PRACTICE PSYCHIATRIC NURSE, SECOND
EDITION: HOW TO GUIDE FOR EVIDENCE- BASED
PRACTICE 2ND EDITION TEST BANK QUESTIONS
AND ANSWERS WITH RATIONALES 2026 LATEST
The Nurse Psychotherapist and a Framework for Practice: Chapter 1
Question 1 Type: MCSA
The client on the psychiatric unit is asking questions about prevention of sexually transmitted
diseases. Given the PsychiatricMental Health Nursing Standards of Practice, which action
would be most appropriate for the nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Correct Answer: 2
Rationale 1: The psychiatricmental health nurse employs strategies to promote health and a
safe environment and teaches safer sexual practices to the client who is asking for the
information. Notifying the psychiatrist and consulting with the mental health care team is not
Page 1 of 660
,necessary as health teaching is within the independent practice of the RN. Conducting
individual psychotherapy is not within the practice standards for the generalist nurse.
Rationale 2: The psychiatricmental health nurse employs strategies to promote health and a
safe environment and teaches safer sexual practices to the client who is asking for the
information. Notifying the psychiatrist and consulting with the mental health care team is not
necessary as health teaching is within the independent practice of the RN. Conducting
individual psychotherapy is not within the practice standards for the generalist nurse.
Rationale 3: The psychiatricmental health nurse employs strategies to promote health and a
safe environment and teaches safer sexual practices to the client who is asking for the
information. Notifying the psychiatrist and consulting with the mental health care team is not
necessary as health teaching is within the independent practice of the RN. Conducting
individual psychotherapy is not within the practice standards for the generalist nurse.
Rationale 4: The psychiatricmental health nurse employs strategies to promote health and a
safe environment and teaches safer sexual practices to the client who is asking for the
information. Notifying the psychiatrist and consulting with the mental health care team is not
necessary as health teaching is within the independent practice of the RN. Conducting
individual psychotherapy is not within the practice standards for the generalist nurse.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Page 2 of 660
,Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Apply knowledge of current practice and professional performance
standards to the delivery of contemporary psychiatricmental health nursing.
Question 2
Type: MCSA
The client asks the nurse if certain changes can be made in the unit milieu. Which action by
the nurse indicates understanding of the nursing role in the therapeutic milieu?
1. The nurse refers the clients requests to the psychiatric social worker.
2. The nurse discusses the desired changes with the client.
3. The nurse refers the clients requests to the psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be made.
Correct Answer: 2
Rationale 1: The psychiatricmental health nurse has major responsibility for the milieu;
therefore, it is appropriate to discuss requested changes in order to gather information
Page 3 of 660
, regarding the effectiveness of the milieu. The psychiatric social worker identifies community
resources and may perform counseling. It is non- therapeutic to instruct the client that no
changes can be made before gathering data in relation to the clients requests. The
psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case
management services.
Rationale 2: The psychiatricmental health nurse has major responsibility for the milieu;
therefore, it is appropriate to discuss requested changes in order to gather information
regarding the effectiveness of the milieu. The psychiatric social worker identifies community
resources and may perform counseling. It is non- therapeutic to instruct the client that no
changes can be made before gathering data in relation to the clients requests. The
psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case
management services.
Rationale 3: The psychiatricmental health nurse has major responsibility for the milieu;
therefore, it is appropriate to discuss requested changes in order to gather information
regarding the effectiveness of the milieu. The psychiatric social worker identifies community
resources and may perform counseling. It is non- therapeutic to instruct the client that no
changes can be made before gathering data in relation to the clients requests. The
psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case
management services.
Rationale 4: The psychiatricmental health nurse has major responsibility for the milieu;
therefore, it is appropriate to discuss requested changes in order to gather information
regarding the effectiveness of the milieu. The psychiatric social worker identifies community
resources and may perform counseling. It is non-
therapeutic to instruct the client that no changes can be made before gathering data in relation
to the clients requests. The psychosocial rehabilitation worker teaches day-to-day skills for
living and may provide case management services.
Page 4 of 660