An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Without further education, which group is this nurse most qualified to lead?

Correct Answer: C

Rationale: An experienced psychiatric registered nurse is most qualified to lead a parenting group among the options provided. This is because a psychiatric nurse's expertise typically includes knowledge and skills in mental health conditions, behavioral interventions, communication techniques, and family dynamics. Leading a parenting group would allow the nurse to utilize their background to assist parents in managing challenging behaviors, understanding mental health concerns, and enhancing family relationships. In this role, the nurse can provide valuable support and education to help parents navigate various issues related to their children's mental health and well-being.

Correct Answer: B

Rationale: Including the client's family in therapy within the inpatient milieu can greatly facilitate discharge from the hospital. Involving the family in therapy allows for a better understanding of the client's support system, dynamics, and potential challenges they may face after leaving the hospital. This collaboration between the client, family, and treatment team can help create a more robust and effective discharge plan tailored to the client's specific needs and circumstances. By preparing the family to provide ongoing support and assistance post-discharge, the likelihood of successful transition and continued progress is increased.

Correct Answer: B

Rationale: - B. Unit responsibilities are assigned according to client capabilities: In a therapeutic community, tasks and responsibilities are typically assigned based on the individual's capabilities and strengths to promote growth and self-confidence. This approach encourages accountability and fosters a sense of community within the therapeutic setting.

Correct Answer: A

Rationale: The nurse should first ask, "Are you currently thinking about harming yourself?" This question directly assesses the client's current suicidal ideation and immediate risk. It is crucial to determine the level of risk for self-harm before delving into reasons or consequences, as the client's safety is the top priority. By addressing the current thoughts of self-harm, the nurse can decide on appropriate interventions and ensure the client's safety.

Correct Answer: C

Rationale: Holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst is important to help process feelings and concerns related to the witnessed intervention. This type of event can be traumatic and unsettling for both clients and staff involved. By allowing a safe space for individuals to express their emotions, concerns, and ask questions, the debriefing session can help address any anxiety, fear, or confusion that may have arisen from the incident. It can also help prevent any lingering negative effects on the individuals involved by validating their experiences and providing support and information as needed. This debriefing session serves as a form of psychological first aid and supports the overall emotional well-being of the clients and staff in the aftermath of a distressing event.