A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?

Correct Answer: B

Rationale: The correct answer is B: Prescribe psychotropic medication. Advanced practice nurses, such as psychiatric nurse practitioners, have prescriptive authority to prescribe medications in psychiatric settings. This intervention requires advanced knowledge and specialized training. Conducting mental health assessments (A) and establishing therapeutic relationships (C) are within the scope of practice for staff nurses and do not require advanced practice credentials. Individualizing nursing care plans (D) is also a standard nursing practice that does not necessarily require advanced practice training. In summary, prescribing psychotropic medication is the additional intervention that an advanced practice nurse would perform in a psychiatric unit, distinguishing their role from that of a staff nurse.

Correct Answer: C

Rationale: The correct answer is C: Running amok. A culture-bound syndrome is a psychological disorder specific to a certain culture or region. Running amok is a term used in Southeast Asia to describe a sudden outburst of violent behavior. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed worldwide. Therefore, the correct answer is C as it fits the definition of a culture-bound syndrome.

Correct Answer: B

Rationale: The correct answer is B because gender identity disorders involve distress related to the individual's assigned sex. This is a key characteristic as individuals with this disorder experience a strong and persistent discomfort with their biological sex. Choice A is incorrect as it refers to sexual orientation rather than gender identity. Choice C is incorrect as it describes a different disorder called paraphilic disorders. Choice D is incorrect as it pertains to sexual dysfunctions rather than gender identity disorders. Therefore, the instructor would include discomfort about one's assigned sex when discussing gender identity disorders to accurately educate the students.

Correct Answer: B

Rationale: The correct answer is B because only advanced practice nurses, such as psychiatric nurse practitioners, have the authority to prescribe psychotropic medication. This action requires specialized training and legal authorization beyond the scope of practice for staff nurses. Choice A is incorrect because staff nurses are trained to perform mental health assessments as part of their regular duties. Choice C is incorrect as establishing therapeutic relationships is a fundamental nursing skill that all nurses, including new staff nurses, are expected to possess. Choice D is incorrect because individualizing nursing care plans is a standard practice for all nurses based on the patient's specific needs.

Correct Answer: A

Rationale: The correct answer is A: Acceptance that death is a natural part of life. This factor is crucial for hospice nurses as it enables them to approach end-of-life care with compassion and understanding. By accepting death as a natural process, the nurse can provide respectful care without fear or denial. Possessing excellent nursing skills (B) is important but not as impactful as having the right mindset towards death. A healthy personal life (C) can contribute to overall well-being but may not directly impact the nurse's ability to provide respectful care. While the desire to work with both the patient and family (D) is important, it is the acceptance of death that underpins the nurse's ability to provide professional care in the hospice setting.

Correct Answer: A

Rationale: The correct answer is A: Using bleach solution to disinfect dirty needles. This is an important harm reduction strategy for individuals addicted to heroin as it helps reduce the risk of infections such as HIV and hepatitis. It is crucial for the nurse to educate the client on safe needle hygiene practices to prevent further health complications. Choices B, C, and D are incorrect as problem solving, healthy coping skills, and naltrexone are not directly related to harm reduction strategies specifically for heroin addiction.

Correct Answer: A

Rationale: The correct answer is A because it shows a lack of understanding of a suicide safety plan. This statement indicates an awareness of triggers but does not demonstrate any coping strategies or steps to prevent suicide. In contrast, choices B, C, and D all show elements of a safety plan - engaging in physical activity, relying on a supportive individual, and carrying a suicide prevention resource. In summary, A does not include any proactive measures to address suicidal thoughts compared to B, C, and D.

Correct Answer: A

Rationale: The correct answer is A because according to Freud's psychosexual development theory, the oral stage occurs from birth to 18 months. During this stage, infants derive pleasure from sucking and biting, hence using a pacifier to relieve anxiety is a normal behavior. Choices B, C, and D are incorrect because they describe behaviors that are not developmentally appropriate for the respective age groups according to Freud's theory. Choice B refers to the latency stage (6 to puberty), choice C suggests the phallic stage (3 to 6 years), and choice D indicates the anal stage (18 months to 3 years).

Correct Answer: C

Rationale: The correct answer is C. Having the support of friends is important for mental health, but relying solely on two friends for support may not be sufficient. A well-rounded support system includes various sources such as family, mental health professionals, and community resources. This ensures diverse perspectives and availability of support in different situations. Choices A, B, and D are all valid measures to promote mental health. A: Nutritious foods provide essential nutrients for brain function. B: Relaxation helps reduce stress and promotes mental well-being. D: Sufficient sleep is crucial for mood regulation and cognitive function. Hence, choice C indicates a need for additional teaching on the importance of a comprehensive support network.