Practice Psychiatric Nurse: A How-To Guide for
Evidence-Based Practice, 3rd Edition, by Kathleen
Wheeler, All Chapters 1-24
Psychotherapy
,Chapter 1. The Nurse Psychotherapist and a Framework for Practice
Question91
The9nurses9new9job9description9at9the9generalist9level9of9practice9reflects9the9definition9of9psychiatric9
mental9health9nursing9and9the9Psychiatric9Mental9Health9Nursing9Standards9of9Practice9(ANA,9APNA,9ISPN
).9 In9which9of9the9following9areas9might9the9nurse9plan9programs9and9intervention9to9fulfill9employment
9 expectations?
Standard9Text:9Select9all9that9apply.
1. Stress9management9strategies
2. Early9diagnosis9of9psychiatric9disorders
3. Parenting9classes9for9new9parents
4. Family9and9group9psychotherapy
5. Medication9teaching9for9anti-anxiety9medications
Correct9Answer:91,3,4,5
Rationale91:9Stress9management9strategies9address9health,9wellness,9and9care9of9mental9health9 probl
ems9and9are9appropriate9for9psychiatric9mental9health9nursing9at9the9generalist9level9of9practice.
Rationale92:9Early9diagnosis9of9psychiatric9disorders9is9generally9not9consistent9with9the9definition
9 or9practice9of9psychiatric9mental9health9nursing9especially9at9the9generalist9level.
Rationale93:9Parenting9classes9for9new9parents9provide9teaching9that9is9consistent9with9the9 preven
tion9of9mental9health9problems9and9is9consistent9with9psychiatric9mental9health9nursing9at9the9 gener
alist9level9of9practice.
Rationale94:9Family9and9group9psychotherapy9is9consistent9at9the9advanced9practice9registered9nurse
9 level9but9not9the9generalist9level.
,Rationale95:9Medication9teaching9for9anti-
anxiety9medications9promotes9quality9of9care9for9 persons9with9psychiatric9disorders9and9is9vital9f
or9psychiatricmental9health9nursing9practice9at9the9 generalist9level9of9practice.
Global9Rationale:9 Cognitiv
e9Level:9Applying
Client9Need:9Psychosocial9Integrity
Client9Need9Sub:
Nursing/Integrated9Concepts:9Nursing9Process:9Planning
Learning9Outcome:9Apply9knowledge9of9current9practice9and9professional9performance9standards9to9the
9 delivery9of9contemporary9psychiatricmental9health9nursing.
Question929 Typ
e:9MCSA
The9nurse9is9serving9on9a9committee9charged9with9reviewing9the9roles9and9responsibilities9of9the9 n
urses9on9the9psychiatric9unit.9Which9publication9should9the9nurse9bring9to9the9first9meeting?
1. Diagnostic9and9Statistical9Manual9of9Mental9Disorders
2. American9Nurses9Credentialing9Center9certification9requirements
3. American9Nurses9Association,9Code9of9Ethics
4. PsychiatricMental9Health9Nursing9Standards9of9Practice
Correct9Answer:94
Rationale91:9The9PsychiatricMental9Health9Nursing9Standards9of9Practice9delineates9psychiatricmental9 hea
lth9nursing9roles9and9functions9and9serves9as9guidelines9for9providing9quality9care.9The9Diagnostic9and9 St
atistical9Manual9of9Mental9Disorders9is9used9by9the9mental9health9care9team,9particularly9the9psychiatrist,9
to9diagnose9clients9with9mental9disorders9and9is9not9specific9to9nursing9care9issues.9The9Code9of9Ethics9hel
ps9 to9clarify9right9and9wrong9actions9by9the9nurse,9but9does9not9clarify9roles9and9nursing9care9actions.
Certification9requirements9outline9steps9toward9certification9that9acknowledge9knowledge9and9expertise,9
but9do9not9delineate9roles9and9responsibilities.
, Rationale92:9The9PsychiatricMental9Health9Nursing9Standards9of9Practice9delineates9psychiatricmental9 hea
lth9nursing9roles9and9functions9and9serves9as9guidelines9for9providing9quality9care.9The9Diagnostic9and9 St
atistical9Manual9of9Mental9Disorders9is9used9by9the9mental9health9care9team,9particularly9the9psychiatrist,9
to9diagnose9clients9with9mental9disorders9and9is9not9specific9to9nursing9care9issues.9The9Code9of9Ethics9hel
ps9 to9clarify9right9and9wrong9actions9by9the9nurse,9but9does9not9clarify9roles9and9nursing9care9actions.
Certification9requirements9outline9steps9toward9certification9that9acknowledge9knowledge9and9expertise,9
but9do9not9delineate9roles9and9responsibilities.
Rationale93:9The9PsychiatricMental9Health9Nursing9Standards9of9Practice9delineates9psychiatricmental9 hea
lth9nursing9roles9and9functions9and9serves9as9guidelines9for9providing9quality9care.9The9Diagnostic9and9 St
atistical9Manual9of9Mental9Disorders9is9used9by9the9mental9health9care9team,9particularly9the9psychiatrist,9
to9diagnose9clients9with9mental9disorders9and9is9not9specific9to9nursing9care9issues.9The9Code9of9Ethics9hel
ps9 to9clarify9right9and9wrong9actions9by9the9nurse,9but9does9not9clarify9roles9and9nursing9care9actions.
Certification9requirements9outline9steps9toward9certification9that9acknowledge9knowledge9and9expertise,9
but9do9not9delineate9roles9and9responsibilities.
Rationale94:9The9PsychiatricMental9Health9Nursing9Standards9of9Practice9delineates9psychiatricmental9 hea
lth9nursing9roles9and9functions9and9serves9as9guidelines9for9providing9quality9care.9The9Diagnostic9and9 St
atistical9Manual9of9Mental9Disorders9is9used9by9the9mental9health9care9team,9particularly9the9psychiatrist,9
to9diagnose9clients9with9mental9disorders9and9is9not9specific9to9nursing9care9issues.9The9Code9of9Ethics9hel
ps9 to9clarify9right9and9wrong9actions9by9the9nurse,9but9does9not9clarify9roles9and9nursing9care9actions.
Certification9requirements9outline9steps9toward9certification9that9acknowledge9knowledge9and9expertise,9
but9do9not9delineate9roles9and9responsibilities.
Global9Rationale:9 Cognitiv
e9Level:9Applying
Client9Need:9Safe9Effective9Care9Environment
Client9Need9Sub:
Nursing/Integrated9Concepts:9Nursing9Process:9Evaluation
Learning9Outcome:9Apply9knowledge9of9current9practice9and9professional9performance9 standa
rds9to9the9delivery9of9contemporary9psychiatricmental9health9nursing.
Question93