Podcast
Questions and Answers
Who is credited with first using the term 'nursing process'?
Who is credited with first using the term 'nursing process'?
Which organization required the use of the nursing process as a condition for accreditation in the 1970s?
Which organization required the use of the nursing process as a condition for accreditation in the 1970s?
In 1967, Yura and Walsh identified how many steps in the nursing process?
In 1967, Yura and Walsh identified how many steps in the nursing process?
Which step was added to the nursing process in the 1973 ANA publication?
Which step was added to the nursing process in the 1973 ANA publication?
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In 1991, what additional step was added to the planning process by the ANA?
In 1991, what additional step was added to the planning process by the ANA?
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What is the purpose of the nursing process?
What is the purpose of the nursing process?
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What serves as the foundation for standards of practice in psychiatric-mental health nursing?
What serves as the foundation for standards of practice in psychiatric-mental health nursing?
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Which of the following questions does the scope of psychiatric nursing NOT answer?
Which of the following questions does the scope of psychiatric nursing NOT answer?
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What serves as the basis for the duties and obligations of psychiatric-mental health nurses?
What serves as the basis for the duties and obligations of psychiatric-mental health nurses?
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Which of the following is NOT a purpose of the standards of practice for psychiatric-mental health nurses?
Which of the following is NOT a purpose of the standards of practice for psychiatric-mental health nurses?
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According to the Institute of Medicine(IOM), which skill is essential for healthcare workers in the 21st century?
According to the Institute of Medicine(IOM), which skill is essential for healthcare workers in the 21st century?
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What is the primary focus of the Quality and Safety Education in Nursing (QSEN) initiative?
What is the primary focus of the Quality and Safety Education in Nursing (QSEN) initiative?
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What addition do the QSEN competencies make to the IOM’s competencies?
What addition do the QSEN competencies make to the IOM’s competencies?
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When should a thorough formal nursing assessment take place?
When should a thorough formal nursing assessment take place?
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If a patient demonstrates significantly slowed responses during an assessment, how might this affect the process?
If a patient demonstrates significantly slowed responses during an assessment, how might this affect the process?
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What is the primary purpose of the HIPAA privacy rule?
What is the primary purpose of the HIPAA privacy rule?
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When is it appropriate to rely completely on secondary sources for assessment information?
When is it appropriate to rely completely on secondary sources for assessment information?
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Which of the following best describes the nurse's approach to patient care?
Which of the following best describes the nurse's approach to patient care?
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Under what circumstance is it advisable to conduct a separate interview with a child?
Under what circumstance is it advisable to conduct a separate interview with a child?
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Besides nurses, which other professionals may also conduct patient assessments?
Besides nurses, which other professionals may also conduct patient assessments?
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What should always be given to the patient during the assessment process?
What should always be given to the patient during the assessment process?
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When is it appropriate to utilize a child's caregivers as a primary source during an assessment process?
When is it appropriate to utilize a child's caregivers as a primary source during an assessment process?
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In the context of ongoing patient care, how often should nurses collect data about their patient?
In the context of ongoing patient care, how often should nurses collect data about their patient?
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What is the primary purpose of a mental status examination (MSE) in psychiatric nursing?
What is the primary purpose of a mental status examination (MSE) in psychiatric nursing?
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Which type of data is a patient's chief complaint considered to be?
Which type of data is a patient's chief complaint considered to be?
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What does the term 'subjective data' refer to in a psychosocial assessment?
What does the term 'subjective data' refer to in a psychosocial assessment?
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Which of the following physical conditions can potentially mimic major depressive disorder?
Which of the following physical conditions can potentially mimic major depressive disorder?
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What is a primary focus of the psychosocial history?
What is a primary focus of the psychosocial history?
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Which of the following is considered objective data in a mental health assessment?
Which of the following is considered objective data in a mental health assessment?
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What distinguishes spirituality from religion?
What distinguishes spirituality from religion?
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According to the given content, which of the following is an example of a somatic symptom that can be associated with a psychiatric disorder?
According to the given content, which of the following is an example of a somatic symptom that can be associated with a psychiatric disorder?
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Which lab test result is most relevant to assess for a physical cause mimicking mood disorder symptoms?
Which lab test result is most relevant to assess for a physical cause mimicking mood disorder symptoms?
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What is a key element in documenting the chief complaint during a psychosocial assessment?
What is a key element in documenting the chief complaint during a psychosocial assessment?
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What is a potential drawback of religious involvement in the context of psychiatric treatment, mentioned in the content?
What is a potential drawback of religious involvement in the context of psychiatric treatment, mentioned in the content?
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Which of the following best describes the relationship between spirituality and religion?
Which of the following best describes the relationship between spirituality and religion?
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Which of the following aspects are included in a psychosocial assessment?
Which of the following aspects are included in a psychosocial assessment?
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Why is it important to rule out physical causes for psychiatric symptoms?
Why is it important to rule out physical causes for psychiatric symptoms?
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What type of symptoms can abnormal liver enzyme levels explain?
What type of symptoms can abnormal liver enzyme levels explain?
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What is the primary purpose of the International Classification for Nursing Practice (ICNP)?
What is the primary purpose of the International Classification for Nursing Practice (ICNP)?
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Which component is NOT typically part of a nursing diagnostic statement?
Which component is NOT typically part of a nursing diagnostic statement?
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In a problem-focused nursing diagnosis, what does 'related to' signify?
In a problem-focused nursing diagnosis, what does 'related to' signify?
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Which of the following is NOT a typical question used in a cultural and social assessment?
Which of the following is NOT a typical question used in a cultural and social assessment?
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What is the primary purpose of summarizing and reviewing cultural and social assessment data with the patient?
What is the primary purpose of summarizing and reviewing cultural and social assessment data with the patient?
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What is the key distinction between a problem-focused and a risk nursing diagnosis?
What is the key distinction between a problem-focused and a risk nursing diagnosis?
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Which of the following phrases is typically used to connect the nursing diagnosis with supporting data?
Which of the following phrases is typically used to connect the nursing diagnosis with supporting data?
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Besides electronic medical records, which of these external sources can be valuable when validating information about a patient?
Besides electronic medical records, which of these external sources can be valuable when validating information about a patient?
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What does 'outcome criteria' primarily reflect within the nursing process?
What does 'outcome criteria' primarily reflect within the nursing process?
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Why are standardized rating scales useful in psychiatric evaluation?
Why are standardized rating scales useful in psychiatric evaluation?
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According to the provided material, what characteristic should all outcome statements possess?
According to the provided material, what characteristic should all outcome statements possess?
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In psychiatric mental health nursing, what is the purpose of a nursing diagnosis?
In psychiatric mental health nursing, what is the purpose of a nursing diagnosis?
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Which organization is primarily responsible for the development of the International Classification for Nursing Practice (ICNP)?
Which organization is primarily responsible for the development of the International Classification for Nursing Practice (ICNP)?
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In what order does Maslow's hierarchy of needs suggest that nursing diagnoses should be prioritized?
In what order does Maslow's hierarchy of needs suggest that nursing diagnoses should be prioritized?
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If a patient's nursing diagnosis is 'Risk for self-mutilation', what element is absent from its formulation?
If a patient's nursing diagnosis is 'Risk for self-mutilation', what element is absent from its formulation?
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According to the content provided, what is the primary benefit of using the ICNP in nursing practice?
According to the content provided, what is the primary benefit of using the ICNP in nursing practice?
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What is the purpose of the WHO's International Classification of Disease (ICD)?
What is the purpose of the WHO's International Classification of Disease (ICD)?
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When planning interventions, what does 'compatible and appropriate' refer to?
When planning interventions, what does 'compatible and appropriate' refer to?
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What should a nurse do after completing a cultural and social assessment with a patient?
What should a nurse do after completing a cultural and social assessment with a patient?
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What makes an intervention 'realistic and individualized'?
What makes an intervention 'realistic and individualized'?
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What is considered the 'gold standard' for interventions?
What is considered the 'gold standard' for interventions?
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If a patient is admitted to the hospital following a cultural and social assessment, what should the nurse inform the patient about?
If a patient is admitted to the hospital following a cultural and social assessment, what should the nurse inform the patient about?
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Which of these correctly describes the structure of a problem focused diagnosis?
Which of these correctly describes the structure of a problem focused diagnosis?
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What does the text state regarding the use of rating scales in psychiatric settings?
What does the text state regarding the use of rating scales in psychiatric settings?
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What did Dr. Vera Fry contribute to the field of nursing?
What did Dr. Vera Fry contribute to the field of nursing?
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What does 'supporting data' include?
What does 'supporting data' include?
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What does NANDA International do?
What does NANDA International do?
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How does an international classification system like ICNP impact healthcare?
How does an international classification system like ICNP impact healthcare?
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What is the primary value of using prior medical records for patient assessment?
What is the primary value of using prior medical records for patient assessment?
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What does the text say about the standardization of nursing diagnoses?
What does the text say about the standardization of nursing diagnoses?
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What is the primary focus of evidence-based practice (EBP) for nurses?
What is the primary focus of evidence-based practice (EBP) for nurses?
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Which organization's standards are consistent with the evidence-based approach to care?
Which organization's standards are consistent with the evidence-based approach to care?
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According to the provided text, which of the following is a key responsibility of a psychiatric-mental health registered nurse?
According to the provided text, which of the following is a key responsibility of a psychiatric-mental health registered nurse?
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What is the significance of community resources in the implementation of care by a psychiatric–mental health registered nurse?
What is the significance of community resources in the implementation of care by a psychiatric–mental health registered nurse?
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What is the primary difference between the scope of practice of a registered nurse (RN) and a psychiatric-mental health advanced practice registered nurse (PMH-APRN)?
What is the primary difference between the scope of practice of a registered nurse (RN) and a psychiatric-mental health advanced practice registered nurse (PMH-APRN)?
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Which of the following best defines the role of the psychiatric-mental health nurse in coordinating care?
Which of the following best defines the role of the psychiatric-mental health nurse in coordinating care?
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What is the primary goal of health teaching and health promotion by psychiatric-mental health nurses?
What is the primary goal of health teaching and health promotion by psychiatric-mental health nurses?
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When administering medications, what should a psychiatric-mental health nurse do?
When administering medications, what should a psychiatric-mental health nurse do?
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What is the main purpose of milieu therapy in psychiatric-mental health nursing?
What is the main purpose of milieu therapy in psychiatric-mental health nursing?
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Which of the following is a key aspect of milieu management?
Which of the following is a key aspect of milieu management?
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What is the core principle behind the therapeutic relationship and counseling provided by psychiatric-mental health nurses?
What is the core principle behind the therapeutic relationship and counseling provided by psychiatric-mental health nurses?
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In the context of therapeutic counseling, how do psychiatric-mental health nurses assist patients?
In the context of therapeutic counseling, how do psychiatric-mental health nurses assist patients?
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What is the primary focus of the therapeutic relationship between a psychiatric-mental health nurse and patient?
What is the primary focus of the therapeutic relationship between a psychiatric-mental health nurse and patient?
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Which of the following best describes the role of documentation in the coordination of care by the psychiatric-mental health registered nurse?
Which of the following best describes the role of documentation in the coordination of care by the psychiatric-mental health registered nurse?
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Which intervention category is specific to psychiatric-mental health advanced practice registered nurses (PMH-APRNs)?
Which intervention category is specific to psychiatric-mental health advanced practice registered nurses (PMH-APRNs)?
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What is the primary focus of a psychiatric-mental health advanced practice registered nurse's consultation?
What is the primary focus of a psychiatric-mental health advanced practice registered nurse's consultation?
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Which of the following is NOT a foundational element for the work of nurse consultants?
Which of the following is NOT a foundational element for the work of nurse consultants?
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What is the basis for a psychiatric-mental health advanced practice registered nurse's prescriptive authority?
What is the basis for a psychiatric-mental health advanced practice registered nurse's prescriptive authority?
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What is the role of standardized tools in psychotherapy provided by a PMH-APRN?
What is the role of standardized tools in psychotherapy provided by a PMH-APRN?
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What should guide the evaluation of a patient's response to treatment by a psychiatric-mental health nurse?
What should guide the evaluation of a patient's response to treatment by a psychiatric-mental health nurse?
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Why is it important to document patient information in a thorough and organized manner?
Why is it important to document patient information in a thorough and organized manner?
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What is a primary goal when choosing a system for documentation?
What is a primary goal when choosing a system for documentation?
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Which statement best describes the use of the term ‘nonadherent’ when discussing a patient?
Which statement best describes the use of the term ‘nonadherent’ when discussing a patient?
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What is the main problem when patients fail to adhere to treatment, according to the content?
What is the main problem when patients fail to adhere to treatment, according to the content?
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How should an evaluation of patient outcomes be performed by a psychiatric-mental health nurse?
How should an evaluation of patient outcomes be performed by a psychiatric-mental health nurse?
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What is a crucial element in supporting healthcare workers in the event of a malpractice lawsuit regarding patient care?
What is a crucial element in supporting healthcare workers in the event of a malpractice lawsuit regarding patient care?
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What is the role of a psychiatric–mental health advanced practice registered nurse when using prescriptive authority?
What is the role of a psychiatric–mental health advanced practice registered nurse when using prescriptive authority?
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What is NOT a purpose of documentation?
What is NOT a purpose of documentation?
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Which of the following statements accurately describes the use of electronic medical records (EMR) in healthcare settings?
Which of the following statements accurately describes the use of electronic medical records (EMR) in healthcare settings?
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What is essential when documenting patient progress?
What is essential when documenting patient progress?
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What does regression in children with psychiatric disorders typically manifest as?
What does regression in children with psychiatric disorders typically manifest as?
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During the assessment of children, what is a key reason for observing children at play?
During the assessment of children, what is a key reason for observing children at play?
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When assessing adolescent patients, what is a primary concern that nurses must navigate in regard to their care?
When assessing adolescent patients, what is a primary concern that nurses must navigate in regard to their care?
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Which of the following scenarios would necessitate sharing an adolescent's information with other professionals and parents?
Which of the following scenarios would necessitate sharing an adolescent's information with other professionals and parents?
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What is a crucial aspect to consider when assessing older adults?
What is a crucial aspect to consider when assessing older adults?
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How should a nurse immediately adjust communication to best assist an older adult with hearing challenges?
How should a nurse immediately adjust communication to best assist an older adult with hearing challenges?
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What is the primary issue when using untrained interpreters such as family members?
What is the primary issue when using untrained interpreters such as family members?
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What is the difference between an interpreter and translator, in the context of healthcare?
What is the difference between an interpreter and translator, in the context of healthcare?
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What is the first step in the psychiatric–mental health nursing assessment?
What is the first step in the psychiatric–mental health nursing assessment?
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Which of the following is NOT a purpose of the psychiatric-mental health nursing assessment?
Which of the following is NOT a purpose of the psychiatric-mental health nursing assessment?
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What does a review of systems refer to within the psychiatric assessment context?
What does a review of systems refer to within the psychiatric assessment context?
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According to the material, what is a structured interview technique used when assessing adolescents?
According to the material, what is a structured interview technique used when assessing adolescents?
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What is considered a behavior that puts the patient or others at risk, and should be shared with professionals and parents?
What is considered a behavior that puts the patient or others at risk, and should be shared with professionals and parents?
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What is a crucial aspect of language assistance that healthcare providers receiving federal funding are required to provide?
What is a crucial aspect of language assistance that healthcare providers receiving federal funding are required to provide?
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Study Notes
Nursing Process Overview
- Nursing process first described by Lydia Hall in 1983, outlining a three-step process: observation, care delivery, and validation.
- Later theorists like Dorothy Johnson (1959) and Ida Orlando (1961) adopted the term.
- The American Nurses Association (ANA) advocated for nursing process integration into education in a 1965 position paper.
- Joint Commission on Accreditation of Hospitals required nursing process in 1970s for accreditation.
- Steps evolved, with Yura and Walsh identifying assessing, planning, implementing, and evaluating in 1967.
- ANA's 1973 Standard for Nursing Practice included nursing diagnosis and, later, outcome identification as separate steps.
- The nursing process (assessment, diagnosis, outcomes identification, planning, implementation, and evaluation) supports culturally competent, developmentally appropriate care for individuals/families/communities.
- Psychiatric-mental health nurses use the nursing process to guide patient care, based on scientific evidence.
- The standards of practice in Psychiatric-Mental Health Nursing emphasize what psychiatric nurses do (scope of practice).
Psychiatric-Mental Health Nursing Assessment
- Purpose: Establish rapport, understand chief complaint, assess physical status, identify risk factors, conduct mental status exam, assess psychosocial status, identify mutual goals, and create a plan of care.
- Data Collection: Nurses gather primary data (patient) and secondary data (family, friends, records).
- Formats: Standardized nursing assessment forms (paper/electronic) aid consistency.
- Importance of Documentation: HIPAA guidelines ensure patient privacy while allowing providers to access necessary information for quality care.
- Age Considerations:
- Children: Include caregiver input; interpret responses; consider developmental regressions.
- Adolescents: Address confidentiality concerns, involve families, and use structured interviews like HEADSSS.
- Older Adults: Avoid stereotypes; assess physical limitations.
- Language Barriers: Use interpreters (staffed/telephone); avoid untrained interpreters or family members as interpreters.
- Review of Systems: Physical assessments may be vital to rule out underlying physical conditions affecting psychiatric symptoms
- Gathering data: Include a review of systems, laboratory data, mental status exam, psychosocial assessment, and spiritual/religious assessment.
- Mental Status Exam (MSE): An objective evaluation of the patient's cognitive function. Include observed behavior, nonverbal communication, appearance, speech patterns, mood, affect, thought content, perceptions, cognitive ability, and insight and judgment.
- Psychosocial Assessment: Includes gathering subjective data from the patient and accompanying individuals to understand the patient's current circumstances and personal history (coping, support systems, etc.)
Spiritual/Religious Assessment
- Spirituality vs. religion: Distinguish between the internal search for meaning and external religious structures.
- Assessment includes questions about religious affiliation, spiritual practices, the role of faith, its impact on stress, and personal needs for spiritual support in treatment.
Cultural and Social Assessment
- Importance: Understanding patient's cultural beliefs and practices to avoid stereotypes and ensure effective care.
- Assessment Questions: Language, cultural background, family dynamics, healthcare preferences and behaviors, cultural views on mental illness, special foods/practices, cultural beliefs about patient's illness.
- Validation: Summarize data and review with the patient to ensure clarity and comprehension.
Validating the Assessment
- External Sources: Use electronic medical records, emergency department records, police reports, and prior medical records to validate or update information.
- Rating Scales: Standardized rating scales assist clinicians in evaluation and monitoring.
Standards of Practice (Diagnosis, Outcomes ID, Planning, Implementation)
- Nursing diagnoses are clinical judgments about patient responses to problems.
- Types include problem-focused and risk diagnoses.
- Outcomes reflect desired changes in patient status.
- Outcomes and goals are written in positive terms.
- Planning considers Maslow's hierarchy of needs and prioritizes interventions.
- Principles for interventions include safety, appropriateness, reality, individualization, and evidence-base.
- Implementation focuses on therapeutic intervention skills, using evidence-based methods, community resources, and collaboration; interventions are age-appropriate and culturally/ethnically sensitive.
Evaluation and Documentation
- Evaluation systematically assesses patient response to treatment. Use supporting data.
- Documentation is crucial: includes patient progress, and consent for treatments and medications, reaction to medication, symptoms, concerns, adverse incidents.
- Informatics and electronic medical records are preferred.
- Avoid judgmental terms like "noncompliant" and focus on "non-adherence" instead.
Quality and Safety Education in Nursing (QSEN)
- Institute of Medicine (IOM) competencies (patient-centered care, interdisciplinary teamwork, evidence-based practice, quality improvement, informatics).
- QSEN adapted the IOM's competencies, adding safety as a distinct competency.
- QSEN competencies are integrated into nursing education.
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Description
Test your knowledge on the nursing process, its origins, and its importance in psychiatric-mental health nursing. This quiz covers historical milestones, standards of practice, and essential skills required for healthcare workers in the 21st century. Challenge yourself and deepen your understanding of nursing practices.