The nurse working with a young woman who is depressed tries to ...

[geodog55]

The nurse working with a young woman who is depressed tries to cheer the client by being casual
  and humorous. At one point the client smiles. What assessment can be made?
 
  a. The nurse has succeeded in reaching the client and is on the way to cheering her.
  b. The use of distraction and humor can be added to the intervention list in the plan
  of care.
  c. The nurse has identified an approach that may prove useful in other, similar
  situations.
  d. The nurse needs to seek supervision because the approach described is not
  acceptable.

Question 2

A client states I don't understand all these levels of nurses..
 
  Which reply provides the client with
  accurate information? In contrast to the role of the psychiatric nurse prepared to provide basic and
  direct nursing care, the advanced practice psychiatric mental health nurse is exclusively able to
  a. provide mental health care if under the direct supervision of a physician..
  b. contract to provide mental health services for individuals or groups..
  c. participate in research projects if protocols have been approved by senior
  researchers..
  d. assist with medication management but not actually prescribe it..

[SAUXC]

Answer to Question 1

ANS: D
Clinical supervision will review the nurse's actions and thoughts and help the nurse arrive at a more
therapeutic approach. Attempts at cheering up a depressed client serve only to emphasize the
disparity between the client's mood and that of others. Active listening should be the technique used
by the nurse. Options A, B, and C suggest the approach is therapeutic when it is not.

Answer to Question 2

ANS: B
The only exclusive role of the advanced practice nurse mentioned in the options is contracting to
provide mental services to individuals or groups. Options A, C, and D are functions the nurse with
basic preparation can perform.

[geodog55]

TYSM

[AngeliqueG]

Excellent