Registered Practical Nurse (RPN) Practice Test

Which of the following actions by a nurse best reflects Standard II in psychiatric mental health nursing?

1. Evaluating a patient's dietary needs

2. Withholding medication due to adverse lab results

3. Encouraging family involvement in care

4. Documenting patient's progress in a record

The correct answer is: Withholding medication due to adverse lab results

The action that best reflects Standard II in psychiatric mental health nursing involves the critical assessment of a patient's condition and the decision-making process related to their care. Withholding medication due to adverse lab results indicates that the nurse is using clinical judgment to protect the patient's health and safety. This reflects a commitment to ensuring that interventions are appropriate and beneficial for the patient, in line with standard practices in psychiatric care. In this context, Standard II emphasizes the importance of comprehensive assessment and the necessity of intervention based on a thorough evaluation of the patient's health status. By withholding medication, the nurse demonstrates a proactive approach to prevent potential harm, showcasing the nurse's responsibility in maintaining the integrity of patient care. The other actions, while relevant to nursing practice, do not specifically highlight the critical evaluation and decision-making aspect that aligns with Standard II. Involving families is essential but is more related to support and communication strategies rather than direct clinical assessment. Evaluating dietary needs and documenting patient progress are important tasks, yet they do not reflect the same level of clinical decision-making about medications based on lab results. This understanding is vital for nursing professionals in ensuring they meet the standards of care in their practice effectively.