A staff nurse completes orientation to a psychiatric unit. This ...

[Capo]

A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
 
  a. Conduct mental health assessments.
  b. Prescribe psychotropic medication.
  c. Establish therapeutic relationships.
  d. Individualize nursing care plans.

Question 2

A nurse is implementing the cognitivebehavioral approach to the care of a client with SPMI and recognizes the importance of enhancing self-esteem in members of this population. Which of the following statements is most likely to contribute to this goal?
 
  A) I'm going to stop reminding you when it's time to take a shower.
  B) Let's talk about why you have this pattern of going off your meds every few months.
  C) I would really like to see you get to the place where you can hold down a job.
  D) I was really impressed with how you handled that conflict in the kitchen.

[jlaineee]

Answer to Question 1

ANS: B
In most states, prescriptive privileges are granted to master's-prepared nurse practitioners who have taken special courses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning.

Answer to Question 2

Ans: D
Specifically identifying previous successes is likely to enhance self-esteem in a client with SPMI. Granting autonomy in decision making may indirectly help meet this goal, provided such autonomy results in positive outcomes. The nurse's statement of his or her goals for the client and discussions of past failures do not enhance self-esteem.

[Capo]

Excellent

[lcapri7]

TYSM