A nursing student expresses concerns that mental health nurses 'lose all their clinical nursing skills.' Select the best response by the mental health nurse.

Correct Answer: B

Rationale: The correct answer is B because it highlights the essential skills required in mental health nursing - complex communication and critical thinking. Mental health nurses work with patients facing multidimensional issues, requiring them to adapt and problem-solve effectively. This response acknowledges the challenges and emphasizes the importance of these skills in providing quality care. Option A is incorrect as it focuses on the perceived safety of the environment and nurse-to-patient ratios, which are not directly related to the maintenance of clinical nursing skills. Option C is incorrect because while some mental health settings may use high technology monitoring equipment, this does not address the core clinical skills essential for nursing practice. Option D is incorrect as it trivializes the challenges faced by psychiatric nurses by comparing them to medical-surgical nurses. Pain and suffering are not the only indicators of nursing skill and expertise.

Correct Answer: B

Rationale: Correct Answer: B (Place the client in a private room) Rationale: 1. Clostridium difficile is spread through fecal-oral route. 2. Placing the client in a private room prevents transmission to other clients. 3. Private room allows for dedicated equipment and prevents cross-contamination. Summary: A: Wearing a face shield is not necessary for Clostridium difficile, transmission is not airborne. C: Negative pressure room is not required, private room is sufficient. D: Alcohol-based hand rub is not effective against Clostridium difficile spores.

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: B

Rationale: The correct answer is B: Anxiety. In Peplau's model of nursing, the nurse helps patients identify and understand their feelings, with anxiety being a key component in mental illness. The nurse assists the patient in exploring and managing their anxiety, leading to improved mental health outcomes. Self-care (C) is important but not a specific key component in Peplau's model. Suffering (A) is a broad term and not a central focus of Peplau's theory. Nonverbal behaviors (D) are important in communication but not a key component in Peplau's model for mental illness care.

Correct Answer: B

Rationale: The correct answer is B: social media platforms. They are commonly used for hosting online communities and support groups due to their user-friendly interface, accessibility, and communication features. Social media allows for easy interaction among members, sharing information, and building a sense of community. Video game forums (A) are more focused on gaming discussions. Encrypted email services (C) prioritize privacy and security in communication, not community-building. Corporate intranets (D) are internal networks for employees, not suitable for client and family support groups.