Test Bank: Psychotherapy for the Advanced Practice Psychiatric Nurse: A How-
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To Guide for Evidence- Based Practice
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Chapter 1. The Nurse Psychotherapist and a Framework for Practice
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Questiong1
Thegnursesgnewgjobgdescriptiongatgtheggeneralistglevelgofgpracticegreflectsgthegdefinitiongofgpsychiatricmentalghealt
hgnursinggandgthegPsychiatricMentalgHealthgNursinggStandardsgofgPracticeg(ANA,gAPNA,gISPN).gIngwhichgofgtheg
followinggareasgmightgthegnursegplangprogramsgandginterventiongtogfulfillgemploymentgexpectations?
StandardgText:gSelectgallgthatgapply.
1. Stressgmanagementgstrategies
2. Earlygdiagnosisgofgpsychiatricgdisorders
3. Parentinggclassesgforgnewgparents
4. Familygandggroupgpsychotherapy
5. Medicationgteachinggforganti-anxietygmedications
CorrectgAnswer:g1,3,4,5
Rationaleg1:gStressgmanagementgstrategiesgaddressghealth,gwellness,gandgcaregofgmentalghealthgproblemsga
ndgaregappropriategforgpsychiatricmentalghealthgnursinggatgtheggeneralistglevelgofgpractice.
Rationaleg2:gEarlygdiagnosisgofgpsychiatricgdisordersgisggenerallygnotgconsistentgwithgthegdefinitiongorgp
racticegofgpsychiatricmentalghealthgnursinggespeciallygatgtheggeneralistglevel.
Rationaleg3:gParentinggclassesgforgnewgparentsgprovidegteachinggthatgisgconsistentgwithgthegpreventiongofgm
entalghealthgproblemsgandgisgconsistentgwithgpsychiatricmentalghealthgnursinggatgtheggeneralistglevelgofgpracti
ce.
Rationaleg4:gFamilygandggroupgpsychotherapygisgconsistentgatgthegadvancedgpracticegregisteredgnurseglevelgbutgnot
theggeneralistglevel.
g
,Rationaleg5:gMedicationgteachinggforganti-
anxietygmedicationsgpromotesgqualitygofgcaregforgpersonsgwithgpsychiatricgdisordersgandgisgvitalgforgpsychiatr
icmentalghealthgnursinggpracticegatgtheggeneralistglevelgofgpractice.
GlobalgRationale:
CognitivegLevel:gApplying
ClientgNeed:gPsychosocialgIntegrity
ClientgNeedgSub:
Nursing/IntegratedgConcepts:gNursinggProcess:gPlanning
LearninggOutcome:gApplygknowledgegofgcurrentgpracticegandgprofessionalgperformancegstandardsgtogthegd
eliverygofgcontemporarygpsychiatricmentalghealthgnursing.
Questiong2gType
:gMCSA
Thegnursegisgservinggongagcommitteegchargedgwithgreviewinggthegrolesgandgresponsibilitiesgofgthegnursesgongtheg
psychiatricgunit.gWhichgpublicationgshouldgthegnursegbringgtogthegfirstgmeeting?
1. DiagnosticgandgStatisticalgManualgofgMentalgDisorders
2. AmericangNursesgCredentialinggCentergcertificationgrequirements
3. AmericangNursesgAssociation,gCodegofgEthics
4. PsychiatricMentalgHealthgNursinggStandardsgofgPractice
CorrectgAnswer:g4
Rationaleg1:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
,Rationaleg2:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
Rationaleg3:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
Rationaleg4:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
GlobalgRationale:
CognitivegLevel:gApplying
ClientgNeed:gSafegEffectivegCaregEnvironment
ClientgNeedgSub:
Nursing/IntegratedgConcepts:gNursinggProcess:gEvaluation
LearninggOutcome:gApplygknowledgegofgcurrentgpracticegandgprofessionalgperformancegstandardsgtogt
hegdeliverygofgcontemporarygpsychiatricmentalghealthgnursing.
Questiong3
, Type:gMCSA
Thegpsychiatricmentalghealthgnursegreflectinggongprofessionalgrolegactivitiesgisgreferredgtogthegstandardsgofgp
rofessionalgperformancegbygagcolleague.gTogwhichgorganizationgshouldgthegnurseglookgforgguidance?
1. NorthgAmericangNursinggDiagnosisgAssociation
2. AmericangNursesgCredentialinggCenter
3. NationalgLeaguegforgNursing
4. AmericangNursesgAssociation
CorrectgAnswer:g4
Rationaleg1:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddresse
dgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeaguegforg
Nursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialinggCentergfoc
usesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationgsystemgforgnur
singgdiagnoses.
Rationaleg2:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddres
sedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeagueg
forgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialinggCent
ergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationgsyste
mgforgnursinggdiagnoses.
Rationaleg3:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddr
essedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeag
uegforgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialingg
Centergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationg
systemgforgnursinggdiagnoses.
Rationaleg4:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddr
essedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeag
uegforgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialingg
Centergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationg
systemgforgnursinggdiagnoses.
GlobalgRationale:
g g g g g g g g g g
To Guide for Evidence- Based Practice
g g g g g g
Chapter 1. The Nurse Psychotherapist and a Framework for Practice
g g g g g g g g g
Questiong1
Thegnursesgnewgjobgdescriptiongatgtheggeneralistglevelgofgpracticegreflectsgthegdefinitiongofgpsychiatricmentalghealt
hgnursinggandgthegPsychiatricMentalgHealthgNursinggStandardsgofgPracticeg(ANA,gAPNA,gISPN).gIngwhichgofgtheg
followinggareasgmightgthegnursegplangprogramsgandginterventiongtogfulfillgemploymentgexpectations?
StandardgText:gSelectgallgthatgapply.
1. Stressgmanagementgstrategies
2. Earlygdiagnosisgofgpsychiatricgdisorders
3. Parentinggclassesgforgnewgparents
4. Familygandggroupgpsychotherapy
5. Medicationgteachinggforganti-anxietygmedications
CorrectgAnswer:g1,3,4,5
Rationaleg1:gStressgmanagementgstrategiesgaddressghealth,gwellness,gandgcaregofgmentalghealthgproblemsga
ndgaregappropriategforgpsychiatricmentalghealthgnursinggatgtheggeneralistglevelgofgpractice.
Rationaleg2:gEarlygdiagnosisgofgpsychiatricgdisordersgisggenerallygnotgconsistentgwithgthegdefinitiongorgp
racticegofgpsychiatricmentalghealthgnursinggespeciallygatgtheggeneralistglevel.
Rationaleg3:gParentinggclassesgforgnewgparentsgprovidegteachinggthatgisgconsistentgwithgthegpreventiongofgm
entalghealthgproblemsgandgisgconsistentgwithgpsychiatricmentalghealthgnursinggatgtheggeneralistglevelgofgpracti
ce.
Rationaleg4:gFamilygandggroupgpsychotherapygisgconsistentgatgthegadvancedgpracticegregisteredgnurseglevelgbutgnot
theggeneralistglevel.
g
,Rationaleg5:gMedicationgteachinggforganti-
anxietygmedicationsgpromotesgqualitygofgcaregforgpersonsgwithgpsychiatricgdisordersgandgisgvitalgforgpsychiatr
icmentalghealthgnursinggpracticegatgtheggeneralistglevelgofgpractice.
GlobalgRationale:
CognitivegLevel:gApplying
ClientgNeed:gPsychosocialgIntegrity
ClientgNeedgSub:
Nursing/IntegratedgConcepts:gNursinggProcess:gPlanning
LearninggOutcome:gApplygknowledgegofgcurrentgpracticegandgprofessionalgperformancegstandardsgtogthegd
eliverygofgcontemporarygpsychiatricmentalghealthgnursing.
Questiong2gType
:gMCSA
Thegnursegisgservinggongagcommitteegchargedgwithgreviewinggthegrolesgandgresponsibilitiesgofgthegnursesgongtheg
psychiatricgunit.gWhichgpublicationgshouldgthegnursegbringgtogthegfirstgmeeting?
1. DiagnosticgandgStatisticalgManualgofgMentalgDisorders
2. AmericangNursesgCredentialinggCentergcertificationgrequirements
3. AmericangNursesgAssociation,gCodegofgEthics
4. PsychiatricMentalgHealthgNursinggStandardsgofgPractice
CorrectgAnswer:g4
Rationaleg1:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
,Rationaleg2:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
Rationaleg3:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
Rationaleg4:gThegPsychiatricMentalgHealthgNursinggStandardsgofgPracticegdelineatesgpsychiatricmentalghealthgn
ursinggrolesgandgfunctionsgandgservesgasgguidelinesgforgprovidinggqualitygcare.gThegDiagnosticgandgStatisticalgMa
nualgofgMentalgDisordersgisgusedgbygthegmentalghealthgcaregteam,gparticularlygthegpsychiatrist,gtogdiagnosegclients
withgmentalgdisordersgandgisgnotgspecificgtognursinggcaregissues.gThegCodegofgEthicsghelpsgtogclarifygrightgandgwro
g
nggactionsgbygthegnurse,gbutgdoesgnotgclarifygrolesgandgnursinggcaregactions.gCertificationgrequirementsgoutlinegste
psgtowardgcertificationgthatgacknowledgegknowledgegandgexpertise,gbutgdognotgdelineategrolesgandgresponsibilitie
s.
GlobalgRationale:
CognitivegLevel:gApplying
ClientgNeed:gSafegEffectivegCaregEnvironment
ClientgNeedgSub:
Nursing/IntegratedgConcepts:gNursinggProcess:gEvaluation
LearninggOutcome:gApplygknowledgegofgcurrentgpracticegandgprofessionalgperformancegstandardsgtogt
hegdeliverygofgcontemporarygpsychiatricmentalghealthgnursing.
Questiong3
, Type:gMCSA
Thegpsychiatricmentalghealthgnursegreflectinggongprofessionalgrolegactivitiesgisgreferredgtogthegstandardsgofgp
rofessionalgperformancegbygagcolleague.gTogwhichgorganizationgshouldgthegnurseglookgforgguidance?
1. NorthgAmericangNursinggDiagnosisgAssociation
2. AmericangNursesgCredentialinggCenter
3. NationalgLeaguegforgNursing
4. AmericangNursesgAssociation
CorrectgAnswer:g4
Rationaleg1:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddresse
dgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeaguegforg
Nursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialinggCentergfoc
usesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationgsystemgforgnur
singgdiagnoses.
Rationaleg2:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddres
sedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeagueg
forgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialinggCent
ergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationgsyste
mgforgnursinggdiagnoses.
Rationaleg3:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddr
essedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeag
uegforgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialingg
Centergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationg
systemgforgnursinggdiagnoses.
Rationaleg4:gThegAmericangNursesgAssociationgwillgbegthegbestgresourcegasgprofessionalgperformancegisgaddr
essedgingstandardsg715gofgANAsgPsychiatricMentalgHealthgNursinggStandardsgofgPractice.gThegNationalgLeag
uegforgNursinggprimarilygaddressesgnursinggeducation,gwhilegthegAmericangNursesgAssociationgCredentialingg
Centergfocusesgongcertification.gThegNorthgAmericangNursinggDiagnosisgAssociationgdevelopsgagclassificationg
systemgforgnursinggdiagnoses.
GlobalgRationale:
