Practice Psychiatric Nurse: A How-To Guide for
Evidence-Based Practice, 3rd Edition, by Kathleen
Wheeler, All Chapters 1-24
,Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Question y71
The y7nurses y7new y7job y7description y7at y7the y7generalist y7level y7of y7practice y7reflects y7the y7definition y7of
y7 psychiatric y 7 mental y7health y7nursing y7and y7the y7Psychiatric y7Mental y7Health y7Nursing y7Standards y7of
Practice y7(ANA, y7APNA, y7ISPN).
y7 y 7 In y7which y7of y7the y7following y7areas y7might y7the y7nurse y7plan
y7 programs y7and y7intervention y7to y7fulfill y7employment y 7 expectations?
Standard y7Text: y7Select y7all y7that y7apply.
1. Stress y7management y7strategies
2. Early y7diagnosis y7of y7psychiatric y7disorders
3. Parenting y7classes y7for y7new y7parents
4. Family y7and y7group y7psychotherapy
5. Medication y7teaching y7for y7anti-anxiety y7medications
Correct y7Answer: y71,3,4,5
Rationale y71: y7Stress y7management y7strategies y7address y7health, y7wellness, y7and y7care y7of y7mental
y7 health y 7 problems y7and y7are y7appropriate y7for y7psychiatric y7mental y7health y7nursing y7at y7the y7generalist
y7 level y7of y7practice.
Rationale y72: y7Early y7diagnosis y7of y7psychiatric y7disorders y7is y7generally y7not y7consistent y7with y7the
definition
y7 y 7 or y7practice y7of y7psychiatric y7mental y7health y7nursing y7especially y7at y7the y7generalist
y7 level.
Rationale y73: y7Parenting y7classes y7for y7new y7parents y7provide y7teaching y7that y7is y7consistent y7with
y7 the y 7 prevention y7of y7mental y7health y7problems y7and y7is y7consistent y7with y7psychiatric y7mental
y7 health y7nursing y7at y7the y 7 generalist y7level y7of y7practice.
Rationale y74: y7Family y7and y7group y7psychotherapy y7is y7consistent y7at y7the y7advanced y7practice
registered y7nurse
y7 y 7 level y7but y7not y7the y7generalist y7level.
,Rationale y75: y7Medication y7teaching y7for y7anti-anxiety y7medications y7promotes y7quality y7of y7care
for
y7 y 7 persons y7with y7psychiatric y7disorders y7and y7is y7vital y7for y7psychiatricmental y7health y7nursing
practice y7at y7the
y7 y 7 generalist y7level y7of y7practice.
Global y7Rationale:
y7 Cognitive y7Level:
y7 Applying
Client y7Need: y7Psychosocial y7Integrity
Client y7Need y7Sub:
Nursing/Integrated y7Concepts: y7Nursing y7Process: y7Planning
Learning y7Outcome: y7Apply y7knowledge y7of y7current y7practice y7and y7professional y7performance y7standards
to y7the
y7 y 7 delivery y7of y7contemporary y7psychiatricmental y7health y7nursing.
Question y72
y7 Type:y7MCSA
The y7nurse y7is y7serving y7on y7a y7committee y7charged y7with y7reviewing y7the y7roles y7and y7responsibilities
of y7the
y7 y 7 nurses y7on y7the y7psychiatric y7unit. y7Which y7publication y7should y7the y7nurse y7bring y7to y7the
first y7meeting?
y7
1. Diagnostic y7and y7Statistical y7Manual y7of y7Mental y7Disorders
2. American y7Nurses y7Credentialing y7Center y7certification y7requirements
3. American y7Nurses y7Association, y7Code y7of y7Ethics
4. PsychiatricMental y7Health y7Nursing y7Standards y7of y7Practice
Correct y7Answer: y74
Rationale y71: y7The y7PsychiatricMental y7Health y7Nursing y7Standards y7of y7Practice y7delineates
psychiatricmental
y7 y 7 health y7nursing y7roles y7and y7functions y7and y7serves y7as y7guidelines y7for y7providing
y7 quality y7care. y7The y7Diagnostic y7and y 7 Statistical y7Manual y7of y7Mental y7Disorders y7is y7used y7by y7the
mental y7health y7care y7team, y7particularly y7the y7psychiatrist,
y7 y 7 to y7diagnose y7clients y7with y7mental
disorders y7and y7is y7not y7specific y7to y7nursing y7care y7issues. y7The y7Code y7of y7Ethics y7helps
y7 y 7 to y7clarify y7right
, y7 and y7wrong y7actions y7by y7the y7nurse, y7but y7does y7not y7clarify y7roles y7and y7nursing y7care y7actions.
Certification y7requirements y7outline y7steps y7toward y7certification y7that y7acknowledge y7knowledge y7and
expertise,
y7 y 7 but y7do y7not y7delineate y7roles y7and y7responsibilities.