1. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 0

2. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 1 Chapter 1 Roles and Functions of Psychiatric Nurses: Competent Caring

3. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 2 Historical Developments Therapeutic community — 1953 Psychotropic drugs — 1950s

4. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 3 Figure 1-1 Elements of the psychiatric nursing role.

5. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 4 Figure 1-2 Continuum of mental health care settings.

6. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 5 Figure 1-3 Psychiatric nursing practice.

7. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 6 Activities of Psychiatric Nurses Make culturally sensitive biopsychosocial health assessments Design and implement treatment plans for patients and families with complex health problems and comorbid conditions Engage in case management activities such as organizing, accessing, negotiating, coordinating, and integrating services and benefits for individuals and families Provide a “health care map” for individuals, families, and groups to guide them to community resources for mental health

8. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 7 Activities of Psychiatric Nurses (cont.) Promote and maintain mental health and manage the effects of mental illness through teaching and counseling Provide care for physically ill patients with psychological problems and psychiatrically ill patients with physical problems Manage and coordinate systems of care integrating the needs of patients, families, staff, and regulators

9. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 8 Qualifications of Psychiatric Nurses BASIC LEVEL Psychiatric–Mental Health Registered Nurse Registered nurses at the basic level have completed a nursing program and passed the state licensure examination. They care for mental health patients in various settings and work as staff nurses, case managers, nurse managers, and in other nursing roles in the psychiatric–mental health field.

10. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 9 Qualifications of Psychiatric Nurses (cont.) ADVANCED LEVEL Advanced Practice Registered Nurse—Psychiatric– Mental Health (APRN-PMH) The Advanced Practice Registered Nurse in Psychiatric-Mental Health (APRN-PMH) is a licensed registered nurse (RN) who is educationally prepared with, at a minimum, a master’s degree level in the specialty. The APRN-PMH has a depth of knowledge of theory and practice, validated experience in clinical practice, and competence in advanced clinical nursing skills.