What is the scope of psychiatric-mental health nursing practice?

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Question 1 of 5

What is the scope of psychiatric-mental health nursing practice?

Correct Answer: A

Rationale: The correct answer is A because psychiatric-mental health nursing practice involves assessing clients, providing education, administering medications, and screening for suicide risk. Assessment helps in understanding the client's mental health status. Education empowers clients to manage their condition. Medication administration ensures proper treatment. Suicide risk screening is crucial for client safety. Choices B, C, and D are incorrect as they include tasks outside the scope of psychiatric-mental health nursing such as medical diagnosis, giving orders, assisting with ADLs, and giving advice.

Question 2 of 5

A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?

Correct Answer: B

Rationale: The correct answer is B: Intimidation. Stalking is a crime that involves persistent and unwanted attention, behavior, or contact that instills fear or intimidation in the victim. Stalking is not necessarily always accompanied by physical violence (choice A), jealousy (choice C), or fear (choice D). Intimidation, on the other hand, accurately captures the coercive and fear-inducing nature of stalking behavior. Stalking behavior aims to control, scare, or manipulate the victim through persistent unwanted contact and surveillance.

Question 3 of 5

A nurse is reviewing information about the various types of outpatient mental health care programs. The nurse demonstrates understanding of these types when identifying which of the following as involved in providing the most intensive outpatient nursing care?

Correct Answer: A

Rationale: The correct answer is A: Partial hospitalization programs. Partial hospitalization programs provide the most intensive outpatient nursing care among the options listed. This is because these programs offer structured, comprehensive services during the day while allowing patients to return home at night, providing a higher level of care compared to traditional outpatient programs. The other choices - crisis intervention programs, outpatient detoxification programs, and rehabilitation programs - do not typically offer the same level of intensity and comprehensive care as partial hospitalization programs.

Question 4 of 5

A nurse is pulled from a medical/surgical floor to the psychiatric unit. Which of the following clients would the nurse manager assign to this nurse? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because a nurse with a background in medical/surgical care would likely have experience managing chronically depressed clients, who may require a more general medical approach. Choices B, C, and D involve more specialized psychiatric care, such as managing active psychosis, paranoid thinking, or personality disorders, which may require specific psychiatric training and interventions beyond the nurse's medical/surgical expertise. Therefore, assigning a nurse to care for a chronically depressed client aligns with their skill set and minimizes the risk of inadequate care or potential harm to clients with more acute psychiatric needs.

Question 5 of 5

Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her 'mixed-up feelings' about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it 'makes the numbness stop.' Given this presentation, which personality disorder would you suspect?

Correct Answer: B

Rationale: The correct answer is B: Borderline Personality Disorder. Josie's intense fear of abandonment, unstable self-image, impulsivity, and self-harming behavior are classic symptoms of borderline personality disorder. Her sudden anger when you mention your vacation and her self-harming behavior to cope with emotional distress are indicative of this disorder. A: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness and control, not by self-harm or intense emotional instability like Josie's case. C: Antisocial personality disorder involves a disregard for others' rights and feelings, which does not align with Josie's fear of abandonment and self-harm behavior. D: Schizotypal personality disorder features odd beliefs and behaviors, social isolation, and paranoia, not the impulsive, self-destructive behavior seen in Josie.

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