What is included in the scope of practice for a mental health nurse?.
Administering medications
Performing surgical procedures
Diagnosing mental illnesses
Providing therapeutic communication
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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Related Questions
Correct Answer is B
Explanation
A. Displacement: Displacement involves shifting emotions from one target to another (e.g., yelling at a coworker after being scolded by a boss).
B. Conversion: Conversion disorder is when emotional distress manifests as physical symptoms, such as blurred vision or numbness.
C. Rationalization: Rationalization is justifying behaviors or feelings with logical explanations (e.g., “I didn’t get the job because the interviewer was biased”).
D. Identification: Identification involves imitating behaviors of another person (e.g., a child mimicking a parent’s speech).
Correct Answer is B
Explanation
A. "Allow the client's family to attend all group therapies with the client." While family involvement can be beneficial, a client’s autonomy and confidentiality must be respected. Some clients may not feel comfortable sharing in the presence of family members.
B. "Listen attentively to a client and summarize their comments." Active listening and summarization demonstrate empathy and understanding, reinforcing the therapeutic relationship. This technique also helps ensure that the nurse accurately understands the client's concerns.
C. "Asking questions easily answered with one-word responses is important with mental health clients." Closed-ended questions limit the client’s ability to express emotions and thoughts, which can hinder the therapeutic process. Open-ended questions encourage meaningful discussion.
D. "Avoid asking clients direct questions regarding suicidal behaviors or thoughts." It is essential to directly ask about suicidal thoughts in a nonjudgmental manner. Avoiding these questions can lead to missed warning signs and inadequate intervention.
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