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