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 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 C
Explanation
A. "The effects of ACEs affect adolescents, but they do not affect them once they reach adulthood." This is incorrect because ACEs have lifelong consequences, increasing the risk for mental health disorders, chronic diseases, and risky behaviors well into adulthood.
B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." While both depression and obesity can occur, ACEs increase the risk of mental and physical health issues at all stages of life, and obesity is not exclusive to adolescents.
C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." Research shows that ACEs increase the risk of chronic illnesses (e.g., cancer, COPD) in adulthood and also elevate suicidal risk in adolescents.
D. "ACEs have the same effect on adults and adolescents." While ACEs affect all age groups, their manifestations differ: adolescents may experience mental health issues and risky behaviors, while adults may develop chronic illnesses and long-term emotional dysregulation.
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