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 C
Explanation
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.
Correct Answer is A
Explanation
A. To create a safe and healing environment for the client: Trauma-informed care (TIC) focuses on providing a supportive, safe, and empowering environment for clients who have experienced trauma. The goal is not to force resolution but to foster trust, autonomy, and recovery.
B. To repair and resolve the client's trauma: While healing may occur, TIC does not aim to "resolve" trauma directly. Instead, it emphasizes understanding the impact of trauma and reducing retraumatization.
C. To focus solely on the client's trauma history: TIC considers the trauma history but also focuses on the present needs, coping strategies, and overall well-being of the client. It does not exclusively dwell on past trauma.
D. To minimize the client's trauma manifestations: The goal is not to suppress trauma symptoms but to acknowledge them, provide appropriate care, and promote a sense of safety and control for the client.
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