Which of the following security concerns is also a sentinel event that must be reported?
- A. A possible vulnerability of the facility's information technology to hacking
- B. The assisted suicide of a client in your facility by the spouse of the client
- C. Vulnerability to computer hacking
- D. Potential information theft
Correct Answer: B
Rationale: Assisted suicide is a sentinel event requiring reporting.
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An adult has a history of physical violence against family when frustrated, followed by periods of remorse after each outburst. Which finding indicates a successful plan of care? The adult:
- A. expresses frustration verbally instead of physically.
- B. explains the rationale for behaviors to the victim.
- C. identifies three personal strengths.
- D. agrees to seek counseling.
Correct Answer: A
Rationale: The patient will have developed a healthier way of coping with frustration if it is expressed verbally instead of physically. The incorrect options do not confirm achievement of outcomes.
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?
- A. Only the APRN-PMH is responsible for milieu management.
- B. The APRN-PMH exercises a greater degree of autonomy when providing care.
- C. Only the RN-PMH provides medication education to the client.
- D. The RN-PMH has less experience working with the mentally ill.
Correct Answer: B
Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians.
Incorrect choices:
A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings.
C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education.
D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.
nresolved conflicts during a psychosexual stage is called
- A. Repression
- B. Fixation
- C. Sublimation
- D. Projection
Correct Answer: B
Rationale: Fixation (Freud) occurs when unresolved conflicts halt development at a psychosexual stage.
You are a registered nurse who is performing the role of a case manager in your hospital. You have been asked to present a class to newly employed nurses about your role, your responsibilities and how they can collaborate with you as the case manager. Which of the following is a primary case management responsibility associated with reimbursement that you should you include in this class?
- A. The case manager's role in terms of organization wide performance improvement activities
- B. The case manager's role in terms complete, timely and accurate documentation
- C. The case manager's role in terms of the clients' being at the appropriate level of care
- D. The case manager's role in terms of contesting denied reimbursements
Correct Answer: B
Rationale: Accurate documentation directly impacts reimbursement processes.
hen sociologists study the structure of layers in society and peoples movement between them, they call this
- A. Social stratification
- B. Social conflict
- C. Social solidarity
- D. Social control
Correct Answer: A
Rationale: Social stratification studies societal layers (e.g., class) and mobility between them.
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