3rd Edition by Kathleen Wheeler – All Chapters 1–24 Test Bank,
Comprehensive Practice Questions and Answers
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,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 psychiatricmental health nursing and the PsychiatricMental 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 psychiatricmental 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 psychiatricmental 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 psychiatricmental
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.
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,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
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
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, 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.
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