Trends that have significant bearing on the skill set needed by ...

[Diane]

Trends that have significant bearing on the skill set needed by psychiatric nurses over the next 5
  years include (more than one answer may be correct)
 
  A. increasing cultural diversity.
  B. the decreasing age of the population.
  C. community-based care case management.
  D. increased funding prospects for psychiatric care.

Question 2

Termination of the therapeutic nurse-client relationship with a client has been handled successfully
  when the nurse
 
  a. gives the client his personal telephone number and permission to call after
  discharge.
  b. avoids upsetting the client by focusing on other clients beginning 1 week before
  the client's discharge.
  c. discusses with the client the changes that have happened during their time
  together and evaluates outcome attainment.
  d. offers to meet the client for coffee and conversation three times a week for 2
  weeks after discharge.

[onowka]

Answer to Question 1

ANS: A, C
Rationale: Increasing cultural diversity calls for the nurse to be more culturally competent. By 2050
the majority of the U.S. population will be people of color. Demand for community-based care case
management is expected to increase in keeping with continuing need to hold costs down. Option B:
The population is expected to age, requiring more psychiatric home care for the aged and long-term
treatment for those with mental disorders. Option D: Funding prospects for psychiatric care are not
expected to increase.

Answer to Question 2

ANS: C
Summarizing and evaluating progress help validate the experience for the client and the nurse and
facilitate closure. Option B: Termination must be discussed; avoiding discussion by spending little
time with the client promotes feelings of abandonment. Options A and D: Successful termination
requires that the relationship be brought to closure without the possibility of dependency-producing
ongoing contact.

[Diane]

Wow, this really help

[Alyson.hiatt@yahoo.com]

TYSM