, Varcarolis' Foundations of Psychiatric-Mental Health Nursing, 10th edition
CHAPTER LIST
UNIT I Foundations in Theory Chapter 18: Eating and Feeding Disorders
Chapter 1: Mental Health and Mental Illness Chapter 19: Sleep–Wake Disorders
Chapter 2: Theories and Therapies Chapter 20: Sexual Dysfunction Gender
Chapter 3: Psychobiology and Dysphoria and Paraphilic Disorders
Psychopharmacology Chapter 21: Impulse Control Disorders
UNIT II Foundations for Practice Chapter 22: Substance-Related and
Chapter 4: Treatment Settings Addictive Disorders
Chapter 5: Cultural Implications Chapter 23: Neurocognitive Disorders
Chapter 6: Ethical and Legal Considerations Chapter 24: Personality Disorders
UNIT III Psychosocial Nursing Tools UNIT V Trauma Interventions
Chapter 7: The Nursing Process and Chapter 25: Suicide and Nonsuicidal Self-
Standards of Care Injury
Chapter 8: Therapeutic Relationships Chapter 26: Crisis and Disaster
Chapter 9: Therapeutic Communication Chapter 27: Anger Aggression and Violence
Chapter 10: Stress Responses and Stress Chapter 28: Child Older Adult and Intimate
Management Partner Violence
UNIT IV Psychobiological Disorders Chapter 29: Sexual Assault
Chapter 11: Childhood and UNIT VI Interventions for Special
Neurodevelopmental Disorders Populations
Chapter 12: Schizophrenia Spectrum Chapter 30: Dying Death and Grieving
Disorders Chapter 31: Older Adults
Chapter 13: Bipolar and Related Disorders Chapter 32: Serious Mental Illness
Chapter 14: Depressive Disorders Chapter 33: Forensic Nursing
Chapter 15: Anxiety and Obsessive- UNIT VII Other Intervention Modalities
Compulsive Disorders Chapter 34: Therapeutic Groups
Chapter 16: Trauma- Stressor-Related and Chapter 35: Family Interventions
Dissociative Disorders Chapter 36: Integrative Care
Chapter 17: Somatic Symptom Disorders
, UNIT I: Foundations in Theory
Chapter 1: Mental Health and Mental Illness
1. Which concept best describes mental health across the lifespan according to psychiatric nursing principles?
A. A dynamic continuum influenced by biological, psychological, and environmental factors
B. The total absence of stress, cognitive conflict, or subjective emotional distress
C. A discrete state distinct from physical physiological processes
D. A fixed and permanent psychological baseline achieved in early adulthood
2. Which primary function does the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision
(DSM-5-TR) serve in clinical practice?
A. Classifying mental disorders based on specific criteria to guide clinical diagnosis
B. Establishing legal competency standards for involuntary psychiatric commitment
C. Outlining standardized nursing care plans and psychosocial interventions
D. Providing explicit prescriptive algorithms for psychiatric pharmacotherapy
3. Which core capability represents the fundamental scope of practice distinction between a generalist Registered Nurse
(RN) and an Advanced Practice Registered Nurse in psychiatric-mental health (PMH-APRN)?
A. Implementing milieu therapy and monitoring psychotropic medication adverse effects
B. Conducting formal individual and family psychotherapy and prescribing medications
C. Providing psychoeducation regarding stress management and relapse prevention
D. Performing comprehensive mental status examinations and suicide risk assessments
,4. Under the Mental Health Parity and Addiction Equity Act, which requirement must health insurance plans uphold
regarding psychiatric coverage?
A. Providing lifetime unlimited financial benefits for all substance use treatment programs
B. Ensuring financial requirements and treatment limits are no more restrictive than those for medical/surgical
benefits
C. Eliminating all copayments and deductibles for outpatient psychotherapy sessions
D. Mandating identical diagnostic criteria between physical illnesses and mental health conditions
5. A community health nurse evaluates protective factors in an adolescent exposed to significant adverse childhood
experiences (ACEs). Which observation indicates the highest level of resilience?
A. Complete suppression of emotional responses following major academic or social stressors
B. Rigid adherence to daily schedules without acknowledging interpersonal conflicts
C. Seeking complete independence and avoiding reliance on peer or familial support systems
D. Maintaining a strong supportive relationship with a dependable adult mentor and active problem-solving skills
6. A client recently diagnosed with major depressive disorder states, 'I don't want anyone at work to find out because
they will think I am weak and unable to do my job.' Which nursing response most therapeutically addresses this
concern?
A. 'You should keep your medical diagnosis completely confidential from your supervisor and colleagues.'
B. 'Why do you believe your colleagues would view your psychiatric illness so negatively?'
C. 'Everyone experiences severe stress at work, so your coworkers will likely understand your diagnosis.'
D. 'Depression is a medical condition caused by neurochemical and biological factors, not a personal weakness.'
7. A nurse in an outpatient clinic is caring for a client with a history of recurrent psychiatric hospitalizations. Which
nursing assessment finding represents an individual protective factor against disease relapse?
, A. Living in an isolated rural setting without public transportation options
B. Consistent adherence to outpatient psychiatric appointments and medication regimens
C. Reliance on emergency departments for acute symptomatic crisis management
D. Belief that mental health recovery depends entirely on external life circumstances
8. A newly admitted client asks the nurse, 'Does having a DSM-5-TR diagnosis mean the doctors know exactly which
medication will cure me?' Which explanation by the nurse is most accurate?
A. 'No, the DSM-5-TR identifies symptom clusters to establish a diagnosis, but individualized treatment plans are
tailored by the team.'
B. 'The manual is used exclusively by researchers and has no relevance to clinical treatment decisions.'
C. 'Yes, the DSM-5-TR establishes specific pharmacologic guidelines for every mental disorder.'
D. 'The DSM-5-TR only determines how long your insurance provider will pay for hospitalization.'
9. An adult client who experienced parental substance abuse and neglect during childhood presents for wellness
screening. In applying the biopsychosocial model, which nursing inquiry addresses the social domain?
A. 'How would you describe your current community connections and personal support network?'
B. 'Do you have a personal history of medical conditions such as hypertension or diabetes?'
C. 'Have you experienced any changes in your sleeping patterns or physical energy levels?'
D. 'What internal coping mechanisms do you employ when experiencing severe anxiety?'
10. A nurse reviews epidemiological data indicating that nearly one in five adults in the United States lives with a mental
illness, yet less than half receive treatment. Which systemic barrier represents the primary target for public health
nursing interventions?
A. State-level legal prohibitions against telehealth psychiatric consultations
B. Social stigma, limited psychiatric provider distribution, and financial/insurance coverage disparities
C. The complete absence of validated diagnostic screening instruments in primary care
, D. Universal reluctance among primary care providers to address emotional well-being
11. A psychiatric nurse manager is auditing the clinical practice of staff RNs on an acute behavioral health unit. Which
action by a staff generalist RN represents a deviation outside their professional scope of practice?
A. Collaborating with the multidisciplinary team to update the patient's individualized nursing care plan
B. Conducting formal, unstructured psychodynamic insight-oriented psychotherapy sessions with an individual client
C. Administering prescribed oral and parenteral psychotropic medications and evaluating for adverse effects
D. Initiating psychoeducational group sessions focusing on stress-reduction techniques
12. When evaluating a client's progression along the mental health-mental illness continuum, which outcome metric
most definitively demonstrates a transition toward higher-level mental wellness?
A. Isolation from external social environments to avoid potential interpersonal friction
B. Passive compliance with all directives without expressing personal opinions or needs
C. Total denial of subjective negative emotional experiences during life transitions
D. Demonstration of effective coping strategies, occupational role performance, and fulfilling relationships
13. A nurse is conducting a comprehensive psychosocial intake on a college student. Which factors are recognized as
individual risk factors that can predispose a client to mental illness? (Select all that apply.)
A. High levels of emotional intelligence and strong cognitive problem-solving skills
B. Chronic exposure to severe social discrimination or economic hardship
C. Genetic vulnerability and family history of psychiatric disorders
D. History of adverse childhood experiences (ACEs) including physical abuse
E. Neurochemical dysregulation and neurobiological structural alterations
14. Which elements are foundational components of the biopsychosocial assessment framework utilized in psychiatric-
mental health nursing? (Select all that apply.)
, A. Interpersonal relationships, cultural beliefs, and family dynamics
B. Mandatory assumption that all psychiatric symptoms originate strictly from organic brain lesions
C. Coping mechanisms, cognitive appraisal styles, and self-esteem
D. Physiological vital signs, medical history, and sleep-wake cycles
E. Socioeconomic status, housing stability, and community resources
15. A public health psychiatric nurse is planning community initiatives to reduce mental health stigma. Which strategies
are evidence-based for decreasing public and structural stigma? (Select all that apply.)
A. Promoting direct contact and dialogue between community members and individuals living with mental illness
B. Educating the public that mental health conditions are treatable medical illnesses with biological contributors
C. Segregating psychiatric treatment facilities to remote rural areas to preserve community privacy
D. Advocating for legislative policies that support equal insurance coverage for psychiatric treatments
E. Training healthcare workers in cultural humility and destigmatizing clinical language
16. Which practice activities are fully within the standard scope of clinical practice for a generalist Registered Nurse (RN)
caring for patients with psychiatric disorders? (Select all that apply.)
A. Administering psychotropic medications and monitoring for therapeutic and adverse responses
B. Performing safety assessments and maintaining a secure therapeutic milieu
C. Prescribing first-line psychotropic medications during acute agitation
D. Formulating nursing diagnoses and establishing measurable patient-centered goals
E. Providing psychoeducation to clients and families regarding symptom management
17. A nurse assesses an adult client who demonstrates high resilience despite enduring recent job loss and marital
separation. Which clinical findings reflect adaptive resilience? (Select all that apply.)
A. Viewing difficulties as opportunities for growth and maintaining realistic optimism
B. Engaging in proactive problem-solving to address practical living obstacles
, C. Complete absence of any grief, sadness, or anxiety during life disruptions
D. Utilizing social support networks rather than isolating when facing challenges
E. Ability to recognize and regulate intense emotional reactions effectively
18. The capacity of an individual to successfully adapt to acute or chronic adversity, severe stress, or trauma by
maintaining psychological equilibrium and functional role performance is termed ________.
19. The comprehensive classification and diagnostic system published by the American Psychiatric Association that
defines explicit criteria for psychiatric disorders across the lifespan is the ________.
20. Match each psychiatric-mental health nursing concept in Column A with its correct definition or clinical description in
Column B.
Column A (Concept) Column B (Definition/Description)
1. Epidemiology A. The capacity to adapt positively and rebound from
significant trauma or stress
2. Resilience B. The quantitative study of the distribution and
determinants of mental disorders in human
populations
3. Internalized Stigma C. Legislation mandating equal health insurance
coverage for mental health and medical conditions
4. Biopsychosocial Model D. Acceptance and absorption of negative societal
stereotypes leading to shame and low self-worth
,Column A (Concept) Column B (Definition/Description)
5. Mental Health Parity E. Holistic framework analyzing biological,
psychological, and sociocultural interactions in health
21. A nurse reviews the following community mental health intake record for a 34-year-old client:
Assessment Domain Clinical Findings
Medical/Biological Chronic migraine headaches; denies chronic illness;
sleep 5 hrs/night
Psychological Endorses feelings of hopelessness following divorce;
low self-esteem
Social/Environmental Unemployed for 3 months; severed ties with family;
no local friendships
Strengths/Protective High school diploma; motivated to seek job training;
verbalizes desire for change
Based on this biopsychosocial assessment, which area represents the most immediate target for community nursing
intervention to enhance social protective factors?
, A. Administering an IQ assessment to determine cognitive learning limitations
B. Advising the client to relocate to a different state to avoid memories of the divorce
C. Ordering prescription preventative pharmacotherapy for chronic migraine headaches
D. Connecting the client to local peer support groups and vocational rehabilitation services
22. A nurse reviews an interdisciplinary clinical audit summarizing the scope of practice documentation across an
inpatient behavioral health unit:
Staff Member Charted Intervention
Staff RN 1 Conducted suicide risk assessment and placed patient
on 15-minute safety checks
Staff RN 2 Administered scheduled olanzapine and documented
baseline metabolic vitals
Staff RN 3 Changed patient's escitalopram dosage from 10 mg
to 20 mg daily following rounds
PMH-APRN Conducted 45-minute individual cognitive-behavioral
psychotherapy session
Which documented action indicates a regulatory compliance violation regarding professional nursing scope of practice?
A. Staff RN 1 initiating suicide risk assessment and implementing safety monitoring
B. PMH-APRN conducting an individual cognitive-behavioral psychotherapy session
C. Staff RN 2 administering prescribed psychotropic medication and monitoring vital signs
D. Staff RN 3 altering the daily medication dosage independently in the medical record
CHAPTER LIST
UNIT I Foundations in Theory Chapter 18: Eating and Feeding Disorders
Chapter 1: Mental Health and Mental Illness Chapter 19: Sleep–Wake Disorders
Chapter 2: Theories and Therapies Chapter 20: Sexual Dysfunction Gender
Chapter 3: Psychobiology and Dysphoria and Paraphilic Disorders
Psychopharmacology Chapter 21: Impulse Control Disorders
UNIT II Foundations for Practice Chapter 22: Substance-Related and
Chapter 4: Treatment Settings Addictive Disorders
Chapter 5: Cultural Implications Chapter 23: Neurocognitive Disorders
Chapter 6: Ethical and Legal Considerations Chapter 24: Personality Disorders
UNIT III Psychosocial Nursing Tools UNIT V Trauma Interventions
Chapter 7: The Nursing Process and Chapter 25: Suicide and Nonsuicidal Self-
Standards of Care Injury
Chapter 8: Therapeutic Relationships Chapter 26: Crisis and Disaster
Chapter 9: Therapeutic Communication Chapter 27: Anger Aggression and Violence
Chapter 10: Stress Responses and Stress Chapter 28: Child Older Adult and Intimate
Management Partner Violence
UNIT IV Psychobiological Disorders Chapter 29: Sexual Assault
Chapter 11: Childhood and UNIT VI Interventions for Special
Neurodevelopmental Disorders Populations
Chapter 12: Schizophrenia Spectrum Chapter 30: Dying Death and Grieving
Disorders Chapter 31: Older Adults
Chapter 13: Bipolar and Related Disorders Chapter 32: Serious Mental Illness
Chapter 14: Depressive Disorders Chapter 33: Forensic Nursing
Chapter 15: Anxiety and Obsessive- UNIT VII Other Intervention Modalities
Compulsive Disorders Chapter 34: Therapeutic Groups
Chapter 16: Trauma- Stressor-Related and Chapter 35: Family Interventions
Dissociative Disorders Chapter 36: Integrative Care
Chapter 17: Somatic Symptom Disorders
, UNIT I: Foundations in Theory
Chapter 1: Mental Health and Mental Illness
1. Which concept best describes mental health across the lifespan according to psychiatric nursing principles?
A. A dynamic continuum influenced by biological, psychological, and environmental factors
B. The total absence of stress, cognitive conflict, or subjective emotional distress
C. A discrete state distinct from physical physiological processes
D. A fixed and permanent psychological baseline achieved in early adulthood
2. Which primary function does the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision
(DSM-5-TR) serve in clinical practice?
A. Classifying mental disorders based on specific criteria to guide clinical diagnosis
B. Establishing legal competency standards for involuntary psychiatric commitment
C. Outlining standardized nursing care plans and psychosocial interventions
D. Providing explicit prescriptive algorithms for psychiatric pharmacotherapy
3. Which core capability represents the fundamental scope of practice distinction between a generalist Registered Nurse
(RN) and an Advanced Practice Registered Nurse in psychiatric-mental health (PMH-APRN)?
A. Implementing milieu therapy and monitoring psychotropic medication adverse effects
B. Conducting formal individual and family psychotherapy and prescribing medications
C. Providing psychoeducation regarding stress management and relapse prevention
D. Performing comprehensive mental status examinations and suicide risk assessments
,4. Under the Mental Health Parity and Addiction Equity Act, which requirement must health insurance plans uphold
regarding psychiatric coverage?
A. Providing lifetime unlimited financial benefits for all substance use treatment programs
B. Ensuring financial requirements and treatment limits are no more restrictive than those for medical/surgical
benefits
C. Eliminating all copayments and deductibles for outpatient psychotherapy sessions
D. Mandating identical diagnostic criteria between physical illnesses and mental health conditions
5. A community health nurse evaluates protective factors in an adolescent exposed to significant adverse childhood
experiences (ACEs). Which observation indicates the highest level of resilience?
A. Complete suppression of emotional responses following major academic or social stressors
B. Rigid adherence to daily schedules without acknowledging interpersonal conflicts
C. Seeking complete independence and avoiding reliance on peer or familial support systems
D. Maintaining a strong supportive relationship with a dependable adult mentor and active problem-solving skills
6. A client recently diagnosed with major depressive disorder states, 'I don't want anyone at work to find out because
they will think I am weak and unable to do my job.' Which nursing response most therapeutically addresses this
concern?
A. 'You should keep your medical diagnosis completely confidential from your supervisor and colleagues.'
B. 'Why do you believe your colleagues would view your psychiatric illness so negatively?'
C. 'Everyone experiences severe stress at work, so your coworkers will likely understand your diagnosis.'
D. 'Depression is a medical condition caused by neurochemical and biological factors, not a personal weakness.'
7. A nurse in an outpatient clinic is caring for a client with a history of recurrent psychiatric hospitalizations. Which
nursing assessment finding represents an individual protective factor against disease relapse?
, A. Living in an isolated rural setting without public transportation options
B. Consistent adherence to outpatient psychiatric appointments and medication regimens
C. Reliance on emergency departments for acute symptomatic crisis management
D. Belief that mental health recovery depends entirely on external life circumstances
8. A newly admitted client asks the nurse, 'Does having a DSM-5-TR diagnosis mean the doctors know exactly which
medication will cure me?' Which explanation by the nurse is most accurate?
A. 'No, the DSM-5-TR identifies symptom clusters to establish a diagnosis, but individualized treatment plans are
tailored by the team.'
B. 'The manual is used exclusively by researchers and has no relevance to clinical treatment decisions.'
C. 'Yes, the DSM-5-TR establishes specific pharmacologic guidelines for every mental disorder.'
D. 'The DSM-5-TR only determines how long your insurance provider will pay for hospitalization.'
9. An adult client who experienced parental substance abuse and neglect during childhood presents for wellness
screening. In applying the biopsychosocial model, which nursing inquiry addresses the social domain?
A. 'How would you describe your current community connections and personal support network?'
B. 'Do you have a personal history of medical conditions such as hypertension or diabetes?'
C. 'Have you experienced any changes in your sleeping patterns or physical energy levels?'
D. 'What internal coping mechanisms do you employ when experiencing severe anxiety?'
10. A nurse reviews epidemiological data indicating that nearly one in five adults in the United States lives with a mental
illness, yet less than half receive treatment. Which systemic barrier represents the primary target for public health
nursing interventions?
A. State-level legal prohibitions against telehealth psychiatric consultations
B. Social stigma, limited psychiatric provider distribution, and financial/insurance coverage disparities
C. The complete absence of validated diagnostic screening instruments in primary care
, D. Universal reluctance among primary care providers to address emotional well-being
11. A psychiatric nurse manager is auditing the clinical practice of staff RNs on an acute behavioral health unit. Which
action by a staff generalist RN represents a deviation outside their professional scope of practice?
A. Collaborating with the multidisciplinary team to update the patient's individualized nursing care plan
B. Conducting formal, unstructured psychodynamic insight-oriented psychotherapy sessions with an individual client
C. Administering prescribed oral and parenteral psychotropic medications and evaluating for adverse effects
D. Initiating psychoeducational group sessions focusing on stress-reduction techniques
12. When evaluating a client's progression along the mental health-mental illness continuum, which outcome metric
most definitively demonstrates a transition toward higher-level mental wellness?
A. Isolation from external social environments to avoid potential interpersonal friction
B. Passive compliance with all directives without expressing personal opinions or needs
C. Total denial of subjective negative emotional experiences during life transitions
D. Demonstration of effective coping strategies, occupational role performance, and fulfilling relationships
13. A nurse is conducting a comprehensive psychosocial intake on a college student. Which factors are recognized as
individual risk factors that can predispose a client to mental illness? (Select all that apply.)
A. High levels of emotional intelligence and strong cognitive problem-solving skills
B. Chronic exposure to severe social discrimination or economic hardship
C. Genetic vulnerability and family history of psychiatric disorders
D. History of adverse childhood experiences (ACEs) including physical abuse
E. Neurochemical dysregulation and neurobiological structural alterations
14. Which elements are foundational components of the biopsychosocial assessment framework utilized in psychiatric-
mental health nursing? (Select all that apply.)
, A. Interpersonal relationships, cultural beliefs, and family dynamics
B. Mandatory assumption that all psychiatric symptoms originate strictly from organic brain lesions
C. Coping mechanisms, cognitive appraisal styles, and self-esteem
D. Physiological vital signs, medical history, and sleep-wake cycles
E. Socioeconomic status, housing stability, and community resources
15. A public health psychiatric nurse is planning community initiatives to reduce mental health stigma. Which strategies
are evidence-based for decreasing public and structural stigma? (Select all that apply.)
A. Promoting direct contact and dialogue between community members and individuals living with mental illness
B. Educating the public that mental health conditions are treatable medical illnesses with biological contributors
C. Segregating psychiatric treatment facilities to remote rural areas to preserve community privacy
D. Advocating for legislative policies that support equal insurance coverage for psychiatric treatments
E. Training healthcare workers in cultural humility and destigmatizing clinical language
16. Which practice activities are fully within the standard scope of clinical practice for a generalist Registered Nurse (RN)
caring for patients with psychiatric disorders? (Select all that apply.)
A. Administering psychotropic medications and monitoring for therapeutic and adverse responses
B. Performing safety assessments and maintaining a secure therapeutic milieu
C. Prescribing first-line psychotropic medications during acute agitation
D. Formulating nursing diagnoses and establishing measurable patient-centered goals
E. Providing psychoeducation to clients and families regarding symptom management
17. A nurse assesses an adult client who demonstrates high resilience despite enduring recent job loss and marital
separation. Which clinical findings reflect adaptive resilience? (Select all that apply.)
A. Viewing difficulties as opportunities for growth and maintaining realistic optimism
B. Engaging in proactive problem-solving to address practical living obstacles
, C. Complete absence of any grief, sadness, or anxiety during life disruptions
D. Utilizing social support networks rather than isolating when facing challenges
E. Ability to recognize and regulate intense emotional reactions effectively
18. The capacity of an individual to successfully adapt to acute or chronic adversity, severe stress, or trauma by
maintaining psychological equilibrium and functional role performance is termed ________.
19. The comprehensive classification and diagnostic system published by the American Psychiatric Association that
defines explicit criteria for psychiatric disorders across the lifespan is the ________.
20. Match each psychiatric-mental health nursing concept in Column A with its correct definition or clinical description in
Column B.
Column A (Concept) Column B (Definition/Description)
1. Epidemiology A. The capacity to adapt positively and rebound from
significant trauma or stress
2. Resilience B. The quantitative study of the distribution and
determinants of mental disorders in human
populations
3. Internalized Stigma C. Legislation mandating equal health insurance
coverage for mental health and medical conditions
4. Biopsychosocial Model D. Acceptance and absorption of negative societal
stereotypes leading to shame and low self-worth
,Column A (Concept) Column B (Definition/Description)
5. Mental Health Parity E. Holistic framework analyzing biological,
psychological, and sociocultural interactions in health
21. A nurse reviews the following community mental health intake record for a 34-year-old client:
Assessment Domain Clinical Findings
Medical/Biological Chronic migraine headaches; denies chronic illness;
sleep 5 hrs/night
Psychological Endorses feelings of hopelessness following divorce;
low self-esteem
Social/Environmental Unemployed for 3 months; severed ties with family;
no local friendships
Strengths/Protective High school diploma; motivated to seek job training;
verbalizes desire for change
Based on this biopsychosocial assessment, which area represents the most immediate target for community nursing
intervention to enhance social protective factors?
, A. Administering an IQ assessment to determine cognitive learning limitations
B. Advising the client to relocate to a different state to avoid memories of the divorce
C. Ordering prescription preventative pharmacotherapy for chronic migraine headaches
D. Connecting the client to local peer support groups and vocational rehabilitation services
22. A nurse reviews an interdisciplinary clinical audit summarizing the scope of practice documentation across an
inpatient behavioral health unit:
Staff Member Charted Intervention
Staff RN 1 Conducted suicide risk assessment and placed patient
on 15-minute safety checks
Staff RN 2 Administered scheduled olanzapine and documented
baseline metabolic vitals
Staff RN 3 Changed patient's escitalopram dosage from 10 mg
to 20 mg daily following rounds
PMH-APRN Conducted 45-minute individual cognitive-behavioral
psychotherapy session
Which documented action indicates a regulatory compliance violation regarding professional nursing scope of practice?
A. Staff RN 1 initiating suicide risk assessment and implementing safety monitoring
B. PMH-APRN conducting an individual cognitive-behavioral psychotherapy session
C. Staff RN 2 administering prescribed psychotropic medication and monitoring vital signs
D. Staff RN 3 altering the daily medication dosage independently in the medical record
