Chapter 4

Question 1

Purpose

Answer 1

Informs nurse and society of the profession’s ethical expectation and requirements

Question 2

Autonomy*

Answer 2

Fundamental right of self-determination

Right, respect, and also independency to work for themselves

Question 3

Beneficence*

Answer 3

Doing good to others

Question 4

Justice

Answer 4

Duty to treat all fairly

Question 5

Nonmaleficence*

Answer 5

Duty to cause no harm

Question 6

Veracity

Answer 6

Duty to tell the truth

Always tell the truth even when giving a wrong medication

Question 7

Fidelity

Answer 7

Faithfulness to obligations and duties

Question 8

Scope and Standards of Practice

Answer 8

Legal Authority to practice granted by states and provinces

Scope and standards of practice defined by profession of nursing
(What is legal in one state may not be legal in another)

Question 9

Levels of Practice

Psychiatric-Mental Health Registered Nurse (PMH-RN)

Answer 9

• Rn w/ baccalaureate education; credentialed by American Nurses Credentialing Center (ANCC)
• USe of nursing process to treat actual or potential mental health problems or psychiatric disorders.
• Promote and foster health and safety*****
• Assess dysfunction; assist to regain or improve coping abilities
• Maximize strengths; prevent further disability

Question 10

Levels of Practice

Advanced PracticePsychiatric-Mental Health Registered Nurses (PMH-APRN)

Answer 10

• Master’s level preparation; nationally certified by the ANCC
• Psychiatric nurse practitioner (MSN)
• Doctorate of nursing practice (DNP) in psychiatric nursing

Question 11

Psychiatric–Mental Health Nursing Organizations

American Psychiatric Nurse Association (APNA)

Answer 11

• Advances psychiatric–mental health nursing practice
• Improves mental health care for culturally diverse individuals, families, groups, and communities
• Shapes health policy for the delivery of mental health services

(Standard and scope of what a psych nurse, NP, and psychiatrist can do)
(Add culture before diagnosing)
(Values and Practice)

Question 12

The Biopsychosocial Framework in Psychiatric-Mental Health Nursing

Answer 12

Biological/Social/Psychological

Always ask the questions to form diagnosis
(What medication was the parent taking when they has a psych issue)

Question 13

Tools of Psychiatric Nursing Practice

Self

Answer 13

Most important tool of psychiatric nursing

Question 14

Tools of Psychiatric Nursing Practice

Clinical Reasoning

Answer 14

• Depends on critical thinking skills and reflection

- Analyze, evaluate, explain, infer, interpret biopsychosocial data

Question 15

Tools of Psychiatric Nursing Practice

Reflection

Answer 15

• Continual self-evaluation through observing, monitoring, judging behaviors
• Used in all aspects of psychiatric nursing practice

Question 16

Tools of Psychiatric Nursing Practice

Interdisciplinary Care

Answer 16

• Collaborate with other professionals and client in all settings
• Each professional brings a specialized skill to the client’s care

(Work with the whole team… what are they going to do once the client leaves?)

Question 17

Tools of Psychiatric Nursing Practice

Plan of Care

Answer 17

• Each client will have a written plan of care
• May involve an interdisciplinary treatment plan
• Each are individualized to the client

Question 18

Challenges of Psychiatric Nursing

Answer 18

Overcoming stigma

 - --Dispelling myths of mental illness
 - --Reducing stigma is every nurse's responsibility

(Many people will not seek mental health help because of stigmas— will not go to the hospital)
(Remove stigma… Anyone can be in a psych hospital seeking mental help)