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 D
Explanation
A. Being trustworthy in following through with promises: This describes fidelity, which is the nurse’s duty to keep commitments and maintain trust.
B. Taking actions to promote access to mental health services: This relates to justice, which is about ensuring fairness and equal access to healthcare.
C. Providing ethically sound practice for clients and families: This falls under nonmaleficence and beneficence, ensuring ethical care and minimizing harm.
D. Being truthful and authentic with clients: Veracity means providing truthful and accurate information, ensuring clients receive honest and reliable details about their care.
Correct Answer is B
Explanation
A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." Therapeutic communication is essential in nurse-client interactions, as it builds trust, fosters emotional well-being, and enhances care outcomes.
B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." Therapeutic communication actively supports mental health treatment by ensuring clients feel heard, validated, and understood, which is crucial in emotional and psychological care.
C. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." Everyday communication lacks the structured techniques (e.g., active listening, open-ended questions, empathy) used in therapeutic communication.
D. "Therapeutic communication is not as important as medication in the care of our clients." While medications are critical for treatment, communication is equally vital because it affects adherence, trust, and overall well-being.
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