The mental health nurse uses which frameworks to maintain patient safety?
QSEN
QSEN provides current and future nurses with the knowledge, skills, and
... [Show More] attitudes to achieve patient safety and quality care.
Nursing process
The nursing process helps guide professional behaviors and judgments, particularly those that relate to patient safety.
Standards of practice
Standards of practice help guide nurses in their clinical practice as it relates to maintaining patient safety.
The psychiatric nurse uses the HEADSSS tool when assessing which patient population?
Adolescent
The nurse uses the HEADSSS tool when assessing adolescents to determine safety factors such as drug use, sexuality, suicide risk, and bullying.
Match the principle of nursing interventions with its description.
Safe: The intervention protects both patient and staff.
Appropriate: The intervention aligns with patient's personal goals.
Individualized: The intervention is within the patient's capabilities.
Evidence-based: The intervention is based on scientific principles.
Which is the priority step the mental health nurse would take when documenting a patient's nonadherence?
Use neutral language
The nurse must use neutral language when documenting a patient's noncompliance to prevent health care staff from blaming or criticizing the noncompliant patient.
Match the nurse-patient communication component with its description.
Sender: Initiates transmission of information
Medium: How the message is sent
Receiver: Accepts and interprets message
Feedback: Response to the message
Which are characteristics of nonverbal communication that the nurse may use when communicating with psychiatric patients?
Touch
Touch is a form of nonverbal communication since it does not involve the spoken word. Nurses should note that not all patients want to be touched or may misinterpret touch as threatening or sexual in nature. As such, they may respond with aggression or with an inappropriate sexual response. Boundaries need to be clear prior to initiating touch.
Cough
Cough is an example of paralinguistics, which is any sound that is not a spoken word. Cough is an example of nonverbal communication. It is considered a reflex.
Eye movement
Eye movement is an example of nonverbal communication since it does not involve the spoken word.
Facial expressions
Facial expressions are an example of nonverbal communication since they do not involve the spoken word.
Which is the most important focus of therapeutic communication?
The patient's needs
Therapeutic communication focuses on the needs of the patient in an effort to promote stabilization and recovery.
Which are expected transformations of the mental health care system that may affect psychiatric nursing under "A Vision for Mental Health Care in America"?
Mental health care and information will be accessible via technology.
"A Vision for Mental Health Care in America" hopes to make mental health care and information accessible via technology. It is the nurse's role to ensure patients understand they have access to technology and how to use it.
Americans will understand the link between mental health and overall health.
The initiative hopes to improve American's understanding of the link between mental health and overall health. It is the nurse's role to teach patients the link between mental health and physical health.
Common practice will include early mental health screening, assessment, and referral to services.
"A Vision for Mental Health Care in America" strives to improve mental health care including mental health screening, assessment, and referral to services. It is the nurse's role to conduct mental health screening, assessment, and referral to services.
As defined which component of mental health is a focus of mental health nurses?
Considering professional biases and individual differences.
The definition of mental health considers the professional biases of mental health workers and the individual differences of mental health patients.
The mental health nurse teaches the mental health patient that the health promotion concept of resiliency is most closely related to which mental health process?
Adapting
Resiliency helps people facing tragedy, loss, trauma, and severe stress, and is most closely related to the process of adapting.
The mental health nurse is providing care within the interdisciplinary team. Which describes the mental health nurse's role in assessment of the patient?
Perform baseline assessment
The role of the mental health nurse in assessment of the patient includes performing a baseline assessment of the patient.
Which member of the psychiatric interdisciplinary team leads the planning meetings?
Nurse
The nurse leads the planning meeting since nurses are present on the unit at all times and contribute valuable patient information, such as continuous assessment finding's, the patient's adjustment to the unit, any health concerns, psycho-educational needs, and patient deficits in self-care.
Match the psychiatric emergency care model with the psychiatric nurse's role.
Comprehensive Emergency Services Model: Psychiatric nurse works with specialized mental health team.
Hospital-Based Consultant Model: Psychiatric nurse serves as part of general ED staff.
Mobile Crisis Team Model: Psychiatric nurse stabilizes patients in the field.
Match the psychiatrist researcher with his view of spirituality.
Xavier: Positive correlation between mental health and spiritual well-being.
Frankl: Patients can control perspective of hope.
Loder: Adults search spiritually for trust.
Which steps should the nurse take when providing spiritual care to psychiatric patients?
Take a spiritual history
The nurse should take a spiritual history on all patients so that the patient's beliefs can be supported.
Support the patient's beliefs
The nurse should show respect for the patient's beliefs even if they run contrary to the nurse's.
Refer the patient to pastoral care
The patient should be referred to pastoral care so that their spiritual needs can be met.
Match the culture with its belief about disease.
Western: Medical treatment focuses on eliminating disease.
Eastern: Disease is caused by imbalance of yin and yang.
Indigenous: Disease is due to lack of harmony.
In which ways do mental health nurses advocate for mental health patients?
Supporting the patient's decisions
The mental health nurse advocates for the mental health patient by supporting the patient's decisions.
Reporting incidents of neglect or abuse
The mental health nurse advocates for the mental health patient by reporting incidents of neglect or abuse that involve the patient.
Providing information about the right to refuse treatment
The mental health nurse advocates for the mental health patient by providing the patient with information, including information about the right to refuse treatment.
Which actions by the mental health nurse demonstrate advocacy for mental health patients?
Engaging in public speaking
Engaging in public speaking about mental health issues is a way mental health nurses can advocate for mental health patients by brining public awareness to mental health issues.
Writing articles for the press
Writing articles for the press is a way mental health nurses can advocate for mental health patients by bringing public awareness to mental health issues.
Lobbying congressional representatives
Lobbying congressional representatives is a way mental health nurses can have a political voice and advocate for change in mental health medicine.
Which statement is true regarding the mental health nurse as activist?
Can help reverse negative media portrayal of mental illness.
The mental health nurse serves as an activist when helping to reverse negative media portrayal of mental illness.
Which type of nursing diagnosis is most appropriate to be used in the mental health setting?
Risk for self-harm
Which is an example of a nursing short-term safety outcome statement for the mental health patient?
Patient will state understanding of unit suicide precautions.
Which factors should the advanced practice mental health nurse take into consideration when prescribing medication for the psychiatric patient?
Age, culture, religious beliefs
What is the "message" component of nurse-patient communication?
The feeling or idea that is being sent
Which statement is true regarding the nurse's use of touch with patients with a mental health disorder?
Patients with a mental health disorder may view the nurse's touch as threatening, intimate, or sexual.
Patients with a mental health disorder may respond to the nurse's touch with aggression, withdrawal, or an inappropriate sexual overture.
Appearance is which form of nurse-patient communication?
Nonverbal
How can mental health nurses help incorporate the changes proposed in "A Vision for Mental Health Care in America?"
Being politically aware.
Following the latest research in mental health.
Becoming involved in professional nursing associations.
How does the nurse explain to the mental health patient the definition of mental health?
The ability to realize one's abilities.
Which topics are most important for the nurse include when teaching patients who are receiving mental health care?
Coping
Relaxation prevention
Problem-solving skills
Which steps should the mental health nurse take in managing the patient's medications?
Document patient compliance.
Teach about medication side effects.
Document patient response to medication.
Discuss the expected benefits the patient may receive from the medication.
In which ways are clinical pathways helpful to the mental health nurse when providing care?
Decreases patient complications.
Provides a link between evidence-based information and clinical practice.
What is the mental health nurse's primary goal as a member of the Mobile Crisis Team model?
Stabilize patients in the field.
Which psychiatric nursing cultural competence constructs are found in Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services model?
Cultural skill, cultural knowledge, cultural encounters. [Show Less]