The psychiatric–mental 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."
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 Psychiatric–Mental 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 psychiatric–mental health nurse practicing at the generalist level.
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