What is included in the scope of practice for a mental health nurse?.
Administering medications
Performing surgical procedures
Diagnosing mental illnesses
Providing therapeutic communication
The Correct Answer is A
A. Administering medications: Mental health nurses can administer psychiatric medications, including antipsychotics, mood stabilizers, and antidepressants.
B. Performing surgical procedures: Surgical procedures are outside a nurse’s scope of practice and are performed by surgeons, not nurses.
C. Diagnosing mental illnesses: Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental illnesses.
D. Providing therapeutic communication: Mental health nurses use therapeutic communication techniques like active listening, validation, and open-ended questioning.
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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 C
Explanation
A. "Do you need any more resources or information?" This question focuses on resource provision rather than emotional clarification. While important, it does not specifically invite the client to explore their feelings.
B. "You feel like you have the support needed to be successful." This is a statement, not a question, and may lead the client to agree rather than express their true emotions. A better approach would involve open-ended questioning.
C. "Tell me what kind of coping skills you have." This open-ended question encourages the client to reflect on their coping mechanisms and emotional responses, facilitating deeper discussion and emotional clarification.
D. "Do you understand your next step in treatment?" This focuses on treatment adherence rather than the client’s emotions. While important for education, it does not directly encourage emotional exploration.
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