pp pp pp pp pp
Chapter1. The Nurse Psychotherapist and a Frameworkfor Practice
s ss ss ss ss ss ss s ss
Question 1 ss
The nurses new job description at the generalist level of practice reflects the definition of psychiatricmental
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss health nursing and the PsychiatricMental Health Nursing Standards of Practice (ANA, APNA, ISPN). In
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss which of the following areas might the nurse plan programs and intervention to fulfill employment
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss expectations?
Standard Text: Select all that apply. ss ss ss ss s
1. Stress management strategies
ss ss
2. Early diagnosis of psychiatric disorders
ss ss ss ss
3. Parenting classes for new parents ss ss ss ss
4. Family and group psychotherapy ss ss ss
5. Medication teaching for anti-anxiety medications ss ss ss ss
Correct Answer: 1,3,4,5 ss ss
Rationale 1: Stress management strategies address health, wellness, and care of mental health problems and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss are appropriate for psychiatricmental health nursing at the generalist level of practice.
ss ss ss ss ss ss ss ss ss ss ss
Rationale 2: Early diagnosis of psychiatric disorders is generally not consistent with the definition or
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss practice of psychiatricmental health nursing especially at the generalist level.
ss ss ss ss ss ss ss ss ss
Rationale 3: Parenting classes for new parents provide teaching that is consistent with the prevention of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss mental health problems and is consistent with psychiatricmental health nursing at the generalist level of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss practice.
Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse level
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss but not the generalist level.
ss ss ss ss
,Rationale 5: Medication teaching for anti-anxiety medications promotes quality of care for persons with
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss psychiatric disorders and is vital for psychiatricmental health nursing practice at the generalist level of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss practice.
Global Rationale: ss
Cognitive Level: Applying ss ss
Client Need: Psychosocial Integrity
ss ss ss
Client Need Sub: ss ss
Nursing/Integrated Concepts: Nursing Process: Planning ss ss ss ss
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
ss ss ss ss ss ss ss ss ss ss ss ss
ss delivery of contemporary psychiatricmental health nursing.
ss ss ss ss ss
Question 2 ss
ss Type:
MCSA
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss the psychiatric unit. Which publication should the nurse bring to the first meeting?
ss ss ss ss ss ss ss ss ss ss ss ss
1. Diagnostic and Statistical Manual of Mental Disorders ss ss ss ss ss ss
2. American Nurses Credentialing Center certification requirements
ss ss ss ss ss
3. American Nurses Association, Code of Ethics ss ss ss ss ss
4. PsychiatricMental Health Nursing Standards of Practice ss ss ss ss ss
Correct Answer: 4 ss ss
Rationale 1: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
ss ss ss ss ss ss ss ss ss ss ss
ss nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
s s s s s s s s s s s s s s s s s s s s ss s s s s s s
ss Statistical Manual of Mental Disorders is used by the mental health care team, particularly the
ss s s s s s s ss s s ss ss s s s s s s s s s s ss
s s psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
ss s s ss s s s s s s s s s s s s s s
s s but do not delineate roles and responsibilities.
s s ss ss ss ss ss
, Rationale 2: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
ss ss ss ss ss ss ss ss ss ss ss
ss nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
s s s s s s s s s s s s s s s s s s s s ss s s s s s s
ss Statistical Manual of Mental Disorders is used by the mental health care team, particularly the
ss s s s s s s ss s s ss ss s s s s s s s s s s ss
s s psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
ss s s ss s s s s s s s s s s s s s s
s s but do not delineate roles and responsibilities.
s s ss ss ss ss ss
Rationale 3: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
ss ss ss ss ss ss ss ss ss ss ss
ss nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
s s s s s s s s s s s s s s s s s s s s ss s s s s s s
ss Statistical Manual of Mental Disorders is used by the mental health care team, particularly the
ss s s s s s s ss s s ss ss s s s s s s s s s s ss
s s psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
ss s s ss s s s s s s s s s s s s s s
s s but do not delineate roles and responsibilities.
s s ss ss ss ss ss
Rationale 4: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
ss ss ss ss ss ss ss ss ss ss ss
ss nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and
s s s s s s s s s s s s s s s s s s s s ss s s s s s s
ss Statistical Manual of Mental Disorders is used by the mental health care team, particularly the
s s s s s s s s ss s s ss ss s s s s s s s s s s ss
s s psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss Certification requirements outline steps toward certification that acknowledge knowledge and expertise,
ss s s ss s s s s s s s s s s s s s s
s s but do not delineate roles and responsibilities.
s s ss ss ss ss ss
Global Rationale: ss
Cognitive Level: Applying ss ss
Client Need: Safe Effective Care Environment
ss ss ss ss ss
Client Need Sub: ss ss
Nursing/Integrated Concepts: Nursing Process: Evaluation ss ss ss ss
Learning Outcome: Apply knowledge of current practice and professional performance standards to
ss ss ss ss ss ss ss ss ss ss ss
ss the delivery of contemporary psychiatricmental health nursing.
ss ss ss ss ss ss
Question 3 ss