Chapter 1:
Foundations-of-Psychiatric-Mental-Health-Nursing
1. The nurse is assessing the factors
contributing to the well-being of a newly admitted client. Which would the
nurse identify as having a positive impact on the individual's mental health?
A. |
Not needing others for
companionship |
B. |
The ability to
effectively manage stress |
C. |
A family history of
mental illness |
D. |
Striving for total self-reliance |
ANS: B
Rationale: Individual
factors influencing mental health include coping or stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness
and connectedness are both needed for good mental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness could relate to the biologic makeup of an individual, which may have a
negative impact on an individual's mental health. Total self-reliance is not
possible, and striving to attain this is likely to lead to frustration and
isolation.
PTS: 1 REF: p.
2 OBJ: 1
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
2. Which is true regarding mental health and
mental illness?
A. |
Behavior that may be
viewed as acceptable in one culture is always unacceptable in other cultures. |
B. |
It is easy to determine
if a person is mentally healthy or mentally ill. |
C. |
In most cases, mental
health is a state of emotional, psychological, and social wellness evidenced
by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability. |
D. |
Persons who engage in
fantasies are mentally ill. |
ANS: C
Rationale: Mental health is
a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive
self-concept, and emotional stability. Concepts of behavior that is acceptable
and unacceptable vary widely between cultures. Consequently, mental health or
illness can be difficult to discern. Persons who engage in fantasies may be
mentally healthy, but the inability to distinguish reality from fantasy is an
individual factor that may contribute to mental illness.
PTS: 1 REF: p.
2 OBJ: 1
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Analyze NOT: Multiple Choice
3. A client grieving the recent loss of her
husband asks if she is becoming mentally ill because she is so sad. Which is
the nurse's best response?
A. |
"You may have a
temporary mental illness because you are experiencing so much pain." |
B. |
"You are not
mentally ill. This is an expected reaction to the loss you have
experienced." |
C. |
"Were you generally
dissatisfied with your relationship before your husband's death?" |
D. |
"Try not to worry
about that right now. You never know what the future brings." |
ANS: B
Rationale: Acute grief
reactions are expected and therefore not considered mental illness. Downplaying
the client's grief does not appropriately address the client's concerns. The
quality of the relationship does not determine the presence of absence of
mental illness.
PTS: 1 REF: p.
2 OBJ: 1
NAT: Client Needs: Psychosocial
Integrity
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
4. The nurse consults the DSM for what purpose?
A. |
To devise a plan of care
for a newly admitted client |
B. |
To predict the client's
prognosis of treatment outcomes |
C. |
To document the
appropriate diagnostic code in the client's medical record |
D. |
To serve as a guide for
client assessment |
ANS: D
Rationale: The DSM provides
standard nomenclature, presents defining characteristics, and identifies
underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. The DSM does not provide coding for
record-keeping or billing purposes.
PTS: 1 REF: p.
2-3 OBJ: 2
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. Legislation enacted in 1963 was largely
responsible for which shift in care for the mentally ill?
A. |
The widespread use of
community-based services |
B. |
The advancement in
pharmacotherapies |
C. |
Increased access to
hospitalization |
D. |
Improved rights for
clients in long-term institutional care |
ANS: A
Rationale: The Community
Mental Health Centers Construction Act of 1963 accomplished the release of
individuals from long-term stays in state institutions, the decrease in
admissions to hospitals, and the development of community-based services as an
alternative to hospital care. The legislation did not lay out clients' rights
or directly expand the use of medication.
PTS: 1 REF: p.
4 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
6. Which is a result of federal legislation?
A. |
Making it easier to
commit people for mental health treatment against their will. |
B. |
Making it more difficult
to commit people for mental health treatment against their will. |
C. |
State mental institutions
being the primary source of care for mentally ill persons. |
D. |
Improved care for
mentally ill persons. |
ANS: B
Rationale: Commitment laws
changed in the early 1970s, making it more difficult to commit people for
mental health treatment against their will. Deinstitutionalization accomplished
the release of individuals from long-term stays in state institutions.
Deinstitutionalization also had negative effects in that some mentally ill
persons are subjected to the revolving door effect, which may limit care for
mentally ill persons. Federal legislation has not been identified as a direct
cause of improved overall care.
PTS: 1 REF: p.
4 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. The goal of the 1963 Community Mental Health
Centers Act was to:
A. |
ensure clients' rights
for the mentally ill. |
B. |
deinstitutionalize state
hospitals. |
C. |
provide funds to build
hospitals with psychiatric units. |
D. |
treat people with mental
illness in a humane fashion. |
ANS: B
Rationale: The 1963
Community Mental Health Centers Act initiated the movement toward treating
those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state
institutions to care based in the community. This Act did not focus on clients'
rights, funding for inpatient treatment, or humane care.
PTS: 1 REF: p.
4 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple
Choice
8. The creation of asylums during the 1800s was
meant to:
A. |
improve treatment of
mental disorders. |
B. |
provide food and shelter
for the mentally ill. |
C. |
punish people with mental
illness who were believed to be possessed. |
D. |
remove dangerous people
with mental illness from the community. |
ANS: B
Rationale: The asylum was
meant to be a safe haven with food, shelter, and humane treatment for the
mentally ill. Asylums were not used to improve treatment of mental disorders or
to punish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
PTS: 1 REF: p.
3 OBJ: 3
NAT: Client Needs: Physiological
Integrity: Basic Care and Comfort
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple
Choice
9. A significant change in the treatment of
people with mental illness occurred in the 1950s when:
A. |
community support
services were established. |
B. |
legislation dramatically
changed civil commitment procedures. |
C. |
the Patient's Bill of
Rights was enacted. |
D. |
psychotropic drugs became
available for use. |
ANS: D
Rationale: The development
of psychotropic drugs, or drugs used to treat mental illness, began in the
1950s. Community support, client rights, and commitment procedures were
addressed more directly in later decades.
PTS: 1 REF: p.
4 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple
Choice
10. Before the period of the enlightenment,
treatment of the mentally ill included:
A. |
creating large
institutions to provide custodial care. |
B. |
focusing on religious
education to improve their souls. |
C. |
placing the mentally ill
on display for the public's amusement. |
D. |
providing a safe refuge
or haven offering protection. |
ANS: C
Rationale: In 1775,
visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human.
Custodial care was not often provided as persons who were considered harmless
were allowed to wander in the countryside or live in rural communities, and
more dangerous lunatics were imprisoned, chained, and starved. In early
Christian times, primitive beliefs and superstitions were strong. The mentally
ill were viewed as evil or possessed. Priests performed exorcisms to rid evil
spirits, and in the colonies, witch hunts were conducted with offenders burned
at the stake. It was not until the period of enlightenment when persons who
were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
PTS: 1 REF: p.
3 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
11. The first training of nurses to work with
persons with mental illness was in 1882 in which state?
A. |
California |
B. |
Illinois |
C. |
Massachusetts |
D. |
New York |
ANS: C
Rationale: The first
training for nurses to work with persons with mental illness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
PTS: 1 REF: p.
7-8 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
12. What is meant by the term "revolving
door effect" in mental health care?
A. |
An overall reduction in
incidence of severe mental illness |
B. |
Shorter and more frequent
hospital stays for persons with severe and persistent mental illness |
C. |
Flexible treatment
settings for the mentally ill |
D. |
Most effective and least
expensive treatment settings |
ANS: B
Rationale: The revolving
door effect refers to shorter, but more frequent, hospital stays. Clients are
quickly discharged into the community where services are not adequate; without
adequate community services, clients become acutely ill and require
rehospitalization. The revolving door effect does not refer to flexible
treatment settings for the mentally ill. This phenomenon is known to be costly
and inefficient. The revolving door effect does not relate to the incidence of
severe mental illness; it is associated with the ongoing treatment of chronic
illness.
PTS: 1 REF: p.
4-5 OBJ: 4
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Remember
NOT: Multiple Choice
13. Which statement by the nurse to the client's
family is true of treatment of people with mental illness in the United States
today?
A. |
Substance abuse is
effectively treated with brief hospitalization. |
B. |
Financial resources are
reallocated from state hospitals to community programs and support. |
C. |
Only one in four people
needing mental health services are receiving those services. |
D. |
Emergency department
visits by persons who are acutely disturbed are declining. |
ANS: C
Rationale: Only one in four
adults needing mental health care receives the needed services. Substance abuse
issues cannot be dealt with in the 3 to 5 days typical for admissions in the
current managed care environment. Money saved by states when state hospitals
were closed has not been transferred to community programs and support.
Although people with severe and persistent mental illness have shorter hospital
stays, they are admitted to hospitals more frequently. In some cities, emergency
department visits for acutely disturbed persons have increased by 400% to 500%.
PTS: 1 REF: p.
4-5 OBJ: 4
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
14. The case manager is providing an educational
seminar for the nursing staff and includes objectives from Healthy People 2020.
What is the priority objective for mental health?
A. |
Improved inpatient care |
B. |
Primary prevention of
emotional problems |
C. |
Stress reduction and
management |
D. |
Treatment of mental
illness |
ANS: D
Rationale: The objectives are
to increase the number of people who are identified, diagnosed, treated, and
helped to live healthier lives. The objectives also strive to decrease rates of
suicide and homelessness, to increase employment among those with serious
mental illness, and to provide more services both for juveniles and for adults
who are incarcerated and have mental health problems. Improved inpatient care,
primary prevention of emotional problems, and stress reduction and management
are not priorities of Healthy People 2020.
PTS: 1 REF: p.
5-6 OBJ: 4
NAT: Client Needs: Health
Promotion and Maintenance
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
15. One of the unforeseen effects of the movement
toward community mental health services is:
A. |
fewer clients suffering
from persistent mental illnesses. |
B. |
an increased number of
hospital beds available for clients seeking treatment. |
C. |
an increased number of
admissions to available hospital services. |
D. |
longer hospital stays for
people needing mental health services. |
ANS: C
Rationale: Although people
with severe and persistent mental illness have shorter hospital stays, they are
admitted to hospitals more frequently. Although deinstitutionalization reduced
the number of public hospital beds by 80%, the number of admissions to those
beds correspondingly increased by 90%. The number of individuals with mental
illness did not change.
PTS: 1 REF: p.
4-5 OBJ: 4
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Understand
NOT: Multiple Choice
16. A client diagnosed with a mild anxiety
disorder has been referred to treatment in a community mental health center.
Treatment most likely provided at the center includes ...
A. |
medical management of
symptoms. |
B. |
daily psychotherapy. |
C. |
constant staff
supervision. |
D. |
psychological
stabilization. |
ANS: A
Rationale: Community mental
health centers focus on rehabilitation, vocational needs, education, and
socialization, as well as on management of symptoms and medication. Daily
therapies, constant supervision, and stabilization require a more acute care inpatient
setting.
PTS: 1 REF: p.
6 OBJ: 4
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
17. Nursing education has become broad in
practice settings. The addition of psychiatric nursing became a requirement in
nursing education in 1950 by whom?
A. |
State Boards of Nursing |
B. |
American Nurses
Association |
C. |
National League of
Nursing |
D. |
Nurse Practice Act |
ANS: C
Rationale: It was not until
1950 that the National League for Nursing, which accredits nursing programs,
required schools to include an experience in psychiatric nursing. The American
Nurses Association (ANA) is an organization that nurses belong to as a
professional organization. Some state boards of nursing follow the requirements
set by National League of Nursing (NLN). Nurse Practice Acts contains
guidelines that can reflect National League of Nursing and American Nurses
Association standards.
PTS: 1 REF: p.
7-8 OBJ: 3
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
18. A new graduate nurse has accepted a staff
position at an inpatient mental health facility. The graduate nurse can expect
to be responsible for basic-level functions, including ...
A. |
providing clinical
supervision. |
B. |
using effective
communication skills. |
C. |
adjusting client
medications. |
D. |
directing program
development. |
ANS: B
Rationale: Basic-level
functions include counseling, milieu therapy, self-care activities,
psychobiologic interventions, health teaching, case management, and health
promotion and maintenance. Advanced-level functions include psychotherapy,
prescriptive authority for drugs, consultation and liaison, evaluation, program
development and management, and clinical supervision.
PTS: 1 REF: p.
9 OBJ: 5
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
19. A psychiatric-mental health nurse is
conducting an in-service program for a group of nurses which includes a review
about the American Nurses Association standards of practice for
psychiatric–mental health nursing. After describing these standards, the nurse
determines that the teaching was successful when the group identifies which
information?
A. |
Prescriptive authority is
granted to any psychiatric-mental health registered nurses. |
B. |
All aspects of the
standard for implementation apply to psychiatric-mental health registered
nurses. |
C. |
Advanced practice nurses
have a different set of standards from those of the psychiatric-mental health
registered nurse. |
D. |
Psychiatric-mental health
advanced practice nurses are the only ones who may provide psychotherapy. |
ANS: C
Rationale: Prescriptive
authority is used by psychiatric-mental health advanced practice registered
nurses in accordance with state and federal laws and regulations. Four sub-standards
of Standard 5 address advanced practice interventions and may be performed only
by the psychiatric-mental health advanced practice registered nurse. Advanced
practice psychiatric-mental health nurses follow the same standards of practice
that psychiatric-mental health registered nurses do. Advanced practice
psychiatric-mental health nurses are the only ones able to conduct
psychotherapy.
PTS: 1 REF: p.
7-8 OBJ: 5
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
20. The nurse knows that mental health issues are
constantly changing. Which is a standard of professional performance to keep in
current practice?
A. |
Assessment |
B. |
Education |
C. |
Planning |
D. |
Implementation |
ANS: B
Rationale: Education is a
standard of professional performance. Other standards of professional
performance include the quality of practice, professional practice evaluation,
collegiality, collaboration, ethics, research, resource utilization, and leadership.
Assessment, planning, and implementation are components of the nursing process,
not standards of professional performance.
PTS: 1 REF: p.
7-8 OBJ: 5
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
21. The newly licensed registered nurse has been
hired at the local hospital in the geriatric-psychiatry unit. Today is the
nurse's first day of orientation to this facility. What would be the nurse's priority
action if a client becomes aggressive?
A. |
Assist other staff on the
unit to take down the client safely |
B. |
Maintain a safe distance
from the client |
C. |
Keep the client secluded
from others |
D. |
Reinforce boundaries when
aggression is seen to maintain a safe environment |
ANS: B
Rationale: As a newly
licensed registered nurse on orientation the first day, the nurse has not been
trained to take down or assist in taking down an aggressive client. Serious
injury can occur. Maintaining a safe distance in this situation is the most
prudent, until the nurse has received the appropriate training. Since the nurse
is new to this unit, the nurse is not in a position to reinforce boundaries at
this time, as the client may perceive the nurse as an outsider and may appear
as a threat, thus escalating the situation. Therapeutic settings are for all
clients, acceptable behaviors are reinforced, and secluding or isolating the
client can foster aggressive behavior.
PTS: 1 REF: p.
9 OBJ: 6
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
22. The geriatric psychiatry nurse understands
that the DSM-5 describes all mental disorders with specific criteria. Which are
the purposes of the DSM-5? Select all that apply.
A. |
To provide the
practitioner with standards of care for all clients. |
B. |
To provide a standardized
nomenclature and language for all mental health professionals. |
C. |
To provide standards for
hospital and community based institutions. |
D. |
To present defining
characteristics or symptoms that differentiate specific diagnoses. |
E. |
To assist in identifying
the underlying causes of disorders. |
ANS: B, D, E
Rationale: The DSM-5 has
three purposes: (1) to provide a standardized nomenclature and language for all
mental health professionals; (2) to present defining characteristics or
symptoms that differentiate specific diagnoses; and (3) to assist in identifying
the underlying causes of disorders. The DSM-5 was not designed to provide the
practitioner with standards of care for all clients nor to provide standards
for hospital and community based institutions.
PTS: 1 REF: p.
2-3 OBJ: 4
NAT: Client Needs: Psychosocial
Integrity
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Select
23. If a client states, "I carry this lucky
rabbit's foot for luck, my dad did too, and it really works," which
statement by the nurse reflects respect for the client's belief?
A. |
"A rabbit's foot has
never brought me luck. I don't know why people carry them." |
B. |
"Yes, the rabbit's
foot can bring luck to some." |
C. |
"I can accept that
you feel it is lucky, so let's get to our activities for the day." |
D. |
"It is not
appropriate to harm small animals for their parts." |
ANS: C
Rationale: At times, a
nurse's values and beliefs will conflict with those of the client or with the
client's behavior. The nurse must learn to accept these differences among
people and view each client as a worthwhile person regardless of that client's
opinions and lifestyle. The nurse does not need to share the client's views and
behavior; the nurse merely needs to accept them as different from the nurse's
own and not let them interfere with care.
PTS: 1 REF: p.
10-11 OBJ: 4
NAT: Client Needs: Psychosocial
Integrity
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
24. A client with schizophrenia has been
noncompliant with medications. The client requires frequent admissions to the
psychiatric unit for acute psychotic episodes. What is this process called?
A. |
Escalated admissions |
B. |
Revolving door |
C. |
Deinstitutionalization |
D. |
Boarding |
ANS: B
Rationale: The revolving
door effect is a result of deinstitutionalization; clients are admitted more
frequently for shorter stays. Boarding is when clients are kept in the
emergency department until the crisis resolves or an inpatient bed is found.
Admissions are usually not escalated but are recurrent.
PTS: 1 REF: p.
4-5 OBJ: 5
NAT: Client Needs: Health
Promotion and Maintenance
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process: Nursing
Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
25. What organization developed and maintains
standards of practice that are used to determine safe quality care and that can
be used legally if incorporated into the state practice act or nurse's rules
and regulations that guide the nursing profession?
A. |
APNA (American
Psychiatric Nurses Association) |
B. |
DSM-5 (Diagnostic and
Statistical Manual of Mental Disorders-5th ed.) |
C. |
ANA (American Nurses
Association) |
D. |
USDHHS (U. S. Department
of Health and Human Services) |
ANS: C
Rationale: The APNA is
based off of the ANA standards and applies to psychiatric nurses, whereas the
ANA standards apply to all nurses in all disciplines. The DSM-5 sets
nomenclature and language for all mental health professionals to use along with
defining symptoms. The USDHHA's objectives were used to develop Healthy People
2010 and now 2020, to aid in supporting community-based interventions, to
decrease suicide and homelessness, and to increase employment of those with
mental illness.
PTS: 1 REF: p.
7-8 OBJ: 2
NAT: Client Needs: Safe,
Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of
Psychiatric-Mental Health Nursing
KEY: Integrated Process:
Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
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