacy A nurse is reviewing information about various pieces of legislation that have affected psychiatric- mental health care. When reading about the Hill-Burton Act, the nurse would most likely find information about which type of federal support for health care? - hospital construction The nurse educator is teaching a group of students about the history of psychiatric nursing. Who will the nurse identify as being responsible for stopping the practice of therapeutic bloodletting? - Quakers The nurse knows the written instructions for healthcare when a person is incapacitated is called - Advance directive The psychiatric nurse is providing teaching on the ways in which the recovery philosophy and practices have changed over the years. Which concept will the nurse identify as the biggest reason for the change? - consumer advocacy 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 Which sets professional standards of care? - Professional nursing organizations
