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 B

Explanation

A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.

B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.

C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).

D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.

A. Avoid eye contact with the client to prevent the client from feeling awkward. B. Remain silent after asking the client a question to allow the client a chance to respond. C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. D. Have music on in the background to distract the client from being anxious.

Correct Answer is B

Explanation

A. Avoid eye contact with the client to prevent the client from feeling awkward. Avoiding eye contact may come off as dismissive and can hinder rapport-building.

B. Remain silent after asking the client a question to allow the client a chance to respond. Using therapeutic silence gives the client time to gather their thoughts and feel heard.

C. Ask questions that only require one-word answers to prevent anxiety about answering detailed questions. Open-ended questions encourage communication and help establish trust.

D. Have music on in the background to distract the client from being anxious. Music might be a distraction rather than a rapport-building tool, as it may prevent active listening.

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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

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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