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: D

Rationale: The correct answer is D because insomnia, particularly early morning awakening, is a common symptom of major depressive disorder. This symptom is often associated with the inability to fall back asleep and can lead to significant fatigue and impairment during the day. It is important to note that sleep disturbances are a key criterion for diagnosing depression. A, B, and C are incorrect because restlessness (choice A) is more commonly associated with anxiety disorders, excessive studying for future goals (choice B) may indicate high achievement motivation rather than depressive symptoms, and unintentional weight loss (choice C) can be a sign of various medical conditions but is not specific to major depressive disorder.

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: 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: D

Rationale: The correct answer is D: time pressure. When the transport team is waiting and the client is due for a diagnostic test, time becomes a critical environmental factor for the nurse to consider. Time pressure can impact the timely completion of the test, potential delays in care, and overall patient safety. Medical records (A) are important but may not directly affect the immediate decision-making in this scenario. Resources (B) and task complexity (C) are also important factors, but time pressure takes precedence as it directly influences the urgency and efficiency of the situation.