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A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

Documentation for a mental health client is a defined process based on hospital specific requirements which highlights client care.

Documentation for a mental health client is focused on the client's diagnosis, reason for medications, plan of care, and client progression.

Documentation for mental health clients provides a record of the nurse's awareness of client behaviors, mental status, interventions, and client response.

Documentation for a mental health client outlines the client's therapies, treatments, and needs for discharge planning.

Answer and Explanation

The Correct Answer is C

A. Documentation for a mental health client is a defined process based on hospital-specific requirements which highlights client care. While hospitals have policies, documentation must follow legal and ethical guidelines beyond just facility rules.

B. Documentation for a mental health client is focused on the client’s diagnosis, reason for medications, plan of care, and client progression. Documentation includes more than just diagnosis and medication, such as behavior observations, interventions, and responses.

C. Documentation for mental health clients provides a record of the nurse’s awareness of client behaviors, mental status, interventions, and client response. Comprehensive mental health documentation includes behaviors, mental status, interventions, and outcomes.

D. Documentation for a mental health client outlines the client’s therapies, treatments, and needs for discharge planning. This is part of the documentation but does not capture all aspects of mental health nursing records.

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Correct Answer is B

Explanation

A. Laboratory technician: Laboratory technicians analyze blood, urine, and other specimens but do not specialize in medication interactions.

B. Psychiatric pharmacist: A psychiatric pharmacist specializes in psychotropic and other medications, ensuring there are no interactions between schizophrenia medications and diabetes treatments.

C. Psychologist: A psychologist provides therapy and mental health assessments but does not prescribe or manage medications.

D. Primary provider: While a primary care provider (PCP) oversees general care, a psychiatric pharmacist is the best choice for in-depth medication interaction expertise.

A. Sharing patient information with a family member without consent. B. Talking about patient care in a public setting where others might overhear. C. Releasing information to authorities if the patient poses a threat to themselves or others. D. Discussing patient details with another healthcare provider who is not involved in the patient's care.

Correct Answer is C

Explanation

A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.

B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.

C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.

D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.

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A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

Which situation is an exception to the rule of maintaining patient confidentiality?

Correct Answer is C

Explanation

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 an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

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?

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

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?