2. INPATIENT PSYCHIATRIC WARD…
• Provide for environment safety including protecting the
patient & others from injury.
• Perform psychosocial, high risk & physical assessment.
• Promotion of self care activities.
• Medication management.
• Assisting for somatic therapies.
• Accurately observing & documenting the patient’s
behavior.
• Providing opportunities for the patient to make his own
decisions & to assume responsibility for his life.

3. Count…
• Participation in various therapies, (psychotherapy, behavioral
therapy, group therapy, play therapy, family therapy, etc)
individual interactions, formal & informal group situations,
role play, advocating on behalf of the patient & so forth.
• Delivering psycho-education.
• Counseling the patient & family members.
• Co-operating with other professionals in various aspects of the
patients care; thereby facilitating an interdisciplinary approach
to care.
• Teaching social skills & stress management strategies.
• Discharge planning & community referral & follow up care
• Supervise the work of subordinates.
• Maintain ward cleanliness.

4. PSYCHIATRIC OUTPATIEBT DEPARTMENT…
• Performing clinical assessment.
• Assisting for psychometric assessment.
• Assisting or providing psychotherapy or
behavior therapy.
• Counseling the patient & family members.
• Conducting group therapy.
• Delivering psychoeducation.

5. ECT TREATMENT SETTING…
• Teaching the patient prior to ECT treatment.
• Preparing the patient for ECT.
• Providing care during the procedure.
• Assisting with post treatment.
• Providing reassurance to reduce anxiety.
• Delivering psychoeducation regarding ECT.

6. PSYCHOTHERAPY UNIT…
Nurses who possess a masters degree in psychiatric
nursing & are certified clinical nurse specialists may
conduct individual or group psychotherapy.
• Establishing a therapeutic relationship with the
patient.
• Providing an opportunity for the patient to release
tension as problem are discussed.
• Assisting the patient in gaining insight about the
problem.
• Providing opportunity to practice new skills.
• Reinforcing appropriate behavior as it occurs.
• Providing consistent emotional support.

7. DAY CARE CENTERS OR DAY
HOSPITALS…
In day treatment programs patients return home at
night.
• Performing clinical assessment.
• Accurately observing & documenting the patient’s
behavior.
• Medication management.
• Teaching social skills.
• Counseling patient & family members.
• Delivering psychoeducation.
• Providing occupational or recreational therapy &
vocational assistance.

8. CHILD PSYCHIATRIC WARD…
• Assessing for biological & psychological need of
the child.
• Determine the child’s strengths & abilities &
develop a care plan to maintain & enhance
capabilities.
• Monitor the child’s developmental levels &
initiate supportive interventions such as speech,
language or occupational skills as needed.
• Provide a safe therapeutic environment, including
protecting the child & others from injury.

9. Count…
• Co-operate with other professionals in an
interdisciplinary approach to care.
• Provide adequate environmental stimulation.
• Teach the child adaptive skills such as eating,
dressing, grooming & toileting.
• Demonstrate & help the child to practice self care
skills.
• Provide genetic counseling if necessary.
• Deliver psychoeducation.
• Medication management.
• Provide emotional support to the parents.
• Participate in various therapies (behavior therapy,
play therapy, expressive therapies, bibliotherapy, etc)

10. HOME SETTING…
• Assessment of symptoms.
• Teaching the patient & family regarding nutrition,
exercise, hygiene & the relationship between
physical & emotional health.
• Stress management.
• Daily living kills (basic money management, for
example, bank accounts, rent, utility bills, use of
the telephone, grocery shopping).
• Administration of parenteral injections.
• Venipuncture for laboratory analysis.

11. Count…
• Medication management – monitoring blood
levels, signs & symptoms of overdose or toxicity,
teaching on dosage, side effects & purposes.
• Acts as a case manager & coordinate an array of
services that include physical therapy,
occupational therapy, social work & community
services.
• Appropriate referrals to community agencies.
• Provide supportive counseling & brief
psychotherapy.
• Promotion of mental health & prevention of
mental illness.

12. COMMUNITY MENTAL HEALTH CENTERS…
• Identification of patient s in the community.
• Refer the patients to appropriate hospitals.
• Home visiting & providing direct care to the
patients in the community.
• Follow up care with special emphasis on
medication regimen, improvement made &
side effects, patient’s occupational function.
• Conducting public awareness programs to
remove misconceptions regarding mental
disorders.

13. Count…
• Training of paraprofessional, community leaders,
school teachers & other care giving professionals
in the community.
• Management of resources planning & co-
ordination.
• Direct services like, care of families at risk for
violence, abuse & dysfunction, care of homeless
mentally ill patients etc.

14. HOSPICE CARE CENTERS…
• Helping cancer patients or terminally ill
individuals through the grieving process.
• Provide supportive psychotherapy.
• Provide support groups for families of
terminally ill patients.

15. EMERGENCY DEPARTMENTS…
• Crisis intervention during natural disasters,
accidents, unexpected illnesses causing
increased anxiety, stress or immobilization.
• Obstetric nursing centers.
• Helping the mother in labor & support person
to cope with anxiety / stress during labor.
• Providing support to bereaved patients in the
event of fetal demise, abortion, birth of an
infant with congenital abnormalities.

16. MEDICAL INPATIENT WARDS…
• Psychological intervention for chronic
illnesses with major psychological effects for
example, Alzheimer’s disease, HIV / AIDS,
diabetes mellitus, Parkinson’s disease, multiple
sclerosis, hemophilia, colostomy, amputation,
etc.

17. HOSPITALS FOR CRIMINAL INSANE,
JAILS & PRISONS…
• Forensic psychiatric nurses assist patients with
self care, administration of medications &
monitor the effectiveness of the treatment.
• Promote coping skills
• Advanced nurses are able to diagnose & treat
individuals with psychiatric disorders & are
allowed to prescribe medications.
• Provide psychotherapy & act as consultants.
• Forensic evaluation for legal sanity.

18. Count…
• Assessment of potential for violence.
• Parole / probation considerations.
• Assessment of racial / cultural factors during
crime.
• Sexual predator screening & assessment.
• Competency therapy.
• Formal written reports to court.
• Review of police reports.
• On scene consultation to law enforcement.