A 15-year-old was referred to a residential program after an ...

[clippers!]

A 15-year-old was referred to a residential program after an arrest for theft and multiple episodes of running away from home. At the program, the adolescent refused to participate in scheduled activities and pushed a staff member, causing a fall.
 
  Which approach by nursing staff will be most therapeutic? a. Neutrally permit refusals.
  b. Offer rewards in advance.
  c. Plead for compliance.
  d. Establish firm limits.

Question 2

The scope of practice for an advanced practice psychiatric nurse adds which interventions beyond the basic level? You may select more than one answer.
 
  a. Perform mental health assessment interviews
  b. Prescribe psychotropic medication
  c. Establish therapeutic relationships
  d. Consultation with other clinicians
  e. Psychotherapy

[fromAlphatoOmega22]

Answer to Question 1

D
Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teen's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, pleading, and bargaining are strategies that do not help the patient learn to abide by rules or structure.

Answer to Question 2

B, D, E
Prescriptive privileges are granted to masters-prepared nurse practitioners who have taken special courses on prescribing medication. This nurse is also credentialed to consult with other clinicians and provide psychotherapy. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning.