Which tasks are safe and appropriate to be performed by a basic-level nurse for a patient suffering from mental illness?

Teaching coping skills to the patient and family members

Treating major depressive disorder

Prescribing antidepressants

Assessing suicide risk

Answer and Explanation

The Correct Answer is A

Choice A reason: Basic-level nurses, such as LPNs or RNs, can teach coping skills, a standard intervention within their scope. This involves education on stress management, aligning with psychiatric nursing roles to support patient and family well-being, making this the correct choice.

Choice B reason: Treating major depressive disorder requires advanced skills, like prescribing or managing complex therapies, which is beyond a basic-level nurse’s scope. This is typically reserved for advanced practice nurses or physicians, making this choice incorrect.

Choice C reason: Prescribing antidepressants is restricted to advanced practice nurses or physicians, not basic-level nurses. This task involves medical decision-making outside the scope of RNs or LPNs, making it unsafe and inappropriate, thus incorrect.

Choice D reason: Assessing suicide risk requires advanced clinical judgment, often reserved for advanced practice nurses or psychiatrists. While basic-level nurses can observe and report, formal assessment exceeds their scope, making this choice incorrect for their role.

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Correct Answer is C

Explanation

Choice A reason: Including the child in group activities promotes socialization but is not operant conditioning, which uses rewards to reinforce specific behaviors like speech. This approach lacks direct reinforcement, making it ineffective for the targeted behavior, thus incorrect.

Choice B reason: Observing others talking may model behavior but is not operant conditioning, which requires direct reinforcement of the desired action (speech). Passive observation does not provide the reward structure needed to encourage speech, making this choice incorrect.

Choice C reason: Operant conditioning uses positive reinforcement, like giving a treat for speaking, to increase the desired behavior. This directly rewards the child’s speech, aligning with behavioral psychology principles to encourage verbalization, making this the correct choice.

Choice D reason: Relaxation techniques address anxiety but are not operant conditioning, which focuses on reinforcing specific behaviors with rewards. They do not directly encourage speech, making this choice incorrect for the behavioral approach specified in the treatment plan.

A. Trust, collaboration, and boundaries B. Medication adherence strategies C. Coping skill development D. Long-term treatment goals

Correct Answer is A

Explanation

Choice A reason: In Peplau’s orientation phase, the nurse establishes trust, fosters collaboration, and sets boundaries to build a therapeutic relationship. This foundation is critical for patients with psychiatric disorders, ensuring a safe space for engagement, making this the correct choice.

Choice B reason: Medication adherence is a clinical intervention addressed later, in the working phase, not orientation. The initial phase focuses on relationship-building, not specific treatments, making this choice incorrect for the orientation phase’s goals.

Choice C reason: Coping skill development occurs in the working phase, after trust is established. Orientation prioritizes relationship foundations like trust and boundaries, not skill-building, making this choice incorrect for the initial nurse-patient interaction phase.

Choice D reason: Long-term goals are addressed in the working or termination phases, not orientation, which focuses on establishing trust and rapport. Setting goals prematurely may hinder relationship-building, making this choice incorrect for the orientation phase.

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Which tasks are safe and appropriate to be performed by a basic-level nurse for a patient suffering from mental illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse knows operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique should the nurse apply?

Correct Answer is C

Explanation

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

Correct Answer is A

Explanation

A nurse is caring for a patient with bipolar disorder who is in a manic phase and refuses to attend a scheduled group therapy session. Which response by the nurse best promotes therapeutic engagement?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

A nurse is preparing morning medications for all patients, and one patient says, "I am not taking any of those pills!" The nurse gets frustrated and forcefully holds the patient to administer the medication over the patient’s objection. Which term best describes this action?

A patient asks, "What are neurotransmitters? My doctor said mine are imbalanced." Select the nurse’s best response.

Transference is best described as which of the following?

A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?

What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?