Mental Health
Nursing
2ND EDITION
, ANA Standards of Psychiatric–Mental Health Nursing Practice
The Standards of Practice Standards of Practice for j j j j
for Psychiatric–Mental
Health Nursing describe a
Psychiatric–MentalHealthNursing j j
competent level of nursing Standard 1. Assessment j j
care as demonstrated by the ThePMHregisterednursecollectsandsynthesizescomprehensivehealthdata thatare
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critical thinking model known pertinenttothehealthcareconsumer’shealthand/orsituation. j j j j j j j
as the nursing process.
The nursing process Standard2.Diagnosis j j
includes the components ThePMHregisterednurseanalyzestheassessmentdatatodeterminediagnoses,
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of assessment, diagnosis, problems,andareasoffocusforcareandtreatment,includinglevelofrisk. j j j j j j j j j j j j
outcomes identification, Standard3.OutcomesIdentification j j j
planning, implementation, ThePMHregisterednurseidentifiesexpectedoutcomesandthehealthcareconsumer’s goals
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and evaluation. Accordingly, foraplanindividualizedtothehealthcareconsumerortothesituation.
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the nursing process
encompasses significant Standard4.Planning j j
actions taken by psychiatric– The PMH registered nursedevelops a plan that prescribes strategies and alternatives
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mental health (PMH) toassistthehealthcareconsumerinattainmentofexpectedoutcomes.
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registered nurses and forms Standard5.Implementation j j
the foundation of the nurse’s ThePMHregisterednurseimplementsthespecifiedplan.
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decision-making. Standard 5A. Coordination of Care j j j j
ThePMHregisterednursecoordinatescaredelivery.
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Standard5B.HealthTeachingandHealthPromotion j j j j j j
ThePMHregisterednurseemploysstrategiestopromotehealthandasafe
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environment.
Standard5C.Consultation j j
ThePMHadvancedpracticeregisterednurseprovidesconsultationtoinfluence the
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identifiedplan,enhancetheabilitiesofotherclinicianstoprovideservices for j j j j j j j j j j j j
healthcare consumers, and effect change. j j j j
Standard 5D. Prescriptive Authority and Treatment j j j j j
ThePMHadvancedpracticeregisterednurseusesprescriptiveauthority,
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procedures,referrals,treatments,andtherapiesinaccordancewithstateand federal j j j j j j j j j j j
laws and regulations. j j
Standard 5E. Pharmacological, Biological, and Integrative Therapies j j j j j j
ThePMHadvancedpracticeregisterednurseincorporatesknowledgeof
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http://www.apna.org/ pharmacological, biological, and complementary interventions withapplied clinical skills j j j j j j j j j
torestorethehealthcareconsumer’shealthandpreventfurtherdisability.
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Standard5F.MilieuTherapy j j j
ThePMHadvancedpracticeregisterednurseprovides,structures,and maintainsa
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safe,therapeutic,recovery-orientedenvironmentincollaboration withhealthcare
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consumers,families,andotherhealthcareclinicians. j j j j j
Standard 5G. Therapeutic Relationship and Counseling j j j j j
ThePMHregisterednurseusesthetherapeuticrelationshipandcounseling
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interventionstoassisthealthcareconsumersintheirindividualrecovery journeys j j j j j j j j j j
byimprovingandregainingtheirpreviouscopingabilities,fostering mentalhealth,
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andpreventingmentaldisorderanddisability.
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Standard 5H. Psychotherapy j j
ThePMHadvancedpracticeregisterednurseconductsindividual,couples, group,
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http://www.ispn-psych.org/ and family psychotherapy using evidence-based psychotherapeutic frameworks
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andthenurse–clienttherapeuticrelationship.
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Standard6.Evaluation j j
ThePMHregisterednurseevaluatesprogresstowardattainmentofexpected outcomes.
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SOURCE:American NursesAssociation,American PsychiatricNurses Association &Interna- tional
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Society of Psychiatric–MentalHealth Nurses (2013). Psychiatric–Mental Health Nursing: Scopeand
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http://www.Nursingworld.org StandardsofPractice,2ndEdition.SilverSpring,MD:Nursesbooks.org. j j j
j
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© 2014 ANA, APNA, and ISPN
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, Psychiatric- j
MentalHealth j j
Nursing
2NDEDITION
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