The mother of a teenage boy who lives in a rural area is deeply concerned by his recent claims of "hearing voices in my head that I can't shut up."
The closest psychiatrist is 65 miles away in the nearest small city. Before traveling to the psychiatrist, the boy may be able to seek appropriate psychiatric care from which health professional for initial screening and treatment, with further referral if necessary?
A) Primary care physician
B) Advanced practice psychiatric nurse
C) Local clergyman
D) School counselor
Ans: B
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Advanced practice nurses work as independent prescribers in many states. They work in close partnership with psychiatrists, often as a client's keyworker, which means that they are the first point of contact for the client or his or her caregiver. They stay in regular contact with the client and are responsible for making sure that the care planned for him or her actually is delivered. Psychiatric nurses are trained in assessing a person's mental state and deciding whether he or she needs to see a psychiatrist for review of medication or other treatment.
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