Advanced Practice Psychiatric Nursing
2nd
Edition
1
By
Kathleen Tusaie & ʝoyce ʝ. Fitzpatrick
,Contents
Chapter 1: Theoretical Understandings and Evidence Base for Practice...................................... 3
Chapter 2: Shared Decision Making: Concordance Between Psychiatric-Mental Health
Advanced Practice Registered Nurse and Client ........................................................................... 10
Chapter 3: Synergy of Integrative Treatment ................................................................................ 17
Chapter 4: Overview of Psychotherapy .......................................................................................... 25
Chapter 5: Overview of Psychopharmacology ............................................................................... 34
Chapter 6: Overview of Complementary/Integrative Approaches .............................................. 42
Chapter 7: Stages of Treatment ....................................................................................................... 51
Chapter 8: Integrative Management of Disordered Mood............................................................ 59
Chapter 9: Integrative Management of Anxiety-Related Conditions .......................................... 68
Chapter 10: Integrative Management of Psychotic Symptoms .................................................... 76
Chapter 11: Integrative Management of Sleep Disturbances ....................................................... 85
Chapter 12: Integrative Management of Disordered Eating ........................................................ 93
Chapter 13: Integrative Management of Disordered Cognition ................................................. 101
Chapter 14: Integrative Management of Disordered Attention ................................................. 108
Chapter 15: Integrated Management of Self-Directed Inʝury .................................................... 116
Chapter 16: Integrated Management of Other-Directed Violence............................................. 124
Chapter 17: Integrative Management of Disordered Impulse Control ..................................... 132
Chapter 18: Co-Occurring Substance Misuse and Psychiatric Syndromes .............................. 141
Chapter 19: Medical Problems and Psychiatric Syndromes ....................................................... 150
Chapter 20: Pregnancy During Psychiatric Syndromes.............................................................. 159
Chapter 21: Forensic Issues and Psychiatric Syndromes ............................................................ 168
Chapter 22: QSEN Competencies: Application to Advanced Practice Mental Health Nursing
.......................................................................................................................................................... 177
Chapter 23: Telehealth ................................................................................................................... 186
Chapter 24: Global Perspectives and the Future of Advanced Practice Psychiatric-Mental
Health Nursing ................................................................................................................................ 194
2
,Chapter 1: Theoretical Understandings and Evidence Base for Practice
Test Bank – 25 Multiple-Choice Questions
1. Which theory is foundational in understanding the therapeutic relationship in
psychiatric nursing?
A. Behavioral theory
B. Humanistic theory
C. Psychoanalytic theory
D. Interpersonal theory
✔ Correct Answer: D. Interpersonal theory
📚 Rationale: Interpersonal theory emphasizes the significance of the nurse-client
relationship, which is central to psychiatric nursing practice.
2. Evidence-based practice (EBP) in psychiatric nursing integrates clinical
expertise with:
A. Insurance policy guidelines
B. Patient preferences and current research evidence
C. Hospital protocols only
D. DSM-5 criteria exclusively
✔ Correct Answer: B. Patient preferences and current research evidence
📚 Rationale: EBP merges the best research evidence, clinical expertise, and
patient values for optimal care.
3. The biopsychosocial model is essential in psychiatric nursing because it:
A. Ignores environmental factors
B. Emphasizes medication over therapy
C. Integrates biological, psychological, and social components of care
D. Replaces the need for psychotherapy
✔ Correct Answer: C. Integrates biological, psychological, and social components
of care
📚 Rationale: This model supports a holistic approach to mental health care.
3
, 4. Which of the following theorists developed a theory based on hierarchy of
human needs?
A. Freud
B. Maslow
C. Skinner
D. Rogers
✔ Correct Answer: B. Maslow
📚 Rationale: Maslow’s hierarchy of needs is fundamental in assessing patient
priorities in psychiatric care.
5. What is the primary goal of using theoretical frameworks in psychiatric nursing?
A. To follow a strict treatment protocol
B. To diagnose clients accurately
C. To guide assessment, intervention, and evaluation
D. To ʝustify medication use
✔ Correct Answer: C. To guide assessment, intervention, and evaluation
📚 Rationale: Theories provide a structured approach to psychiatric care.
6. Which nursing theorist emphasized caring as the essence of nursing?
A. Betty Neuman
B. ʝean Watson
C. Hildegard Peplau
D. Dorothea Orem
✔ Correct Answer: B. ʝean Watson
📚 Rationale: Watson’s theory of human caring is key in establishing
compassionate psychiatric care.
7. The integration of theory into clinical practice is most effective when:
A. Nurses rigidly follow one model
B. Nurses adapt theoretical knowledge flexibly to client needs
C. Theories are only used for documentation
D. Evidence-based practices are ignored
✔ Correct Answer: B. Nurses adapt theoretical knowledge flexibly to client needs
4
2nd
Edition
1
By
Kathleen Tusaie & ʝoyce ʝ. Fitzpatrick
,Contents
Chapter 1: Theoretical Understandings and Evidence Base for Practice...................................... 3
Chapter 2: Shared Decision Making: Concordance Between Psychiatric-Mental Health
Advanced Practice Registered Nurse and Client ........................................................................... 10
Chapter 3: Synergy of Integrative Treatment ................................................................................ 17
Chapter 4: Overview of Psychotherapy .......................................................................................... 25
Chapter 5: Overview of Psychopharmacology ............................................................................... 34
Chapter 6: Overview of Complementary/Integrative Approaches .............................................. 42
Chapter 7: Stages of Treatment ....................................................................................................... 51
Chapter 8: Integrative Management of Disordered Mood............................................................ 59
Chapter 9: Integrative Management of Anxiety-Related Conditions .......................................... 68
Chapter 10: Integrative Management of Psychotic Symptoms .................................................... 76
Chapter 11: Integrative Management of Sleep Disturbances ....................................................... 85
Chapter 12: Integrative Management of Disordered Eating ........................................................ 93
Chapter 13: Integrative Management of Disordered Cognition ................................................. 101
Chapter 14: Integrative Management of Disordered Attention ................................................. 108
Chapter 15: Integrated Management of Self-Directed Inʝury .................................................... 116
Chapter 16: Integrated Management of Other-Directed Violence............................................. 124
Chapter 17: Integrative Management of Disordered Impulse Control ..................................... 132
Chapter 18: Co-Occurring Substance Misuse and Psychiatric Syndromes .............................. 141
Chapter 19: Medical Problems and Psychiatric Syndromes ....................................................... 150
Chapter 20: Pregnancy During Psychiatric Syndromes.............................................................. 159
Chapter 21: Forensic Issues and Psychiatric Syndromes ............................................................ 168
Chapter 22: QSEN Competencies: Application to Advanced Practice Mental Health Nursing
.......................................................................................................................................................... 177
Chapter 23: Telehealth ................................................................................................................... 186
Chapter 24: Global Perspectives and the Future of Advanced Practice Psychiatric-Mental
Health Nursing ................................................................................................................................ 194
2
,Chapter 1: Theoretical Understandings and Evidence Base for Practice
Test Bank – 25 Multiple-Choice Questions
1. Which theory is foundational in understanding the therapeutic relationship in
psychiatric nursing?
A. Behavioral theory
B. Humanistic theory
C. Psychoanalytic theory
D. Interpersonal theory
✔ Correct Answer: D. Interpersonal theory
📚 Rationale: Interpersonal theory emphasizes the significance of the nurse-client
relationship, which is central to psychiatric nursing practice.
2. Evidence-based practice (EBP) in psychiatric nursing integrates clinical
expertise with:
A. Insurance policy guidelines
B. Patient preferences and current research evidence
C. Hospital protocols only
D. DSM-5 criteria exclusively
✔ Correct Answer: B. Patient preferences and current research evidence
📚 Rationale: EBP merges the best research evidence, clinical expertise, and
patient values for optimal care.
3. The biopsychosocial model is essential in psychiatric nursing because it:
A. Ignores environmental factors
B. Emphasizes medication over therapy
C. Integrates biological, psychological, and social components of care
D. Replaces the need for psychotherapy
✔ Correct Answer: C. Integrates biological, psychological, and social components
of care
📚 Rationale: This model supports a holistic approach to mental health care.
3
, 4. Which of the following theorists developed a theory based on hierarchy of
human needs?
A. Freud
B. Maslow
C. Skinner
D. Rogers
✔ Correct Answer: B. Maslow
📚 Rationale: Maslow’s hierarchy of needs is fundamental in assessing patient
priorities in psychiatric care.
5. What is the primary goal of using theoretical frameworks in psychiatric nursing?
A. To follow a strict treatment protocol
B. To diagnose clients accurately
C. To guide assessment, intervention, and evaluation
D. To ʝustify medication use
✔ Correct Answer: C. To guide assessment, intervention, and evaluation
📚 Rationale: Theories provide a structured approach to psychiatric care.
6. Which nursing theorist emphasized caring as the essence of nursing?
A. Betty Neuman
B. ʝean Watson
C. Hildegard Peplau
D. Dorothea Orem
✔ Correct Answer: B. ʝean Watson
📚 Rationale: Watson’s theory of human caring is key in establishing
compassionate psychiatric care.
7. The integration of theory into clinical practice is most effective when:
A. Nurses rigidly follow one model
B. Nurses adapt theoretical knowledge flexibly to client needs
C. Theories are only used for documentation
D. Evidence-based practices are ignored
✔ Correct Answer: B. Nurses adapt theoretical knowledge flexibly to client needs
4
