The psychiatric–mental health nurse's scope of practice includes:
1. Developing a comfortable relationship with the client.
2. Establishing a routine for clients to manage basic life issues of eating, sleeping, grooming, and hygiene.
3. Identifying client reasons for failure to comply with recommended treatments.
4. Exploring the meaning of life experiences such as birth and death, losses, life course changes, and human rights.
4
Rationale: The nurse's key role is to help clients examine a full range of life experiences in more satisfying ways, learn new patterns of coping with stress, and generally enhance the quality of their lives and social worlds. Focusing on failure of compliance undervalues concepts of human choice and empowerment within the nurse–client relationship. The goal of the nurse–client relationship is to create a therapeutic rather than a comfortable relationship. The scope of the nurse's role includes understanding and facilitating exploration of client issues related to basic functions rather than assuming that issues need to be managed and understood separate from the holistic view of the person.
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The mother of a 4-year-old child reports daily episodes of encopresis, and that many of the children at the preschool make fun of her child. What is the best strategy for the nurse to use as an advocate?
1. Discuss with the mother ways to conceal the child's diapers. 2. Encourage the mother to dress the child in dark pants. 3. Tell the mother to keep the child at home until potty-trained. 4. Call the school nurse and teacher while the parent is in the office to discuss the situation and identify possible solutions.
Based on this description, what is the most likely diagnosis of the type of headache?
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over-the-counter analgesic and this results in resolution of the headache. A) Tension B) Migraine C) Cluster D) Analgesic rebound
A patient visiting from Puerto Rico has become psychotic while staying with family here in the United States. When conducting the mental status examination, the nurse remembers that:
a. sociocultural factors may greatly affect the examination. b. liking the patient as a person is important to the outcome. c. an interpreter may help facilitate the verbal portion of the examination. d. biological expressions of psychiatric illness are not relevant to someone from another culture.
The nurse asked to identify the most likely infestation site of helminths would be correct in identifying the:
1. lungs. 2. intestine. 3. eyes. 4. feet.