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. "If you do not like your medications, would you like to try an alternative?" This response shifts focus away from the client's emotional state and does not validate their feelings.
B. "You feel like you have no remaining options and are struggling to find a solution." This response uses therapeutic communication by reflecting the client’s emotions, validating their feelings, and encouraging further discussion.
C. "Would you like to speak to a therapist after treatment?" While therapy may be beneficial, this response does not acknowledge the client's feelings in the present moment.
D. "You would like more information. I will get that for you right away." This response assumes the client is seeking information rather than expressing distress.
Correct Answer is A
Explanation
A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.
B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.
C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.
D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.
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