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 r41
The r4nurses r4new r4job r4description r4at r4the r4generalist r4level r4of r4practice r4reflects r4the r4definition r4of
psychiatric
r4 r 4 mental r4health r4nursing r4and r4the r4Psychiatric r4Mental r4Health r4Nursing r4Standards r4of
Practice r4(ANA, r4APNA, r4ISPN).
r4 r 4 In r4which r4of r4the r4following r4areas r4might r4the r4nurse r4plan r4programs
and r4intervention r4to r4fulfill r4employment
r4 r 4 expectations?
Standard r4Text: r4Select r4all r4that r4apply.
1. Stress r4management r4strategies
2. Early r4diagnosis r4of r4psychiatric r4disorders
3. Parenting r4classes r4for r4new r4parents
4. Family r4and r4group r4psychotherapy
5. Medication r4teaching r4for r4anti-anxiety r4medications
Correct r4Answer: r41,3,4,5
Rationale r41: r4Stress r4management r4strategies r4address r4health, r4wellness, r4and r4care r4of r4mental r4health
r 4 problems r4and r4are r4appropriate r4for r4psychiatric r4mental r4health r4nursing r4at r4the r4generalist r4level r4of
r4 practice.
Rationale r42: r4Early r4diagnosis r4of r4psychiatric r4disorders r4is r4generally r4not r4consistent r4with r4the
definition
r4 r 4 or r4practice r4of r4psychiatric r4mental r4health r4nursing r4especially r4at r4the r4generalist r4level.
Rationale r43: r4Parenting r4classes r4for r4new r4parents r4provide r4teaching r4that r4is r4consistent r4with r4the
r 4 prevention r4of r4mental r4health r4problems r4and r4is r4consistent r4with r4psychiatric r4mental r4health
r4 nursing r4at r4the r 4 generalist r4level r4of r4practice.
Rationale r44: r4Family r4and r4group r4psychotherapy r4is r4consistent r4at r4the r4advanced r4practice
registered r4nurse
r4 r 4 level r4but r4not r4the r4generalist r4level.
,Rationale r45: r4Medication r4teaching r4for r4anti-anxiety r4medications r4promotes r4quality r4of r4care
for
r4 r 4 persons r4with r4psychiatric r4disorders r4and r4is r4vital r4for r4psychiatricmental r4health r4nursing
practice r4at r4the
r4 r 4 generalist r4level r4of r4practice.
Global r4Rationale:
r4 Cognitive r4Level:
r4 Applying
Client r4Need: r4Psychosocial r4Integrity
Client r4Need r4Sub:
Nursing/Integrated r4Concepts: r4Nursing r4Process: r4Planning
Learning r4Outcome: r4Apply r4knowledge r4of r4current r4practice r4and r4professional r4performance r4standards
to r4the
r4 r 4 delivery r4of r4contemporary r4psychiatricmental r4health r4nursing.
Question r42
r4 Type:r4MCSA
The r4nurse r4is r4serving r4on r4a r4committee r4charged r4with r4reviewing r4the r4roles r4and r4responsibilities
of r4the
r4 r 4 nurses r4on r4the r4psychiatric r4unit. r4Which r4publication r4should r4the r4nurse r4bring r4to r4the
first r4meeting?
r4
1. Diagnostic r4and r4Statistical r4Manual r4of r4Mental r4Disorders
2. American r4Nurses r4Credentialing r4Center r4certification r4requirements
3. American r4Nurses r4Association, r4Code r4of r4Ethics
4. PsychiatricMental r4Health r4Nursing r4Standards r4of r4Practice
Correct r4Answer: r44
Rationale r41: r4The r4PsychiatricMental r4Health r4Nursing r4Standards r4of r4Practice r4delineates
psychiatricmental
r4 r 4 health r4nursing r4roles r4and r4functions r4and r4serves r4as r4guidelines r4for r4providing
r4 quality r4care. r4The r4Diagnostic r4and r 4 Statistical r4Manual r4of r4Mental r4Disorders r4is r4used r4by r4the r4mental
r4 health r4care r4team, r4particularly r4the r4psychiatrist, r 4 to r4diagnose r4clients r4with r4mental r4disorders r4and
is r4not r4specific r4to r4nursing r4care r4issues. r4The r4Code r4of r4Ethics r4helps
r4 r 4 to r4clarify r4right r4and r4wrong
, r4 actions r4by r4the r4nurse, r4but r4does r4not r4clarify r4roles r4and r4nursing r4care r4actions.
Certification r4requirements r4outline r4steps r4toward r4certification r4that r4acknowledge r4knowledge r4and
expertise,
r4 r 4 but r4do r4not r4delineate r4roles r4and r4responsibilities.