Author Question: Which task can the clinical nurse leader who is creating the work assignment give to either a basic ... (Read 89 times)

piesebel · **on:** Jul 19, 2018

Which task can the clinical nurse leader who is creating the work assignment give to either a basic
level or an advanced level psychiatric mental health nurse?

a. Responding to telehealth calls
b. Providing psychotherapy for a new client
c. Performing clinical supervisory activities with a new nurse
d. Meeting with community leaders to expand advocacy for residents of a group
home for persistently mentally ill clients

Question 2

When the nurse begins the assessment interview with a client, aged 62 years, she notes that the client
gives answers to questions that seem somewhat vague or slightly unrelated to the question.

The
client also leans forward and frowns as she listens intently to the nurse. An appropriate question for
the nurse to ask would be
a. I notice you frowning. Are you feeling annoyed with me?
b. Are you able to hear clearly when I speak in this tone of voice?
c. How can I make this interview a bit easier for you?
d. You seem to be having some trouble focusing on what I'm saying. Is something
distracting you?

alvinum · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Telehealth is as a basic-level intervention suitable for basic level or advanced practice psychiatric
mental health nurses. The other options are reserved for advanced practice nurses.

Answer to Question 2

ANS: B
The client's behaviors indicate she may have difficulty hearing. Identifying any physical need the
client may have at the onset of the interview and making accommodations are important
considerations. Option A: The nurse is jumping to conclusions. Option C may not elicit a concrete
answer. Option D is a way of asking about the presence of auditory hallucinations, which is not
appropriate because the nurse has observed that the client seems to be listening intently to her.