Question 1

A psychiatric nurse uses leadership skills to strengthen the profession by:

Accepted Answer

Psychiatric nurse leaders need to be change agents who work not only in the profession but also with other interdisciplinary colleagues to advance the care of patients with psychiatric disorders.

Question 2

The role of the psychiatric nurse in today's contemporary practice settings is:

Accepted Answer

The role of the psychiatric nurse today is multifocused.The psychiatric nurse must have a broader perspective on patient needs,psychiatric needs,personal needs,financial needs,and legal needs that encompass the patient's quality of life.

Question 3

In 1952,Hildegard Peplau defined the psychiatric nurse's role as a:

Accepted Answer

Nurses were trained as resource persons,teachers,leaders,and counselors who cared for psychiatric patients.The remaining options are incorrect.Ms.Peplau made no mention of the need for extensive training,or special certifications,nursing leadership,or attitude adjustment when defining the role of a psychiatric nurse.

Question 4

Hildegard Peplau's classic article "Interpersonal Techniques: The Crux of Psychiatric Nursing" directed psychiatric nursing's future growth by stating that the primary role of the psychiatric nurse was that of:

Accepted Answer

Hildegard Peplau's 1962 article identified the heart of psychiatric nursing as fulfillment of the role of counselor or psychotherapist.

Question 5

During orientation to the inpatient psychiatric unit,new staff members are told,"Address all patients by their title and surname unless you are directed by the patient to do otherwise." The belief that underlies this directive is that:

Accepted Answer

Addressing an individual using his or her title and surname implies dignity and worth and conveys respect.

Question 6

When one considers the roles and functions of psychiatric nursing,the overlap of communication and management roles is seen in the function of:

Accepted Answer

Collaboration is defined as the shared planning,decision making,problem solving,goal setting,and assumption of responsibilities by people who work together cooperatively and with open communication.

Question 7

A nurse states,"I plan ways for patients assigned to me to participate in their own care and to be actively involved in all of the activities on the unit." This approach demonstrates the concept of:

Accepted Answer

Maxwell Jones published The Therapeutic Community in 1953.It encouraged making use of the patient's social environment as a means of providing therapeutic experiences.

Question 8

When teaching the orientation portion of a psychiatric nursing course,which statement would the instructor be most likely to make to the students?

Accepted Answer

Psychiatric nursing is concerned with individuals,families,groups,and entire communities.The other statements listed are false.

Question 9

In the 1960s,the psychiatric nurse began to shift to primary prevention and psychiatric nursing practice began to focus more on community care.This focus was initiated by which act?

Accepted Answer

The only act that is genuine is the Community Mental Health Centers Act of 1963.

Question 10

For psychiatric nurses in the 1980s and 1990s,the scope of practice began to change to include:

Accepted Answer

Psychobiology and technology experienced dramatic growth in the 1980s and 1990s including advanced understanding of brain function,understanding the relationships of the brain,behavior,emotion,cognition,neurotransmitters and neuronal receptors,as well as improved brain imaging.The options related to home care and outpatient care settings are not true.The option related to the psychodynamic model of therapy is also incorrect because advances in the psychodynamic model of psychiatric care were made by psychiatrists and psychologists,not by psychiatric nurses.

Question 11

Case supervision is a psychiatric nursing activity that falls within the nursing practice domain of:

Accepted Answer

Management is a direct care activity.

Question 12

The contribution of Linda Richards that remains a part of contemporary psychiatric nursing practice is the idea that:

Accepted Answer

Early nursing education made a distinction between physical and emotional needs,and nurses were taught in either a general hospital or a psychiatric hospital.Richards maintained that nurses should be competent to assess both physical and emotional needs.

Question 13

Nursing should increase its role in the advocating of funding for outcome studies because these studies:

Accepted Answer

It is important to prove that psychiatric nursing contributes to positive outcomes in the prevention of illness,the promotion of health,and the provision of cost-effective treatment of psychiatric disorders.Without such information,the specialty of psychiatric nursing may be discounted by users and others.

Question 14

When considering psychiatric nursing roles and functions,in order to delegate effectively the nurse must have knowledge of the domains of: (Select all that apply.)

Accepted Answer

Delegation includes the domains of management and direct care.Collaboration includes management and communication; teaching includes direct care and communication; and coordination includes direct care,communication,and management.Teaching and collaboration are not specific to psychiatric nursing delegation.

Question 15

It is essential that psychiatric nurses become aware of their ability in the area of positive political action.The nurse can best achieve this goal by:

Accepted Answer

For a psychiatric nurse to be politically active,helping others to become involved in their local area is a good step toward political awareness.Raising donations would be health care related rather than political action.Involvement in specific election campaigns would not have a direct correlation with psychiatric mental health issues,and being an active volunteer would be beneficial to the community that the crisis center serves but not a direct political action.

Question 16

The primary opportunity provided by psychiatric clinical rotations for nursing students is an opportunity to:

Accepted Answer

Students who have the opportunity to work in a psychiatric-mental health setting benefit because of the opportunities to work directly with a specific population of patients with psychiatric-mental health illnesses.In acute care,medical-surgical units,general outpatient clinical settings,or long-term care settings,students can only care for the patients served in the setting and hope that they will acquire some knowledge about the psychiatric disorder process and how it affects patients.Unfortunately,in these settings,the chances for learning about advances in the field of psychiatry or behavioral health would not be available.

Question 17

New opportunities for psychiatric nursing practice have emerged as psychiatric hospitals have changed from large institutions providing custodial care to:

Accepted Answer

Alternative treatment settings have emerged throughout the continuum of mental health care,and hospitals have responded by creating integrated clinical systems that provide inpatient care,partial hospitalization,day treatment,residential care,home care,and ambulatory care as part of the parent organization.Psychiatric nurses provide care in each of these settings as well as in community-based treatment settings such as shelters,schools,and HMOs.

Question 18

The major determinants of the roles in which a psychiatric nurse engages are:

Accepted Answer

While the other options may be contributors to role identification,state law is the primary determinant of the roles nurses may assume in any state.

Question 19

A psychiatric aide says,"I don't know why that patient does all that silly giggling and posturing.It's senseless!" The best reply to this comment would address the psychiatric nursing principle that states:

Accepted Answer

This principle best addresses the aide's comment that the patient's behavior is "senseless" by explaining that all behavior has meaning that can be understood when the patient's internal frame of reference and the context of the situation are known.

Question 20

A nurse is contemplating a change from a medical-surgical nursing psychiatric nursing unit in a community hospital.Which intervention would help the nurse identify the supportiveness of the new unit?

Accepted Answer

All but the correct option are concentrated on other disciplines.A nurse's support group would concentrate on the advancement and support of nurses and the discipline of nursing.Both the facilitation of an autonomous nursing practice and the discussion of related reading material with a designated preceptor are indicative of a supportive nursing environment.

Quiz 1: Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring