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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Bias: Bias is a personal or systemic prejudice, not an ethical principle.

B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.

C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.

D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

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

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

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 in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?