APNA Standards of Practice for Psychiatric Nurses
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Questions and Answers

What if I say the wrong thing? Am I prying when I ask personal questions? How will I handle bizarre or inappropriate behavior? - These are common _______ for individuals in psychiatric-mental health nursing.

concerns

In nursing, being aware of one’s feelings, thoughts, and values is a primary focus. Self-awareness is particularly important in _______ nursing.

mental health

Self-awareness is the process by which the nurse gains recognition of his or her own ______, beliefs, and attitudes.

feelings

Self-awareness is the process by which the nurse gains recognition of his or her own feelings, beliefs, and ______.

<p>attitudes</p> Signup and view all the answers

Keep a diary or journal that focuses on experiences and related ______.

<p>feelings</p> Signup and view all the answers

Talk with someone you trust about your experiences and ______.

<p>feelings</p> Signup and view all the answers

Psychiatric–Mental Health Nursing Phenomena of Concern include promotion of optimal mental and physical health and well-being and prevention of mental ______

<p>illness</p> Signup and view all the answers

Behaviors and mental states that indicate potential danger to self or ______

<p>others</p> Signup and view all the answers

Symptom management, side effects, or toxicities associated with self-administered drugs, psychopharmacologic intervention, and other treatment ______

<p>modalities</p> Signup and view all the answers

The barriers to treatment efficacy and recovery posed by alcohol and substance abuse and ______

<p>dependence</p> Signup and view all the answers

Physical symptoms that occur along with altered psychological ______

<p>status</p> Signup and view all the answers

Interpersonal, organizational, sociocultural, spiritual, or environmental circumstances or events that have an effect on the mental and emotional well-being of the individual and family or ______

<p>community</p> Signup and view all the answers

Linda Richards is called the first American psychiatric ______

<p>nurse</p> Signup and view all the answers

The first training of nurses to work with persons with mental illness was in 1882 at McLean Hospital in ______

<p>Belmont</p> Signup and view all the answers

The first psychiatric nursing textbook, Nursing Mental Diseases by Harriet Bailey, was published in ______

<p>1920</p> Signup and view all the answers

Johns Hopkins was the first school of nursing to include a course in psychiatric nursing in its ______

<p>curriculum</p> Signup and view all the answers

Hildegard Peplau published Interpersonal Relations in Nursing in ______

<p>1952</p> Signup and view all the answers

Mellow's 1968 work, Nursing Therapy, described her approach of focusing on clients' psychosocial needs and ______

<p>strengths</p> Signup and view all the answers

Study Notes

Student Concerns in Psychiatric-Mental Health Nursing

  • Common concerns among students include:
    • Saying the wrong thing
    • Handling bizarre or inappropriate behavior
    • Ensuring physical safety
    • Encountering someone they know on the unit
    • Recognizing similar problems or backgrounds with clients
    • Dealing with clients who ask for a date or display sexually aggressive behavior

Self-Awareness in Psychiatric-Mental Health Nursing

  • Self-awareness is the process of recognizing one's own feelings, beliefs, and attitudes
  • In nursing, self-awareness is crucial, especially in mental health nursing
  • Points to consider when working on self-awareness:
    • Keeping a diary or journal to reflect on experiences and feelings
    • Talking to someone trusted about experiences and feelings
    • Engaging in formal clinical supervision
    • Seeking alternative points of view
    • Avoiding self-criticism for having certain values or beliefs

Psychiatric-Mental Health Nursing Phenomena of Concern

  • The American Psychiatric Nurses Association (APNA) has standards of practice and standards of professional performance
  • Phenomena of concern include:
    • Promoting optimal mental and physical health and well-being
    • Impaired ability to function due to psychiatric, emotional, and physiologic distress
    • Alterations in thinking, perceiving, and communicating due to psychiatric disorders
    • Behaviors and mental states that indicate potential danger to self or others
    • Emotional stress related to illness, pain, disability, and loss
    • 9 other areas of concern, including symptom management, self-concept changes, and societal factors

History of Psychiatric-Mental Health Nursing

  • Linda Richards, the first American psychiatric nurse, graduated from the New England Hospital for Women and Children in 1873
  • Richards improved nursing care in psychiatric hospitals and organized educational programs in state mental hospitals
  • The first training of nurses to work with persons with mental illness was in 1882 at McLean Hospital in Massachusetts
  • The first psychiatric nursing textbook, Nursing Mental Diseases, was published in 1920 by Harriet Bailey
  • Johns Hopkins was the first school of nursing to include a course in psychiatric nursing in its curriculum in 1913

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Explore the standards of care set by the American Psychiatric Nurses Association (APNA) which outline responsibilities for mental health nurses. Learn about the areas of practice and phenomena of concern that guide psychiatric nurses in their care for clients.

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