Progressive Care Nursing Certification (PCCN) Practice Exam

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What action should a nurse take if there is concern about a patient's mental health during hospitalization?

  1. Consult the case manager or social worker for support

  2. Evacuate patient from acute care setting

  3. Begin individual therapy sessions

  4. Document concerns in the medical record only

The correct answer is: Consult the case manager or social worker for support

In the scenario presented, consulting the case manager or social worker is the most appropriate action when there are concerns about a patient's mental health during hospitalization. This option acknowledges the importance of a multidisciplinary approach to patient care, especially regarding mental health issues. Both case managers and social workers have specialized training and resources to address psychosocial needs, facilitate access to mental health services, and coordinate care plans that involve various healthcare professionals. This collaboration can lead to more comprehensive support for the patient, which is essential in a hospital setting where mental well-being can significantly impact recovery and overall health. Other options, while they might seem relevant, do not provide the best course of action. Evacuating a patient from an acute care setting is usually unnecessary and could pose more risks. Starting individual therapy sessions demands specific qualifications and time that may not be available in the acute care setting. Merely documenting concerns without further action would neglect the immediate need for intervention and support for the patient. Therefore, involving a case manager or social worker presents a proactive and effective strategy to address mental health concerns appropriately.