This document discusses the extended and expanded roles of psychiatric nurses. It defines extended role as responsibilities beyond traditional nursing functions and outside of hospitals, while expanded role refers to additional responsibilities within the scope of nursing practice. The document outlines the qualities of a psychiatric nurse and the need to extend their roles to build trust with patients, acquire new skills, and improve safety. It provides examples of extended roles like caregiver, manager, protector, advocate, and educator. The document also discusses expanded roles such as advanced practice nursing, clinical nurse specialist, certified nurse midwife, and others.