What is included in the scope of practice for a mental health nurse?.

Administering medications

Performing surgical procedures

Diagnosing mental illnesses

Providing therapeutic communication

Answer and Explanation

The Correct Answer is A

A. Administering medications: Mental health nurses can administer psychiatric medications, including antipsychotics, mood stabilizers, and antidepressants.

B. Performing surgical procedures: Surgical procedures are outside a nurse’s scope of practice and are performed by surgeons, not nurses.

C. Diagnosing mental illnesses: Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental illnesses.

D. Providing therapeutic communication: Mental health nurses use therapeutic communication techniques like active listening, validation, and open-ended questioning.

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Correct Answer is A

Explanation

A. "Competency and capacity are often discussed as being the same thing, but they are different." Competency is a legal determination made by a court, while capacity is a clinical assessment made by healthcare providers. Although they are related, they are distinct concepts.

B. "Capacity and competency are the same thing and can be used interchangeably." This is incorrect because capacity refers to a person's ability to make a decision at a specific moment, while competency is a broader legal determination regarding decision-making ability.

C. "A client who has been deemed legally incompetent can provide informed consent for treatment." A legally incompetent client cannot provide informed consent. Instead, a legally designated surrogate (guardian or power of attorney) makes medical decisions on their behalf.

D. "Competency and capacity are rarely a concern when caring for clients who have a mental illness." Mental illness can impact decision-making capacity, making assessments crucial. Competency and capacity evaluations are common in mental health settings, especially for clients with cognitive impairment or psychosis.

A. Begins to discuss how their partner and children are important to them B. Asks to change the topic during the interview process C. Requests more information about treatment options D. Discusses reasons for making a behavior change

Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

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What is included in the scope of practice for a mental health nurse?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

Correct Answer is A

Explanation

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

A nurse in a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?