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 3. Parenting classes for new parents 4. Family and group psychotherapy 5. Medication teaching for anti-anxiety medications 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. Med C 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. Question 2 Type: MCSA 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? 1. Diagnostic and Statistical Manual of Mental Disorders 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