,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 pl n programs and intervention to fulfill employment expectations?
Standard Text: Select all that apply.
Stress management strategies
Early diagnosis of psychiatric disorders
Parenting classes for new parents
Family and group psychotherapy
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.
,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 psychiatricment l health nursing.
Question 2
Type: MCSA
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?
Diagnostic and Statistical Manual of Mental Disorders
American Nurses Credentialing Center certification requirements
American Nurses Association, Code of Ethics
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 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 th t cknowledge 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 eal h 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 n rsing care actions. Certification
requirements outline steps toward certification that acknowledge knowledge and expertise, but do not
delineate roles and responsibilities.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to
the delivery of contemporary psychiatricmental health nursing.
Question 3
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 pl n programs and intervention to fulfill employment expectations?
Standard Text: Select all that apply.
Stress management strategies
Early diagnosis of psychiatric disorders
Parenting classes for new parents
Family and group psychotherapy
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.
,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 psychiatricment l health nursing.
Question 2
Type: MCSA
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?
Diagnostic and Statistical Manual of Mental Disorders
American Nurses Credentialing Center certification requirements
American Nurses Association, Code of Ethics
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 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 th t cknowledge 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 eal h 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 n rsing care actions. Certification
requirements outline steps toward certification that acknowledge knowledge and expertise, but do not
delineate roles and responsibilities.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to
the delivery of contemporary psychiatricmental health nursing.
Question 3
