# Application of Course Knowledge: Standard 5 in Psychiatric-Mental Health Nursing
## Selected Competencies:
– **Standard 5A: Coordination of Care**
– **Standard 5B: Health Teaching, Health Literacy, and Health Promotion**
### a. Summary of the Selected Competencies
**Standard 5A: Coordination of Care**
This competency emphasizes the role of psychiatric-mental health nurse practitioners (PMHNPs) in coordinating comprehensive care for patients with mental health issues. It includes conducting thorough assessments, developing and implementing care plans, and ensuring continuity of care. PMHNPs collaborate with other healthcare providers, manage treatment regimens, and advocate for the patient’s needs throughout their care journey.
**Standard 5B: Health Teaching, Health Literacy, and Health Promotion**
This competency focuses on the PMHNP’s responsibility to educate patients about their mental health conditions, treatment options, and healthy lifestyle choices. It encompasses promoting health literacy by providing understandable information, empowering patients to participate in their care, and facilitating access to resources that support their well-being. Effective communication is key to fostering a collaborative relationship with patients.
### b. Addressing the Selected Questions
**I. Scope of Practice Implications for PMHNPs Providing Both Physical and Mental Healthcare**
PMHNPs have a unique scope of practice that allows them to deliver integrated care, encompassing both physical and mental health assessments. When conducting mental health intake assessments and physical exams, they must ensure that their practice adheres to state regulations regarding prescribing medications. The ability to prescribe psychiatric medications requires comprehensive knowledge of both psychopharmacology and general health considerations. PMHNPs must carefully evaluate the implications of medications on physical health and monitor for potential side effects, ensuring that treatment is holistic and patient-centered.
**II. Response to Clients Requesting Medications Based on Internet Research**
When clients come in with requests for specific medications they’ve researched online, it is crucial to approach the situation with empathy and professionalism. I would first listen to their concerns and understand their perspective. I would then provide evidence-based information regarding the requested medication, discussing its efficacy, potential risks, and suitability for their specific condition. It’s important to clarify any misconceptions and educate clients on how to discern credible sources of information. This approach not only builds trust but also reinforces the importance of collaborative decision-making in their care.
### c. Application of Each Standard in Future Practice
**Example for Standard 5A: Coordination of Care**
In my future practice, I would implement a standardized intake protocol that includes both mental health and physical health assessments. For instance, if a patient presents with anxiety, I would assess their overall health, including potential physical health issues that may contribute to their anxiety. I would collaborate with primary care providers to ensure that any underlying medical conditions are addressed alongside their mental health treatment, thereby providing coordinated and comprehensive care.
**Example for Standard 5B: Health Teaching, Health Literacy, and Health Promotion**
I would prioritize health education during patient encounters. For example, if I prescribe a new antidepressant, I would take the time to explain how the medication works, its expected effects, and potential side effects. I would also provide educational materials that are easy to understand and encourage patients to ask questions. By fostering an environment where patients feel comfortable discussing their concerns, I would enhance their understanding and engagement in their treatment plan.
Conclusion
The competencies outlined in Standard 5 of the psychiatric-mental health nursing scope and standards of practice are essential for delivering effective and comprehensive care. By integrating coordination of care and health teaching into my practice, I aim to enhance patient outcomes and promote a holistic approach to mental health.
Source: American Nurses Association, American Psychiatric Nurses Association, & International Society of Psychiatric-Mental Health Nurses. (2022). Psychiatric–mental health nursing: Scope and standards of practice (3rd ed.). American Nurses Association.
Review Standard 5: Implementation in the above text, pp. 66-76. Select two of the following competencies to address in your discussion:
· Standard 5A: Coordination of Care
· Standard 5B: Health Teaching, Health Literacy, and Health Promotion
· Standard 5D: Pharmacological/Biological Therapies and Prescriptive Authority
Include the following sections
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
a. Summarize the two selected competencies.
b. Address the two questions below that relate to your selected competencies:
I. Standard 5A: Many PMHNPs are employed within psychiatric facilities and may be asked to complete the mental health intake assessment and the admission physical, as well as prescribe and monitor all medications during the inpatient stay. What are the scope of practice implications for PMHNPs providing both physical and mental healthcare, including prescribing considerations?
II. Standard 5B: As a practicing PMHNP, how will you respond to clients who request medications or treatments based on information they researched on the internet?
III. Standard 5D: New medications are frequently developed and released. What strategies will you use to remain current in your knowledge of new psychopharmacologic options for your clients? What resources exist to help you?
c. Provide an example of how you would apply each of the selected standards in your future practice.
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