A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?
Resolving insurance issues
Providing case management
Determining a mental health diagnosis
Securing affordable housing for clients
The Correct Answer is B
A. Resolving insurance issues : Insurance issues are typically handled by social workers or case managers, not bedside nurses.
B. Providing case management: General mental health nurses can provide case management, which includes coordinating care, making referrals, and advocating for resources.
C. Determining a mental health diagnosis : Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental health conditions.
D. Securing affordable housing for clients: Securing housing is a role of social workers, not nurses. Nurses may refer clients to resources but do not secure housing directly.
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Related Questions
Correct Answer is D
Explanation
A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.
B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.
C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.
D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.
Correct Answer is B
Explanation
A. "The gathering spaces should have the chairs positioned around the perimeter of the day room." Seating arrangements should encourage interaction and engagement, not isolation. A circular arrangement fosters group discussion and socialization.
B. "The milieu consists of the physical and psychosocial environmental factors." Therapeutic milieu refers to the structured environment of a mental health unit, which includes both physical (safety, layout) and psychosocial (staff interactions, routines) components that support healing.
C. "The clients can keep any personal items they would like in their rooms." While personal items can be comforting, safety concerns may limit what clients can keep. Sharp objects, lighters, or items that could be used for self-harm are typically restricted.
D. "A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests." A structured routine is essential in a therapeutic milieu to promote stability, predictability, and therapeutic engagement. Unstructured environments may increase anxiety or behavioral issues.
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