Nurse, Second Edition: AHow-To Guide for Evidence- Based Practice 3rd Edition Test Bank.
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Chapter 1. The Nurse Psychotherapist and a Framework for Practice
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The nurse's new job description at the generalist level of practice reflects the definition of psychiatric
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mental health nursing and the psychiatric mental Health Nursing Standards of Practice (ANA, APNA,
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ISPN). In which of the following areas might the nurse plan programs and intervention to fulfill employ
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ment expectations? Z
Standard Text: Select all that apply. Z Z Z Z Z
1. Stress management strategies Z Z
2. Early diagnosis of psychiatric disorders
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3. Parenting classes for new parents Z Z Z Z
4. Family and group psychotherapy Z Z Z
5. Medication teaching for anti-anxiety medications Z Z Z Z
COMPLETE ANSWERS: 1,3,4,5 Z Z
Rationale 1: Stress management strategies address health, wellness, and care of mental health probl
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ems and 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
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practice 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
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of mental health problems and is consistent with psychiatric mental health nursing at the generalist le
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vel of practice.
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Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse
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level but
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not the generalist level.
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,Rationale 5: Medication teaching for anti- Z Z Z Z Z
anxiety medications promotes quality of care for persons with psychiatric disorders and is vital for ps
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ychiatric mental health nursing practice at the generalist level of practice.
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Global Rationale: Z
Cognitive Level: Applying Z Z
Client Need: Psychosocial Integrity Client
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Need Sub: Z
Nursing/Integrated Concepts: Nursing Process: Planning Z Z Z Z
Learning Outcome: Apply knowledge of current practice and professional performance standards to
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the delivery of contemporary psychiatric mental health nursing.
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Question 2 Type: MCSA Z Z Z
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurse
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s on 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 Z Z Z Z Z Z
2. American Nurses Credentialing Center certification requirements
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3. American Nurses Association, Code of Ethics Z Z Z Z Z
4. psychiatric mental Health Nursing Standards of Practice Z Z Z Z Z Z
COMPLETE ANSWERS: 4 Z Z
Rationale 1: The psychiatric mental Health Nursing Standards of Practice delineates psychiatric m
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ental health nursing roles and functions and serves as guidelines for providing quality care. The Diag
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nostic and Statistical Manual of Mental Disorders is used by the mental health care team, particularly
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the psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. T
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he Code of Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and n
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ursing care actions. Certification requirements outline steps toward certification that acknowledge k
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nowledge and expertise, but do not delineate roles and responsibilities.
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Rationale 2: The psychiatric mental Health Nursing Standards of Practice delineates psychiatric m
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ental health nursing roles and functions and serves as guidelines for providing quality care. The Diag
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nostic and Statistical Manual of Mental Disorders is used by the mental health care team, particularly
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the psychiatrist, to diagnose clients with mental disorders and is
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, not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong actions by the n
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urse, but does not clarify roles and nursing care actions. Certification requirements outline steps tow
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ard certification that acknowledge knowledge and expertise, but do not delineate roles and responsi
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bilities.
Rationale 3: The psychiatric mental Health Nursing Standards of Practice delineates psychiatric m
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ental health nursing roles and functions and serves as guidelines for providing quality care. The Diag
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nostic and Statistical Manual of Mental Disorders is used by the mental health care team, particularly
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the psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. T
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he Code of Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and n
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ursing care actions. Certification requirements outline steps toward certification that acknowledge k
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nowledge and expertise, but do not delineate roles and responsibilities.
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Rationale 4: The psychiatric mental Health Nursing Standards of Practice delineates psychiatric m
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ental health nursing roles and functions and serves as guidelines for providing quality care. The Diag
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nostic and Statistical Manual of Mental Disorders is used by the mental health care team, particularly
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the psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. T
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he Code of Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and n
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ursing care actions. Certification requirements outline steps toward certification that acknowledge k
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nowledge and expertise, but do not delineate roles and responsibilities.
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Global Rationale: Z
Cognitive Level: Applying Z Z
Client Need: Safe Effective Care Environment Clie
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nt Need Sub:
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Nursing/Integrated Concepts: Nursing Process: Evaluation Z Z Z Z
Learning Outcome: Apply knowledge of current practice and professional performance standards to
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the delivery of contemporary psychiatric mental health nursing.
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Question 3 T Z Z
ype: MCSA Z
The psychiatric mental health nurse reflecting on professional role activities is referred to the standar
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ds of professional performance by a colleague. To which organization should the nurse look for guida
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nce?
1. North American Nursing Diagnosis Association Z Z Z Z