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