A patient tells the nurse, This medicine makes me feel weird. I ...

[tingc95]

A patient tells the nurse, This medicine makes me feel weird. I don't think I should take it anymore. Do you? The most effective reply that the nurse could make is based on the psychotherapeutic management model component of
 
  a. psychopathology.
  b. milieu management.
  c. psychopharmacology.
  d. therapeutic nursepatient relationship.

Question 2

A shift in the psychiatric nursing focus during the community mental health period of the 1960s resulted in
 
  a. disillusionment with the high numbers of people seeking treatment.
  b. focusing more attention on complications associated with substance abuse.
  c. spending more time providing services to persons with serious mental illness.
  d. shifting focus away from the most acutely ill and to persons with a perceived greater potential for improvement.

[atrochim]

Answer to Question 1

C
Concerns about medication voiced by patients require the nurse to have knowledge about psychotherapeutic drugs to make helpful responses. The nursepatient relationship component is based on use of self. Milieu management is concerned with the environment of care. Psychopathology provides foundational knowledge of mental disorders but would be less relevant in framing a response to the patient than knowledge of psychopharmacology.

Answer to Question 2

D
The community mental health movement brought with it a broadening of areas of concern to the psychiatric nurse. It became acceptable, even desirable, for psychiatric nurses to focus on what was called the worried well, as opposed to providing care for acutely ill psychotic individuals. Neither disillusionment with the numbers seeking treatment nor providing more services to those with severe mental illness occurred.

[tingc95]

TY

[atrochim]

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