FULL TEST BANK
PSYCHOTHERAPY FOR THE ADVANCED PRACTICE
PSYCHIATRIC NURSE A HOW-TO GUIDE FOR
EVIDENCE-BASED PRACTICE 3RD EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table of content
Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Chapter 2. The Neurophysiology of Trauma and Psychotherapy
Chapter 3. Assessment and Diagnosis
Chapter 4. The Initial Contact and Maintaining the Frame
Chapter 5. Supportive and Psychodynamic Psychotherapy
Chapter 6. Humanistic–Existential and Solution-Focused Approaches to
Psychotherapy
Chapter 7. Eye Movement Desensitization and Reprocessing Therapy
Chapter 8. Cognitive Behavior Therapy
Chapter 9. Motivational Interviewing
Chapter 10. Interpersonal Psychotherapy
Chapter 11. Trauma Resiliency Model® Therapy
Chapter 12. Group Therapy
Chapter 13. Family Therapy
Chapter 14. Psychotherapeutics: Reuniting Psychotherapy and Pharmacotherapy
Chapter 15. Trauma-Informed Medication Management
Chapter 16. Integrative Medicine and Psychotherapy
Chapter 17. Stabilization for Trauma and Dissociation
Chapter 18. Dialectical Behavior Therapy for Complex Trauma
Chapter 19. Psychotherapeutic Approaches for Addictions and Related Disorders
Chapter 20. Psychotherapy With Children
Chapter 21. Psychotherapeutic Approaches With Children and Adolescents
Chapter 22. Psychotherapy With Older Adults
Chapter 23. Reimbursement and Documentation
Chapter 24. Termination and Outcome Evaluation
, Psychotherapy for the Advanced Practice Psychiatric
Nurse, Second Edition: A How-To Guide for Evidence-
Based Practice 3rd Edition Test Bank
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, and 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
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.
,Rationale 5: Medication teaching for anti-anxiety medications promotes quality of care for persons with
psychiatric disorders and is vital for Psychiatric Mental health nursing practice at the generalist level of practice.
Global Rationale:
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
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 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 2: The Psychiatric Mental Health NURSING Standards of Practice delineates Psychiatric Mental
healthNURSING 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 rightand 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
healthNURSING 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 rightand 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 rightand 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:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 3
,Type: MCSA
The Psychiatric Mental health NURSE reflecting on professional role activities is referred to the standards of
professional performance by a colleague. To WHICH organization should the NURSE look for guidance?
1. North American NURSING Diagnosis Association
2. American NURSES Credentialing Center
3. National League for NURSING
4. American NURSES Association
ANSWER: 4
Rationale 1: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 2: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 3: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 4: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Global Rationale:
,Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 4
Type: MCSA
The Psychiatric Mental health NURSE is working with the new graduate NURSE who is orienting to the
psychiatricunit. WHICH comment by the new graduate indicates further clarification of the generalist-
NURSING role is needed?
1. I would feel better if you would look at my documentation that addresses progress toward treatment goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interventions into treatment plans.
ANSWER: 3
Rationale 1: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Rationale 2: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
,Rationale 3: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Rationale 4: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 5
Type: MCSA
The client on the psychiatric unit is asking questions about prevention of sexually transmitted diseases. Given
the Psychiatric Mental Health NURSING Standards of Practice, WHICH action would be most appropriate
for theNURSE to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
,ANSWER: 2
Rationale 1: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 2: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 3: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 4: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Implementation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 6
, Type: MCSA
The client asks the NURSE if certain changes can be made in the unit milieu. WHICH action by the NURSE
indicatesunderstanding 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.
ANSWER: 2
Rationale 1: The Psychiatric Mental 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 Psychiatric Mental 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 Psychiatric Mental 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 Psychiatric Mental 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-
PSYCHOTHERAPY FOR THE ADVANCED PRACTICE
PSYCHIATRIC NURSE A HOW-TO GUIDE FOR
EVIDENCE-BASED PRACTICE 3RD EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table of content
Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Chapter 2. The Neurophysiology of Trauma and Psychotherapy
Chapter 3. Assessment and Diagnosis
Chapter 4. The Initial Contact and Maintaining the Frame
Chapter 5. Supportive and Psychodynamic Psychotherapy
Chapter 6. Humanistic–Existential and Solution-Focused Approaches to
Psychotherapy
Chapter 7. Eye Movement Desensitization and Reprocessing Therapy
Chapter 8. Cognitive Behavior Therapy
Chapter 9. Motivational Interviewing
Chapter 10. Interpersonal Psychotherapy
Chapter 11. Trauma Resiliency Model® Therapy
Chapter 12. Group Therapy
Chapter 13. Family Therapy
Chapter 14. Psychotherapeutics: Reuniting Psychotherapy and Pharmacotherapy
Chapter 15. Trauma-Informed Medication Management
Chapter 16. Integrative Medicine and Psychotherapy
Chapter 17. Stabilization for Trauma and Dissociation
Chapter 18. Dialectical Behavior Therapy for Complex Trauma
Chapter 19. Psychotherapeutic Approaches for Addictions and Related Disorders
Chapter 20. Psychotherapy With Children
Chapter 21. Psychotherapeutic Approaches With Children and Adolescents
Chapter 22. Psychotherapy With Older Adults
Chapter 23. Reimbursement and Documentation
Chapter 24. Termination and Outcome Evaluation
, Psychotherapy for the Advanced Practice Psychiatric
Nurse, Second Edition: A How-To Guide for Evidence-
Based Practice 3rd Edition Test Bank
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, and 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
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.
,Rationale 5: Medication teaching for anti-anxiety medications promotes quality of care for persons with
psychiatric disorders and is vital for Psychiatric Mental health nursing practice at the generalist level of practice.
Global Rationale:
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
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 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 2: The Psychiatric Mental Health NURSING Standards of Practice delineates Psychiatric Mental
healthNURSING 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 rightand 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
healthNURSING 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 rightand 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 rightand 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:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 3
,Type: MCSA
The Psychiatric Mental health NURSE reflecting on professional role activities is referred to the standards of
professional performance by a colleague. To WHICH organization should the NURSE look for guidance?
1. North American NURSING Diagnosis Association
2. American NURSES Credentialing Center
3. National League for NURSING
4. American NURSES Association
ANSWER: 4
Rationale 1: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 2: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 3: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Rationale 4: The American NURSES Association will be the best resource as professional performance is
addressed in standards 715 of ANAs Psychiatric Mental Health NURSING Standards of Practice. The
National League for NURSING primarily addresses NURSING education, while the American NURSES
Association Credentialing Center focuses on certification. The North American NURSING Diagnosis
Association develops aclassification system for NURSING diagnoses.
Global Rationale:
,Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 4
Type: MCSA
The Psychiatric Mental health NURSE is working with the new graduate NURSE who is orienting to the
psychiatricunit. WHICH comment by the new graduate indicates further clarification of the generalist-
NURSING role is needed?
1. I would feel better if you would look at my documentation that addresses progress toward treatment goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interventions into treatment plans.
ANSWER: 3
Rationale 1: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Rationale 2: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
,Rationale 3: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Rationale 4: The intent to conduct psychotherapy with clients is not consistent with the role of the NURSE at
thegeneralist level of practice as outlined in the Psychiatric Mental Health NURSING Standards of Practice
and indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
Psychiatric Mental health NURSE practicing at the generalist level.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 5
Type: MCSA
The client on the psychiatric unit is asking questions about prevention of sexually transmitted diseases. Given
the Psychiatric Mental Health NURSING Standards of Practice, WHICH action would be most appropriate
for theNURSE to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
,ANSWER: 2
Rationale 1: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 2: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 3: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Rationale 4: The Psychiatric Mental health NURSE employs strategies to promote health and a safe
environment and teaches safer sexual practices to the client who is asking for the information. Notifying the
psychiatrist andconsulting with the mental health care team is not necessary as health teaching is within the
independent practice of the RN. Conducting individual psychotherapy is not within the practice standards for
the generalistNURSE.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
NURSING/Integrated Concepts: NURSING Process: Implementation
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary Psychiatric Mental health NURSING.
Question 6
, Type: MCSA
The client asks the NURSE if certain changes can be made in the unit milieu. WHICH action by the NURSE
indicatesunderstanding 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.
ANSWER: 2
Rationale 1: The Psychiatric Mental 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 Psychiatric Mental 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 Psychiatric Mental 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 Psychiatric Mental 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-
