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