Author Question: The client on the psychiatric unit is asking questions about prevention of sexually transmitted ... (Read 39 times)

Hungry! · **on:** Jul 19, 2018

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.

Question 2

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 role is needed?

1. I would feel better if you would look at my documentation that addresses progress toward treatment goals.
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.
4. I am doing some reading on how to incorporate complementary interventions into treatment plans.

cpetit11 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: 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.

Answer to Question 2

3
Rationale: 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.