The nurse at a community mental health clinic is planning to refer patients to various members of the community-based recovery team. Which patient would the nurse refer to the psychiatrist?
1. An anxious patient who would benefit from group therapy
2. A patient with schizophrenia who has housing and employment issues
3. A patient with bipolar disorder who is experiencing frequent mood cycling
4. A patient newly diagnosed with panic disorder who needs psychoeducation
Answer: 3
Explanation: The psychiatrist in a community mental health team usually conducts medication evaluations and prescribes the appropriate medications to help control symptoms. Although the psychiatrist may provide some psychoeducation, providing psychoeducation is within the scope of practice of the nurse and would not necessarily require a referral. Although the psychiatrist may lead group therapy, group therapy may be led by an advanced practice nurse or other clinician who is appropriately trained and certified. Case management services that include addressing housing and employment issues are provided by a case manager, who may belong to a variety of mental health disciplines including nursing and social work.
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A nurse knows that patients with "invisible" disabilities like chronic pain often feel that their chronic conditions are more challenging to deal with than more visible disabilities. Why would they feel this way?
A) Invisible disabilities create negative attitudes in the health care community. B) Despite appearances, invisible disabilities can be as disabling as visible disabilities. C) Disabilities, such as chronic pain, are apparent to the general population. D) Disabilities. Such as chronic pain, may not be curable, unlike visible disabilities.
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely to provide for a patient?
a. Hygiene assistance b. Diversional activities c. Assistance with job hunting d. Building assertiveness skills
When assessing the skin of a client for squamous cell carcinoma (SCC), the nurse would observe for:
A) a lesion with a telangiectasis. B) a nonhealing sore that bleeds easily. C) a blue, brown, or black lesion. D) a mole with an irregular border.
When applying transdermal patches, the nurse must _____ the application site to reduce the incidence of a localized skin reaction
Fill in the blank(s) with correct word