TEST BANK
Test Bank Psychotherapy for the Advanced Practice
Psychiatric Nurse
3rd Edition
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,Kathleen Wheeler: Psychotherapy for the Advanced Practice Psychiatric Nurse
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 Standards of 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.
1. Stress management strategies
2. Early diagnosis of psychiatric disorders
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3. Parenting classes for new parents
4. Family and group psychotherapy
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5. Medication teaching for anti-anxiety medications
Correct Answer: 1,3,4,5
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Rationale 1: Stress management strategies address health, wellness, and care of mental health problems
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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: Apply knowledge of current practice and professional performance standards to the
delivery of contemporary psychiatricmental health nursing.
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Question 2
Type: MCSA
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The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on
the psychiatric unit. Which publication should the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders
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2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. PsychiatricMental Health Nursing Standards of Practice
Correct Answer: 4
Rationale 1: The PsychiatricMental Health Nursing Standards of 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 Code of 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.
,Rationale 2: The PsychiatricMental Health Nursing Standards of 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 Code of 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.
Rationale 3: The PsychiatricMental Health Nursing Standards of 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 Code of 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.
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Rationale 4: The PsychiatricMental Health Nursing Standards of 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 Code of Ethics helps to clarify right
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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
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responsibilities.
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Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to
the delivery of contemporary psychiatricmental health nursing.
Question 3
,Type: MCSA
The psychiatricmental health nurse reflecting on professional role activities is referred to the standards of
professional performance by a colleague. To which organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Correct Answer: 4
Rationale 1: The American Nurses Association will be the best resource as professional performance is
addressed in standards 715 of ANAs PsychiatricMental Health Nursing Standards of Practice. The National
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League for Nursing primarily addresses nursing education, while the American Nurses Association
Credentialing Center focuses on certification. The North American Nursing Diagnosis Association develops a
classification system for nursing diagnoses.
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Rationale 2: The American Nurses Association will be the best resource as professional performance is
addressed in standards 715 of ANAs PsychiatricMental Health Nursing Standards of Practice. The National
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League for Nursing primarily addresses nursing education, while the American Nurses Association
Credentialing Center focuses on certification. The North American Nursing Diagnosis Association develops a
classification system for nursing diagnoses.
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Rationale 3: The American Nurses Association will be the best resource as professional performance is
addressed in standards 715 of ANAs PsychiatricMental Health Nursing Standards of Practice. The National
League for Nursing primarily addresses nursing education, while the American Nurses Association
Credentialing Center focuses on certification. The North American Nursing Diagnosis Association develops
a classification system for nursing diagnoses.
Rationale 4: The American Nurses Association will be the best resource as professional performance is
addressed in standards 715 of ANAs PsychiatricMental Health Nursing Standards of Practice. The National
League for Nursing primarily addresses nursing education, while the American Nurses Association
Credentialing Center focuses on certification. The North American Nursing Diagnosis Association develops
a classification system for nursing diagnoses.
Global Rationale:
, Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Apply knowledge of current practice and professional performance standards to
the delivery of contemporary psychiatricmental health nursing.
Question 4
Type: MCSA
The psychiatricmental health nurse is working with the new graduate nurse who is orienting to the
psychiatric unit. Which comment by the new graduate indicates further clarification of the generalist-nursing
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role is needed?
1. I would feel better if you would look at my documentation that addresses progress toward treatment goals.
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2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
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4. I am doing some reading on how to incorporate complementary interventions into treatment plans.
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Correct Answer: 3
Rationale 1: The intent to conduct psychotherapy with clients is not consistent with the role of the nurse at the
generalist level of practice as outlined in the PsychiatricMental Health Nursing Standards of Practice and
indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
psychiatricmental health nurse practicing at the generalist level.
Rationale 2: The intent to conduct psychotherapy with clients is not consistent with the role of the nurse at
the generalist level of practice as outlined in the PsychiatricMental Health Nursing Standards of Practice and
indicates a need for role clarification. Evaluation of the therapeutic milieu, documenting progress toward
treatment goals, and incorporating complementary interventions are consistent with the roles of the
psychiatricmental health nurse practicing at the generalist level.
