Practice Psychiatric Nurse: A How-To Guide for
Evidence-Based Practice, 3rd Edition, by Kathleen
Wheeler, All Chapters 1-24
,Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Question 1
The nurses new job description at the generalist level of practice reflects the definition of psychiatric
mental health nursing and the Psychiatric Mental Health Nursing Standards of Practice (ANA, APNA, ISPN).
In which of the following areas might the nurse plan programs and intervention to fulfill employment
expectations?
Standard Text: Select all that apply.
1. Stress management strategies
2. Early diagnosis of psychiatric disorders
3. Parenting classes for new parents
4. Family and group psychotherapy
5. Medication teaching for anti-anxiety medications
Correct Answer: 1,3,4,5
Rationale 1: Stress management strategies address health, wellness, and care of mental health
problems and are appropriate for psychiatric mental health nursing at the generalist level of practice.
Rationale 2: Early diagnosis of psychiatric disorders is generally not consistent with the definition
or practice of psychiatric mental health nursing especially at the generalist level.
Rationale 3: Parenting classes for new parents provide teaching that is consistent with the
prevention of mental health problems and is consistent with psychiatric mental health nursing at the
generalist level of practice.
Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse
level but not the generalist level.
,Rationale 5: Medication teaching for anti-anxiety medications promotes quality of care for
persons with psychiatric disorders and is vital for psychiatricmental health nursing practice at the
generalist level of practice.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary psychiatricmental health nursing.
Question 2
Type: MCSA
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the
nurses on the psychiatric unit. Which publication should the nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. PsychiatricMental Health Nursing Standards of Practice
Correct Answer: 4
Rationale 1: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental
health nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
Statistical Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist,
to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps
to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
but do not delineate roles and responsibilities.
, Rationale 2: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental
health nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
Statistical Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist,
to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps
to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
but do not delineate roles and responsibilities.
Rationale 3: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental
health nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
Statistical Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist,
to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps
to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
but do not delineate roles and responsibilities.
Rationale 4: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental
health nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
Statistical Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist,
to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps
to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
but do not delineate roles and responsibilities.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance
standards to the delivery of contemporary psychiatricmental health nursing.
Question 3