Author Question: Which changes in psychiatric nursing practice are directly attributable to events occurring during ... (Read 36 times)

Shelles · **on:** Jul 19, 2018

Which changes in psychiatric nursing practice are directly attributable to events occurring during the Decade of the Brain? Select all that apply.

a. Homeless shelters became practice sites.
b. Nurses upgraded knowledge of psychopharmacology.
c. Nurses provided psychoeducation to patients and families.
d. Nurses viewed psychiatric symptoms as resulting from brain irregularities.
e. Nurses were more likely to advocate for patients' rights related to involuntary commitment.

Question 2

A patient diagnosed with schizophrenia says to the nurse, I feel really close to you. You're the only true friend I have. Select the nurse's most therapeutic response.

a. We are not friends. Our relationship is a professional one.
b. I feel sure there are other friends in your life. Can you name some?
c. I am glad you trust me. Trust is important for the work we are doing together.
d. Our relationship is professional, but let's explore ways to strengthen friendships.

Bison · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B, C, D
Psychobiologic research relating to brain structure and function made it possible for psychiatric nurses to view symptoms as brain irregularities and made it necessary for them to become knowledgeable about psychotropic medications to make appropriate assessments regarding desired outcomes and side and toxic effects of therapy. With hospital stays shortened, it became necessary for nurses to provide psychoeducation to patients and families who would need to monitor outcomes, symptoms of relapse, and side and toxic effects of medication. Homeless shelters became practice sites with the onset of deinstitutionalizat ion. Advocacy for patients' rights relating to hospitalization and commitment became an ethical issue before the Decade of the Brain.

Answer to Question 2

D
The patient's remarks call for the nurse to remind the patient of the parameters of their relationship and take the opportunity to discuss the issue of friends. Only this option incorporates both desired elements.