Psychiatric Nurse, 2nd Edition by Kathleen Wheeler
VERIFIED SOLUTIONS WITH RATIONALES| CHAPTERS 1-20 A+ PASS
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, 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 Psychiatric mental 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
Accurate 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.
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Rationale 5: Medication teaching for anti-anxiety medications promotes quality of care for persons with psychiatric
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disorders and is vital for psychiatric mental health nursing practice at the generalist level of practice.
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Global Rationale:
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,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 psychiatric mental 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?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric mental Health Nursing Standards of Practice
Accurate Answer- 4
Rationale 1: The Psychiatric mental Health Nursing Standards of Practice delineates psychiatric mental 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
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actions by the nurse, but does not clarify roles and nursing care actions. Certification requirements outline steps
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toward certification that acknowledge knowledge 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 mental 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 Psychiatric mental Health Nursing Standards of Practice delineates psychiatric mental 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 4: The Psychiatric mental Health Nursing Standards of Practice delineates psychiatric mental 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.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
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Nursing/Integrated Concepts: Nursing Process: Evaluation
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Learning Outcome: Apply knowledge of current practice and professional performance standards to the delivery of
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contemporary psychiatric mental health nursing.
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