Psychiatric mental health nurses practice at the basic or advanced level. Which of the following factors determines this level of practice?
A. Educational preparation
B. Years of experience
C. Organizational structure
D. Certification Psychiatric mental health nurses practice at the basic or advanced level. Which of the following factors determines this level of practice?
A. Educational preparationThe psychiatric mental health nurse may work in
A. inpatient behavioral health units.
B. psychiatric partial hospitalization programs.
C. community mental health centers.
D. all of the above The psychiatric mental health nurse may work in
D. all of the above
[inpatient behavioral health units, psychiatric partial hospitalization programs, and community mental health centers.]All of the following are true about psychiatric mental health clinical nurse specialists, except
A. there is no requirement for collaboration with medicine
B. certification is obtained through the American Nurses Association
C. independent practice in psychotherapy is within the scope of practice
D. independent practice in prescribing psychotropic medication is within the scope of practice All of the following are true about psychiatric mental health clinical nurse specialists, except
D. independent practice in prescribing psychotropic medication is within the scope of practicePersons with severe and persistent mental illness may have an exacerbation of symptoms requiring short term hospitalization. This is an example of
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. crisis intervention Persons with severe and persistent mental illness may have an exacerbation of symptoms requiring short term hospitalization. This is an example of
B. secondary preventionWhich of the following provides the strongest evidence for evidence-based nursing practice?
A. Large randomized controlled studies
C. Case studies
D. Large non-randomized controlled studies Which of the following provides the strongest evidence for evidence-based nursing practice?
B. Meta-analysesWhat resulted from the passage of the Mental Health Parity Act of 1996?
A. Persons with severe and persistent mental illness were deinstitutionalized
B. Employer-sponsored health plans ensured equal medical, surgical, and mental health benefits.
C. Employer-sponsored health plans limited the amount of mental health care benefits to surviving spouses
D. Persons with severe and persistent mental illness became eligible for Medicare and Medicaid What resulted from the passage of the Mental Health Parity Act of 1996?
B. Employer-sponsored health plans ensured equal medical, surgical, and mental health benefits.Psychiatric mental health scope and nursing standards of practice for the mental health client are based on the nursing process.
B. FALSE Psychiatric mental health scope and nursing standards of practice for the mental health client are based on the nursing process.
A. TRUEAn integral part of psychiatric mental health practice is to identify expected outcomes, develop plans of care to attain expected outcomes, and evaluate the client’s progress in attaining expected outcomes.
B. FALSE An integral part of psychiatric mental health practice is to identify expected outcomes, develop plans of care to attain expected outcomes, and evaluate the client’s progress in attaining expected outcomes.
A. TRUENursing documentation rules include using red and green ink and use of common abbreviations used in other fields.
B. FALSE FALSE, Nursing documentation rules DO NOT include using red and green ink and use of common abbreviations used in other fields. Advanced practice registered nurse (APRN) An umbrella classification used to describe the four major nurse specialist categories: certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), nurse practitioner (NP), and clinical nurse specialist (CNS). These individuals are educationally prepared to at least the master’s degree level in the nursing specialty, have a significant depth of knowledge of theory and practice with validated clinical practice experience, and are competent in advanced clinical nursing skills. Assertive community treatment (ACT) A team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illnesses. Behavioral health A term that encompasses treatment for mental health disorders and substance abuse as well as employee assistance programs. Case management A method of assigning the coordination of a client’s care; it may be a role, a technology, a process, a service, and a system. Its goal is to decrease fragmentation and ensure access to appropriate and cost-effective care. Clubhouse model A type of rehabilitation that demonstrates that people with mental illness can successfully live productive lives and work in the community, regardless of the nature or severity of their mental illness. Diagnostic and Statistical Manual of Mental Disorders A manual (currently in DSM-IV-TR edition, soon to be the DSM-5) published by the American Psychiatric Association that identifies all mental health disorders for children and adults. It uses a multiaxial approach (Axis I to Axis V) and is intended for use by psychiatrists, psychologists,registered nurses, social workers, and other mental health therapists. Discharge planning The coordinated activities of the multidisciplinary team that facilitate a client’s movement from one healthcare setting to another or to home. Evidence-based practice (EBP) A process founded on the collection, interpretation, and integration of valid, important, and applicable patient-reported, clinician-observed, and research-derived evidence. Managed care Both a delivery and reimbursement system that aims to combine cost-effectiveness with quality care. Mental disorder or illness A disturbance in thoughts or mood that causes maladaptive behavior, inability to cope with normal stresses, and impaired functioning; it meets diagnostic criteria established in DSM-IV-TR. Mental health Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community. Mental health parity Equivalent benefits for medical and surgical benefits and mental health benefits in a health insurance plan. Neurosis A mental disorder usually characterized by anxiety and other uncomfortable and distressing symptoms for the individual while reality testing remains intact. Nurse practice acts Laws in each state that direct nurses in both general and specialty practice and that establish the authority for professional nursing practice and the rules and regulations for the state. Most state nurse practice acts provide a general description of what constitutes the legally protected scope of practice in the state for registered professional nurses (RNs) and licensed practical nurses. Nursing diagnosis A diagnosis composed of the problem or unmet need, its etiology or cause (expressed as ‘related to’), and the objective and subjective supporting data (expressed as ‘evidenced by’). Nursing documentation An accurate record of a client’s care that psychiatric-mental health registered nurses are required to maintain with all information, plans, interventions, and outcomes in an understandable and retrievable manner that can be accessed as needed by all members of the healthcare team. Nursing process A systematic and interactive problem-solving approach that includes individualized client assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Outcomes of care Measurable changes in the client’s health status produced by nursing interventions. Partial hospitalization program An outpatient program of less than 24-hour daily care, usually provided by a hospital, specifically designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation for improvement or when it is necessary to maintain a patient’s functional level and prevent relapse or full hospitalization. Primary mental health care Holistic health care that addresses the needs and strengths of the whole person. Primary, secondary, and tertiary prevention Levels of prevention that focus on reducing: the incidence of mental disorders or the rates at which new cases develop, the prevalence of mental disorders by decreasing the number of existing cases, and the severity of a mental disorder and its associated disabilities. Psychiatric rehabilitation The development of the necessary skills for a client with chronic mental illness to live independently. Psychosis The gross impairment of reality testing usually associated with delusions, disorganized behavior and cognition, incoherent or disorganized speech, and hallucinations. Residential treatment setting A therapeutic community with varying levels of supportive care built into a client’s daily life. Standards of practice Authoritative statements that address the care that the mental health client receives; they are based on the nursing process. Standards of professional performance Authoritative statements that address the psychiatric-mental health registered nurse’s professional functioning. Third-party reimbursement Services that are reimbursed through traditional indemnity insurance plans; self-insured plans constructed by employers and other groups; managed care plans, and state and federal government plans such as Medicare, Medicaid, and the Civilian Health and Medical Program of the Uniformed Services; and the Federal Employees Health Benefits Program.