A nurse generalist and advanced practice nurse both work on the staff of an inpatient unit. The advanced practice nurse has a comprehensive role as a primary caregiver in child psychiatry
Which of the following will be performed by the advanced practice nurse but not by the nurse generalist? 1. Explaining the treatment plan to a family
2. Performing admission assessments
3. Participating in discharge planning
4. Providing one-to-one counseling
4
Rationale: Child psychiatric–mental health nurses are involved in treatment, consultation, education, and medication supervision and are the mainstay of hospital treatment programs where they are responsible for daily treatment plans, ongoing one-to-one or group counseling, and management of the child's medication regimen. You will see advanced practice nurses as the primary caregivers for children with mental health problems, providing direct psychotherapy, working with the family, and managing the child's medications.
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Which of the following statements is true regarding decision making?
A) Scientific methods provide identical decisions by different individuals for the same problems. B) Decisions are greatly influenced by each person's value system. C) Personal beliefs can be adjusted for when the scientific approach to problem solving is used. D) Past experience has little to do with the quality of the decision.
Which of the following personality disorders has an increased risk of abuse associated with it?
A) Histrionic B) Dependent C) Schizoid D) Borderline
A 24-year-old woman is admitted to the hospital for a complete medical examination. Her current complaints are indicative of systemic lupus erythematosus (SLE). Which of the fol-lowing symptoms would indicate this diagnosis?
1. Recent weight gain of 10 pounds 2. Difficulty breathing in the morning 3. Frequent episodes of diarrhea 4. Musculoskeletal pain in the hands
A client diagnosed with Huntington's disease asks about the progression of the disease. When explaining the long-term effects, the nurse states that:
A) People with HD become euphoric as the disease progresses. B) All people with HD will eventually speak in a foreign accent as the disease progresses. C) Dementia will appear in all people with HD. D) Ictal psychosis will last for three days following diagnosis.