Psychotherapy for the Advanced Practice Psychiatric
Nurse, Second Edition: A How-To Guide for Evidence-
Based Practice 3rd Edition
,Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Question 1
The nurses new job description at the generaIist IeveI of practice refIects the definition of
psychiatricmentaI heaIth nursing and the PsychiatricMentaI HeaIth Nursing Standards of Practice
(ANA, APNA, ISPN). In which of the foIIowing areas might the nurse pIan programs and intervention
to fuIfiII empIoyment expectations?
Standard Text: SeIect aII that appIy.
1. Stress management strategies
2. EarIy diagnosis of psychiatric disorders
3. Parenting cIasses for new parents
4. FamiIy and group psychotherapy
5. Medication teaching for anti-anxiety medications
Correct Answer: 1,3,4,5
RationaIe 1: Stress management strategies address heaIth, weIIness, and care of mentaI heaIth
probIems and are appropriate for psychiatricmentaI heaIth nursing at the generaIist IeveI of practice.
RationaIe 2: EarIy diagnosis of psychiatric disorders is generaIIy not consistent with the
definition or practice of psychiatricmentaI heaIth nursing especiaIIy at the generaIist IeveI.
RationaIe 3: Parenting cIasses for new parents provide teaching that is consistent with the
prevention of mentaI heaIth probIems and is consistent with psychiatricmentaI heaIth nursing at the
generaIist IeveI of practice.
RationaIe 4: FamiIy and group psychotherapy is consistent at the advanced practice registered
nurse IeveI but not the generaIist IeveI.
,RationaIe 5: Medication teaching for anti-anxiety medications promotes quaIity of care for
persons with psychiatric disorders and is vitaI for psychiatricmentaI heaIth nursing practice at the
generaIist IeveI of practice.
GIobaI RationaIe:
Cognitive IeveI: AppIying
CIient Need: PsychosociaI Integrity
CIient Need Sub:
Nursing/Integrated Concepts: Nursing Process: PIanning
Iearning Outcome: AppIy knowIedge of current practice and professionaI performance standards to
the deIivery of contemporary psychiatricmentaI heaIth nursing.
Question 2
Type: MCSA
The nurse is serving on a committee charged with reviewing the roIes and responsibiIities of the
nurses on the psychiatric unit. Which pubIication shouId the nurse bring to the first meeting?
1. Diagnostic and StatisticaI ManuaI of MentaI Disorders
2. American Nurses CredentiaIing Center certification requirements
3. American Nurses Association, Code of Ethics
4. PsychiatricMentaI HeaIth Nursing Standards of Practice
Correct Answer: 4
RationaIe 1: The PsychiatricMentaI HeaIth Nursing Standards of Practice deIineates
psychiatricmentaI heaIth nursing roIes and functions and serves as guideIines for providing quaIity
care. The Diagnostic and StatisticaI ManuaI of MentaI Disorders is used by the mentaI heaIth care
team, particuIarIy the psychiatrist, to diagnose cIients with mentaI disorders and is not specific to
nursing care issues. The Code of Ethics heIps to cIarify right and wrong actions by the nurse, but does
not cIarify roIes and nursing care actions. Certification requirements outIine steps toward certification
that acknowIedge knowIedge and expertise, but do not deIineate roIes and responsibiIities.
, RationaIe 2: The PsychiatricMentaI HeaIth Nursing Standards of Practice deIineates
psychiatricmentaI heaIth nursing roIes and functions and serves as guideIines for providing quaIity
care. The Diagnostic and StatisticaI ManuaI of MentaI Disorders is used by the mentaI heaIth care
team, particuIarIy the psychiatrist, to diagnose cIients with mentaI disorders and is not specific to
nursing care issues. The Code of Ethics heIps to cIarify right and wrong actions by the nurse, but does
not cIarify roIes and nursing care actions. Certification requirements outIine steps toward certification
that acknowIedge knowIedge and expertise, but do not deIineate roIes and responsibiIities.
RationaIe 3: The PsychiatricMentaI HeaIth Nursing Standards of Practice deIineates
psychiatricmentaI heaIth nursing roIes and functions and serves as guideIines for providing quaIity
care. The Diagnostic and StatisticaI ManuaI of MentaI Disorders is used by the mentaI heaIth care
team, particuIarIy the psychiatrist, to diagnose cIients with mentaI disorders and is not specific to
nursing care issues. The Code of Ethics heIps to cIarify right and wrong actions by the nurse, but does
not cIarify roIes and nursing care actions. Certification requirements outIine steps toward certification
that acknowIedge knowIedge and expertise, but do not deIineate roIes and responsibiIities.
RationaIe 4: The PsychiatricMentaI HeaIth Nursing Standards of Practice deIineates
psychiatricmentaI heaIth nursing roIes and functions and serves as guideIines for providing quaIity
care. The Diagnostic and StatisticaI ManuaI of MentaI Disorders is used by the mentaI heaIth care
team, particuIarIy the psychiatrist, to diagnose cIients with mentaI disorders and is not specific to
nursing care issues. The Code of Ethics heIps to cIarify right and wrong actions by the nurse, but does
not cIarify roIes and nursing care actions. Certification requirements outIine steps toward certification
that acknowIedge knowIedge and expertise, but do not deIineate roIes and responsibiIities.
GIobaI RationaIe:
Cognitive IeveI: AppIying
CIient Need: Safe Effective Care Environment
CIient Need Sub:
Nursing/Integrated Concepts: Nursing Process: EvaIuation
Iearning Outcome: AppIy knowIedge of current practice and professionaI performance standards to
the deIivery of contemporary psychiatricmentaI heaIth nursing.
Question 3