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Test Bank: Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition:

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Test Bank: Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition: Question 6 Type: MCSA The client asks the nurse if certain changes can be made in the unit milieu. Which action by the nurse indicates understanding of the nursing role in the therapeutic milieu? 1. The nurse refers the clients requests to the psychiatric social worker. 2. The nurse discusses the desired changes with the client. 3. The nurse refers the clients requests to the psychosocial rehabilitation worker. 4. The nurse instructs the client that no changes can be made. Correct Answer: 2 Rationale 1: The psychiatricmental health nurse has major responsibility for the milieu; therefore, it is appropriate to discuss requested changes in order to gather information regarding the effectiveness of the milieu. The psychiatric social worker identifies community resources and may perform counseling. It is non- therapeutic to instruct the client that no changes can be made before gathering data in relation to the clients requests. The psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case management services. Rationale 2: The psychiatricmental health nurse has major responsibility for the milieu; therefore, it is appropriate to discuss requested changes in order to gather information regarding the effectiveness of the milieu. The psychiatric social worker identifies community resources and may perform counseling. It is non- therapeutic to instruct the client that no changes can be made before gathering data in relation to the clients requests. The psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case management services. Rationale 3: The psychiatricmental health nurse has major responsibility for the milieu; therefore, it is appropriate to discuss requested changes in order to gather information regarding the effectiveness of the milieu. The psychiatric social worker identifies community resources and may perform counseling. It is non- therapeutic to instruct the client that no changes can be made before gathering data in relation to the clients requests. The psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case management services. Rationale 4: The psychiatricmental health nurse has major responsibility for the milieu; therefore, it is appropriate to discuss requested changes in order to gather information regarding the effectiveness of the milieu. The psychiatric social worker identifies community resources and may perform counseling. It is non- therapeutic to instruct the client that no changes can be made before gathering data in relation to the clients requests. The psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case management services.

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Test Bank: Psychotherapy for
theAdvanced Practice
Psychiatric Nurse, Second
Edition:

,Med C

,Med C

, Test Bank: Psychotherapy for the Advanced Practice Psychiatric Nurse, Second
Edition: A How-To Guide for Evidence- Based Practice 2nd Edition
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 psychiatric mental
health nursing and the PsychiatricMental Health Nursing Standards of Practice (ANA, APNA, ISPN). In which
of the following areas might the nurse plan programs and intervention to fulfill employment expectations?

Standard Text: Select all that apply.

1. Stress management strategies

2. Early diagnosis of psychiatric disorders

3. Parenting classes for new parents

4. Family and group psychotherapy

5. 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 psychiatric mental 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 psychiatric mental 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 psychiatric mental 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.




Med C

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