Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse rather than a basic level registered nurse?

Correct Answer: D

Rationale: The correct answer is D: Psychotherapy. Advanced practice psychiatric/mental health nurses have specialized training to provide psychotherapy, which involves conducting therapy sessions to address mental health issues. This intervention requires advanced knowledge and skills in assessing, diagnosing, and treating complex psychiatric conditions. Basic level registered nurses typically do not have the expertise or training to conduct psychotherapy. A: Coordination of care - Both basic level and advanced practice nurses can coordinate care for patients, although advanced practice nurses may take on a more comprehensive role in care coordination. B: Health teaching - Both basic level and advanced practice nurses can provide health teaching to patients about mental health conditions and treatment options. Advanced practice nurses may have a deeper understanding of mental health concepts. C: Milieu therapy - Both basic level and advanced practice nurses can participate in creating a therapeutic environment for patients. Advanced practice nurses may have a more significant role in developing and implementing milieu therapy strategies.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. The person's symptoms indicate severe anxiety. Nausea, dizziness, tachycardia, and hyperventilation are all physical manifestations of severe anxiety. Additionally, the person's statement of feeling like something awful is going to happen, along with an inability to focus, also point towards severe anxiety. Mild anxiety typically wouldn't cause such intense physical symptoms. Moderate anxiety may cause some physical symptoms but not to the extent described in the scenario. Panic level of anxiety would usually involve more extreme symptoms such as a full-blown panic attack, which is not explicitly mentioned in the scenario.

Correct Answer: B

Rationale: The correct answer is B: Public stigma. The nurse's action of addressing the receptionist's derogatory comment about a patient as 'really psycho' indicates an attempt to address public stigma. Public stigma refers to the negative attitudes and beliefs held by society towards individuals with mental health conditions. By discussing the inappropriate language used by the receptionist, the nurse is addressing the perpetuation of negative stereotypes and discrimination against individuals with mental health issues. Incorrect Choices: A: Lack of knowledge - This choice would imply that the nurse is addressing a lack of knowledge about mental health conditions, which is not the main issue in this scenario. C: Label avoidance - This choice would imply that the nurse is avoiding using stigmatizing labels, which is not the main focus of the scenario. D: Self-stigma - This choice would imply that the nurse is addressing the internalized stigma experienced by individuals with mental health conditions, which is not the main issue being addressed in this scenario.

Correct Answer: D

Rationale: The correct answer is D. During termination, patients may bring up resolved issues as new concerns to prolong the nurse-patient relationship. This behavior can be a sign of attachment or fear of separation. Patients may unconsciously try to maintain connections as a means of security. Choice A is incorrect because it assumes the patient is angry, which is not necessarily the case. Choice B is incorrect as it makes an assumption about the patient's needs without evidence. Choice C is incorrect as it assumes dissatisfaction with therapy, which may not be the reason for the patient's behavior.

Correct Answer: C

Rationale: The correct answer is C: Information seeker. This group role involves seeking clarification, asking questions, and gathering information. In this scenario, the group member's behavior of consistently asking for clarification aligns with the role of an information seeker. This role helps facilitate communication and understanding within the group. A: Coordinator is responsible for organizing and integrating group activities, not seeking clarification. B: Recorder records group discussions and decisions, not necessarily seeking clarification. D: Standard setter sets standards for the group's behavior and goals, not focused on seeking information. In summary, the group member's behavior of consistently seeking clarification fits the role of an information seeker, making it the correct choice.