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

Question 1

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

A) working as a change agent advocating for patients, families, and communities.
B) volunteering time each week to outpatient clinics in poor neighborhoods.
C) voting for candidates in local elections who will advocate for nurses.
D) working for state government representatives at local voting sites.

Answer 1

working as a change agent advocating for patients, families, and communities.

Question 2

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

A) centered on the nurse-patient partnership.
B) concentrated on psychosomatic therapies.
C) centered on management of the patient's daily needs.
D) caring for chronically ill psychiatric patients in acute-care settings.

Answer 2

centered on the nurse-patient partnership.

Question 3

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

A) professional who helps patients with attitude adjustment.
B) nurse who is extensively trained to care for psychiatric patients.
C) resource person, a teacher, a leader, and a counselor to patients.
D) professional who is certified to conduct psychosocial therapy sessions.

Answer 3

resource person, a teacher, a leader, and a counselor to patients.

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:

A) leader.
B) teacher.
C) counselor.
D) surrogate parent.

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:

A) every person is worthy of respect.
B) every individual has the potential to change.
C) the goals of the individual are growth, health, autonomy, and self-actualization.
D) the person functions as a holistic being who reacts to the environment as a whole person.

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:

A) teaching.
B) delegation.
C) direct care.
D) collaboration.

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:

A) social accountability.
B) therapeutic community.
C) nurse-patient relationship.
D) multidisciplinary mental health team.

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?

A) "There is one approved theoretical framework for psychiatric nursing practice."
B) "Psychiatric nursing has yet to be recognized as a core mental health discipline."
C) "Contemporary practice of psychiatric nursing is primarily focused on inpatient care."
D) "The psychiatric nursing patient may be an individual, a family, a group, or even a community."

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?

A) The Primary Prevention Act of 1960
B) The Deinstitutionalization Act of 1961
C) The Therapeutic Community Act of 1962
D) 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:

A) psychiatric care and medical care given by the home care nurse.
B) new advances in the fields of psychobiology and technology.
C) psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting.
D) new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient setting.

Question 11

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

A) community education.
B) communication.
C) management.
D) direct care.

Question 12

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

A) psychiatric nurses should have advanced preparation.
B) nurses should assess both the physical and the emotional needs of patients.
C) psychotic behavior must be controlled before serious psychotherapy begins.
D) basic physical needs must always be met before emotional needs are addressed.

Question 13

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

A) increase patient compliance with therapeutic regimens.
B) document quality, cost, and effectiveness of psychiatric nursing.
C) update psychiatric nursing specialists on new practice developments.
D) lead to the implementation of untried interventions and practice guidelines.

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.)

A) management.
B) communication.
C) direct care.
D) teaching.
E) collaboration.

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:

A) raising donations for a local community health center.
B) becoming involved in an election campaign for a local sheriff.
C) becoming an active volunteer working regularly at a crisis center.
D) working on a city committee to help register local voters.

Question 16

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

A) become familiar with patients who have chronic psychiatric mental health issues.
B) work with patients who have psychiatric as well as physical health issues.
C) learn to work with patients with various psychiatric mental health issues.
D) learn to care for patients who have emotional disorders.

Question 17

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

A) small units providing acute inpatient care.
B) integrated clinical systems providing a full continuum of care.
C) community-based home care systems focused on the chronically mentally ill.
D) agencies more concerned with mental health promotion than providing direct care.

Question 18

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

A) personal preference and age.
B) local custom and physician support.
C) state law and personal qualifications.
D) work setting and personal preference.

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:

A) every individual has the potential to change.
B) illness can be a growth-producing experience for the individual.
C) all behavior is meaningful, arising from personal needs and goals.
D) everyone has the right to self-determination that includes the pursuit of health.

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?

A) Orientation to last at least 2 weeks with the charge nurse of the day and a scheduled daily task assignment
B) A mentor for the first 6 weeks in the unit and a schedule for progression of learning throughout the orientation phase into the unit
C) Nursing team meetings for each shift daily to discuss patients' conditions, unit census, and an orientation schedule to include the nurses' responsibilities
D) A consistent daily patient assignment to help the nurse become more autonomous and daily reading assignments to be discussed with a preceptor daily

Question 21

To derive the theoretical framework of psychiatric nursing,knowledge from which sciences is included? (Select all that apply.)

A) Psychosocial
B) Biophysical
C) Personality behavior
D) Human behavior
E) Psychodynamics
F) Psychobiology