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
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Question 1 dz
The nurses new job description at the generalist level of practice reflects the definition of psychiatric
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ealth nursing and the Psychiatric Mental Health Nursing Standards of Practice (ANA, APNA, ISPN). In which of t
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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. dz dz dz dz dz
1. Stress management strategies dz dz
2. Early diagnosis of psychiatric disorders
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3. Parenting classes for new parents dz dz dz dz
4. Family and group psychotherapy dz dz dz
5. Medication teaching for anti-anxiety medications dz dz dz dz
Correct Answer: 1,3,4,5 dz dz
Rationale 1: Stress management strategies address health, wellness, and care of mental health problems and
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are appropriate for psychiatric mental 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 pr
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actice of psychiatric mental 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 psychiatric mental health nursing at the generalist level of pr
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actice.
Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse level b
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ut not the generalist level.
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,Rationale 5: Medication teaching for anti- dz dz dz dz dz
anxiety medications promotes quality of care for persons with psychiatric disorders and is vital for psych
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iatricmental health nursing practice at the generalist level of practice.
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Global Rationale: Cognitiv dz dz
e Level: Applying
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Client Need: Psychosocial Integrity
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Client Need Sub: dz dz
Nursing/Integrated Concepts: Nursing Process: Planning dz dz dz dz
Learning Outcome: Apply knowledge of current practice and professional performance standards to the deliver
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y of contemporary psychiatricmental health nursing.
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Question 2 Typ dz dz
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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the psychiatric unit. Which publication should the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders dz dz dz dz dz dz
2. American Nurses Credentialing Center certification requirements
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3. American Nurses Association, Code of Ethics dz dz dz dz dz
4. PsychiatricMental Health Nursing Standards of Practice dz dz dz dz dz
Correct Answer: 4 dz dz
Rationale 1: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health nursi
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ng roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical Manual
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of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose clients with
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mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong acti
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ons by the nurse, but does not clarify roles and nursing care actions.
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Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
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not delineate roles and responsibilities.
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, Rationale 2: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health nursi
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ng roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical Manual
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of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose clients with
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mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong acti
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ons by the nurse, but does not clarify roles and nursing care actions.
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Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
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not delineate roles and responsibilities.
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Rationale 3: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health nursi
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ng roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical Manual
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of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose clients with
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mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong acti
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ons by the nurse, but does not clarify roles and nursing care actions.
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Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
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not delineate roles and responsibilities.
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Rationale 4: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health nursi
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ng roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical Manual
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of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose clients with
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mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong acti
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ons by the nurse, but does not clarify roles and nursing care actions.
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Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
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not delineate roles and responsibilities.
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Global Rationale: Cognitivdz dz
e Level: Applying
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Client Need: Safe Effective Care Environment
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Client Need Sub: dz dz
Nursing/Integrated Concepts: Nursing Process: Evaluation dz dz dz dz
Learning Outcome: Apply knowledge of current practice and professional performance standards to t
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he delivery of contemporary psychiatricmental health nursing.
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Question 3 dz