Practice, 4th Edition. By Kathleen Wheeler. All Chapters, 1 to 20
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, Chapter 1. The Nurse Psychotherapist and a Framework for Practice
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Question 1 vz
The nurses new job description at the generalist level of practice reflects the definition of psychiatricmental
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th nursing and the PsychiatricMental Health Nursing Standards of Practice (ANA, APNA, ISPN). In which
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he following areas might the nurse plan programs and intervention to fulfill employment expectations?
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Standard Text: Select all that apply. vz vz vz vz vz
1. Stress management strategies vz vz
2. Early diagnosis of psychiatric disorders
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3. Parenting classes for new parents vz vz vz vz
4. Family and group psychotherapy vz vz vz
5. Medication teaching for anti-anxiety medications vz vz vz vz
Correct Answer: 1,3,4,5 vz vz
Rationale 1: Stress management strategies address health, wellness, and care of mental health problems
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nd are appropriate for psychiatricmental health nursing at the generalist level of practice.
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Rationale 2: Early diagnosis of psychiatric disorders is generally not consistent with the definition or
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ctice of psychiatricmental health nursing especially at the generalist level.
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Rationale 3: Parenting classes for new parents provide teaching that is consistent with the prevention of
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mental health problems and is consistent with psychiatricmental health nursing at the generalist level of
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tice.
Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse level but
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not the generalist level.
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, Rationale 5: Medication teaching for anti- vz vz vz vz vz
anxiety medications promotes quality of care for persons with
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ricmental health nursing practice at the generalist level of
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Global Rationale: Cognitivz v z
ve Level: Applying
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Client Need: Psychosocial Integrity
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Client Need Sub: vz vz
Nursing/Integrated Concepts: Nursing Process: Planning vz vz vz vz
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
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ivery of contemporary psychiatricmental health nursing.
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Question 2 Typ vz v z
e: MCSA
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The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on
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he psychiatric unit. Which publication should the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders vz vz vz vz vz vz
2. American Nurses Credentialing Center certification requirements
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3. American Nurses Association, Code of Ethics vz vz vz vz vz
4. PsychiatricMental Health Nursing Standards of Practice vz vz vz vz vz
Correct Answer: 4 vz vz
Rationale 1: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
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z nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical
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z Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose
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clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right
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z and wrong actions by the nurse, but does not clarify roles and nursing care actions. Certification requirements
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z outline steps toward certification that acknowledge knowledge and expertise, but do not delineate roles and
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esponsibilities.
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