Chapter 4: Psychiatric Mental Health Nursing and Managed Care Issues

Chapter 4: Psychiatric Mental Health Nursing and Managed Care Issues

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   An advanced practice psychiatric mental health nurse practitioner has taken a new position at a managed behavioral health agency. The nursing activity that would best use the advanced practice nurse’s unique qualifications is

ANS:   D

Consultation-liaison activities are reserved for the advanced practice nurse. The other nursing activities may be performed by basic level psychiatric mental health nurses.

DIF:    Cognitive Level: Application             REF:    Text Page: 66

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

2)   A nurse who has a bachelor’s of science in nursing degree and certification in psychiatric mental health nursing would be considered competent to

ANS:   B

The certified psychiatric mental health nurse at the basic level can provide crisis intervention services. The other activities are reserved for advanced practice psychiatric mental health nurses.

DIF:    Cognitive Level: Application             REF:    Text Page: 66

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

3)   A client has had the following problems identified: ineffective coping related to mastectomy for breast cancer, deficient knowledge of cancer treatment options, dysfunctional grieving related to perception of loss, and disturbed body image related to mastectomy. A psychiatric mental health liaison nurse has been called. The problem that the liaison nurse should suggest an oncology nurse address is

ANS:   B

The psychiatric mental health liaison nurse will intervene in the phenomena of emotional stress components of illness, self-concept changes, and grief. The knowledge deficit will be important to address but is the domain of an oncology nurse.

DIF:    Cognitive Level: Application             REF:    Text Page: 66

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Physiologic Integrity

4)   A community mental health nurse visits a client who lives in a community residence. On two sequential visits, the client makes veiled references to receiving verbally abusive treatment at the hands of one of the residence aides. The action the nurse should take is to

ANS:   D

Nurses must advocate for the client’s right to nonabusive treatment. Reporting to a protection and advocacy agency is the ethical duty of the nurse. Options A and B do nothing to investigate and resolve the situation. Option C: The investigation is best conducted by skilled professionals trained to investigate such allegations.

DIF:    Cognitive Level: Application

REF:    Text Page: 67, Text Page: 68, Text Page: 69

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;