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
psychiatricmental health nursing and the PsychiatricMental Health Nursing Standardsof Practice (ANA,
APNA, ISPN). In which of the following areas might the nurse plan programs and intervention to
fulfill employment expectations?
Standard Text: Select all that apply. x
1. Stress management strategies
2. Early diagnosis of psychiatric disorders
x x x x
3. Parenting classes for new parents
x x x
4. Family and group psychotherapy
x
5. Medication teachingfor anti-anxietymedications
Correct Answer: 1,3,4,5
Rationale 1: Stress management strategies address health, wellness, and care of mental health problems and are
appropriate for psychiatricmental 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 psychiatricmental 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 psychiatricmental 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 psychiatricmental 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: Applyknowledge of current practice and professional performancestandards to the
delivery of contemporary psychiatricmental health nursing.
Question 2
Type: MCSA
x
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on the
x x x x x x x x x x x x x
psychiatric unit. Which publication should the nurse bring to the first meeting?
x x x x x x x x
1. Diagnostic and Statistical Manualof Mental Disorders
x x
2. American Nurses Credentialing Center certification requirements
x
3. American Nurses Association, Codeof Ethics
4. PsychiatricMental Health Nursing Standards of Practice
Correct Answer: 4
Rationale 1: The PsychiatricMental Health Nursing Standardsof Practice delineates psychiatricmental
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 Codeof 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.