Psychotherapy for the Advanced Practice Psychiatric Nurse
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1. A psychiatric-mental health nurse at the generalist level is planning
programs to fulfill employment expectations as defined by the
Psychiatric-Mental Health Nursing Standards of Practice. Which of the
following interventions are consistent with this role? Select all that
apply.
A) Stress management strategies
B) Early diagnosis of psychiatric disorders
C) Parenting classes for new parents
D) Family and group psychotherapy
E) Medication teaching for anti-anxiety medications
Correct Answer: A, C, E
Explanation: Stress management, parenting classes for prevention, and
medication teaching are all appropriate and expected interventions at
the generalist level of psychiatric-mental health nursing practice . Early
diagnosis of psychiatric disorders is not generally within the scope of the
generalist nurse and is more consistent with the role of an advanced
practice registered nurse (APRN) or psychiatrist. Family and group
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psychotherapy are advanced practice nursing interventions, not
generalist-level activities .
2. A 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 to best guide
this discussion?
A) Diagnostic and Statistical Manual of Mental Disorders (DSM)
B) American Nurses Credentialing Center (ANCC) certification
requirements
C) American Nurses Association (ANA) Code of Ethics
D) Psychiatric-Mental Health Nursing Standards of Practice
Correct Answer: D
Explanation: The Psychiatric-Mental Health Nursing Standards of
Practice are the definitive documents that delineate the roles and
functions of psychiatric-mental health nurses and provide the guidelines
for delivering quality care . The DSM is a diagnostic tool primarily used
by the entire mental health team, particularly psychiatrists. The Code of
Ethics guides ethical decision-making and conduct, while certification
requirements outline the steps and knowledge needed for credentialing;
neither clarifies the daily roles and responsibilities of nursing staff .
3. A client's treatment plan includes teaching about the possible side
effects of psychotropic medications. Which member of the mental
health team should be primarily responsible for implementing this
teaching?
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A) The psychosocial rehabilitation worker
B) The primary therapist
C) The psychiatrist
D) The nurse
Correct Answer: D
Explanation: The nurse is directly responsible for the nursing care of the
client, which includes medication administration and comprehensive
teaching about medications, their effects, and potential side effects .
While a psychiatrist may also educate the client, their primary role
focuses on diagnosis and prescribing medication. A primary therapist,
such as a psychologist or social worker, typically does not have the
educational background or license to perform medication teaching, nor
does an unlicensed psychosocial rehabilitation worker .
4. The nurse is reflecting on the nursing role within the mental health
team and understands that the main purpose of delivering care using a
multidisciplinary team approach is which of the following?
A) To maximize the efficiency of the health care team by having
members learn from each other.
B) To increase the opportunity for interpersonal interaction among the
client, family, and team members.
C) To facilitate the case management process.
D) To make the best use of the different abilities of mental health team
members to facilitate client progress.
Correct Answer: D
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Explanation: The primary purpose of a multidisciplinary team is to
partner and collaborate, leveraging the distinct skills and knowledge of
each discipline to create a comprehensive and effective treatment plan
that best facilitates the client's progress toward their therapeutic goals .
While efficiency and interaction are potential benefits, they are not the
core purpose. All team activities must be ultimately focused on the
client's needs and progress .
5. A client on the psychiatric unit is asking questions about the
prevention of sexually transmitted diseases. Given the Psychiatric-
Mental Health Nursing Standards of Practice, which action would be
most appropriate for the nurse to take?
A) Consult with the mental health care team before responding.
B) Teach the client about safer sexual practices.
C) Explore the client's questions in individual psychotherapy.
D) Notify the attending psychiatrist.
Correct Answer: B
Explanation: The psychiatric-mental health nurse employs strategies to
promote health and prevent illness. Providing health teaching, including
education on safer sexual practices, is a core and independent nursing
function aligned with the standards of practice . It is not necessary to
consult the entire team or the psychiatrist for this standard health
teaching, and conducting individual psychotherapy for this purpose is
outside the scope of practice for a generalist-level nurse .
6. Upon arrival on the psychiatric unit, the nurse observes a team
member who seems primarily interested in client progress only as a