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Which would be a reason for a student nurse to use the DSM?
- A. Identifying the medical diagnosis
- B. Treat clients
- C. Evaluate treatments
- D. Understand the reason for the admission and the nature of psychiatric illnesses.
Correct Answer: D
Rationale: Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to understand the reason for the admission and to begin building knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not a part of the nursing process.
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A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate nurse can expect to be responsible for basic-level functions, including
- A. Providing clinical supervision.
- B. Using effective communication skills.
- C. Adjusting client medications
- D. Directing program development.
Correct Answer: B
Rationale: Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case management, and health promotion and maintenance. Advanced-level functions include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program development and management, and clinical supervision.
Psychiatric nursing became a requirement in nursing education in which year?
- A. 1930
- B. 1940
- C. 1950
- D. 1960
Correct Answer: C
Rationale: It was not until 1950 that the National League for Nursing, which accredits nursing programs, required schools to include an experience in psychiatric nursing.
What is meant by the term revolving door effect in mental health care?
- A. An overall reduction in incidence of severe mental illness
- B. Shorter and more frequent hospital stays for persons with severe and persistent mental illness
- C. Flexible treatment settings for mentally ill
- D. Most effective and least expensive treatment settings
Correct Answer: B
Rationale: The revolving door effect refers to shorter, but more frequent, hospital stays. Clients are quickly discharged into the community where services are not adequate; without adequate community services, clients become acutely ill and require rehospitalization.
Which one of the following is one of the American Nurses Association standards of practice for psychiatric mental health nursing?
- A. Prescriptive authority is granted to psychiatric mental health registered nurses.
- B. All aspects of Standard 5. Implementation may be carried out by psychiatric mental health registered nurses.
- C. Some aspects of Standard 5. Implementation may only be carried out by psychiatric mental health advanced practice nurses.
- D. Psychiatric mental health advanced practice nurses are the only ones who may provide milieu therapy.
Correct Answer: C
Rationale: Prescriptive authority is used by psychiatric mental health advanced practice registered nurses in accordance with state and federal laws and regulations. Some aspects of Standard 5 are advanced practice interventions and may be performed by the psychiatric mental health advanced practice registered nurse. Psychiatric mental health registered nurses may provide milieu therapy according to Standard 5c.
Which of the following is defined as an advanced-level function in the practice area of psychiatric mental health nursing?
- A. Case management
- B. Counseling
- C. Evaluation
- D. Health teaching
Correct Answer: C
Rationale: Advanced-level functions are psychotherapy, prescriptive authority, consultation and liaison, evaluation, and program development and management. Case management, counseling, and health teaching are basic-level functions in the practice area of psychiatric mental health nursing.