The clinical nurse specialist meets with the interdisciplinary ...

[james]

The clinical nurse specialist meets with the interdisciplinary staff members planning care for a client
  with borderline personality disorder hospitalized on a surgical unit after a suicide attempt.
 
  The staff
  members are seeking ways to prevent the client from manipulating and splitting staff. The clinical
  specialist offers several suggestions for interventions. The clinical specialist is intervening by
  providing
  a. basic-level client interventions.
  b. complementary interventions.
  c. liaison consultation.
  d. expanded advocacy.

Question 2

The clinical nurse specialist meets with a client receiving lithium. The nurse tells the client that her
  lithium level is 0.6 mEq/L, a finding in the desirable range.
 
  The nurse reinforces the importance of
  continuing to take the lithium as directed and the need to drink adequate amounts of fluids. This
  action is part of the advanced practice intervention of
  a. psychotherapy.
  b. consultation.
  c. prescriptive authority.
  d. complementary interventions.

[Expo]

Answer to Question 1

ANS: C
This interaction with the surgical team is an example of liaison consultation activity on the part of
the clinical specialist. Option A: This intervention is beyond the basic-level interventions oriented to
the individual client, such as counseling, milieu therapy, and promotion of self-care activities.
Option B: Complementary interventions refer to alternative and complementary therapies such as
massage and the use of herbal preparations. Option D: No recognized intervention category of
expanded advocacy exists.

Answer to Question 2

ANS: C
Monitoring laboratory tests for serum lithium level and interpreting results for the client is an
advanced practice level nursing intervention associated with prescriptive authority and treatment.
Option A: Psychotherapy refers to individual, group, or family therapy. Option B: Consultation
refers to providing clinical feedback to nurses or other disciplines to enhance the treatment of clients
or systems issues. Option D: Complementary interventions refer to the use of alternative therapies.