Question 1

If the nurse was assessing the client from primarily a 19^th century perspective, in which dimension Would the nurse most likely focus data collection?

Accepted Answer

During the 19th century, healthcare focused primarily on physical aspects of health and illness. Therefore, the nurse would most likely focus data collection on the physical dimension.

Question 2

The psychiatric-mental health nurse is planning a personal program of continuing education in order to better meet the challenges of the future in psychiatric nursing practice. What areas should be included in the nurse's plan for continuing education?
Select all that apply.

Accepted Answer

All these areas are relevant for continuing education in psychiatric nursing. Genetic research and psychobiology are important for understanding the biological aspects of mental health. The physical health of psychiatric clients is crucial as mental and physical health are interconnected. Psychiatric nursing care in nontraditional settings is increasingly relevant due to changes in healthcare delivery. Psychopharmacology is essential for understanding medication management in psychiatric care.

Question 3

The psychiatric-mental health nurse is reflecting on professional role activities and is referred to the standards of professional performance. To which organization should the nurse look for guidance?

Accepted Answer

The American Nurses Association (ANA) sets the standards of professional performance for nurses, including psychiatric-mental health nurses. The North American Nursing Diagnosis Association (NANDA) focuses primarily on diagnosis and classification of health problems. The National League for Nursing (NLN) is a professional nursing organization that focuses on nursing education. The American Nurses Credentialing Center (ANCC) offers certification and credentialing programs for nurses but does not provide standards of professional performance.

Question 4

The nurse is writing a scholarly paper on early nursing leaders who made major contributions to the development of the multifaceted psychiatric nursing role of today. When writing the paper, the nurse should include which of the following nurses?
Select all that apply.

Accepted Answer

Frances Sleeper, Hildegard Peplau, and Gwen Tudor (Will) were all early nursing leaders who made major contributions to the development of the multifaceted psychiatric nursing role of today.

Question 5

Upon the client's arrival on the patient care unit, the nurse begins implementation of the nursing process. By using the nursing process, the nurse's practice is most reflective on which nursing theorist?

Accepted Answer

Hildegard Peplau is known for her development of the Interpersonal Relations Theory, which emphasizes the importance of the nurse-client relationship in the nursing process.

Question 6

The nurse is reflecting on psychiatric nursing care in the 19^th century. Which nursing diagnosis is most consistent with the focus of psychiatric nursing care during the 19^th century?

Accepted Answer

During the 19th century, psychiatric nursing care was primarily focused on basic needs and physical care, which aligns with the nursing diagnosis of "Self-care deficit." This reflects the period's emphasis on custodial care rather than understanding or treating mental health conditions' psychological aspects.

Question 7

The nurse is part of a mental health team and is having some role issues regarding how best to facilitate client progress toward therapeutic goals. What is the priority action by the nurse in order to aid the work of the team as they assist the client?

Accepted Answer

Determining personal values, biases, and goals is an important step in addressing role issues because it allows the nurse to identify and manage any factors that may interfere with client progress. This self-awareness also allows the nurse to work collaboratively with the team, recognizing the diverse perspectives and contributions of each member. While attending team meetings is important, it may not address the root of the role issues. Conflict is natural and expected, but it is not the priority action in this scenario.

Question 8

The unit manager is consistently advocating for self-awareness among the psychiatric-mental health nursing staff in order to promote quality care. From which theoretical base is the unit manager operating?

Accepted Answer

The unit manager's focus on self-awareness among the psychiatric-mental health nursing staff aligns with Jean Watson's theory of human caring, which emphasizes the importance of developing a deep understanding of both oneself and the patient in order to promote healing and quality care. Sister Callista Roy's adaptation theory, Martha Rogers's principles of homeodynamics, and Dorothea Orem's theory of self-care do not necessarily relate directly to the importance of self-awareness among nurses.

Question 9

The nurse is writing a care plan for a client with schizophrenia. Which of the following interventions demonstrates that the nurse is working from the Medical model?

Accepted Answer

The medical model of care for schizophrenia primarily focuses on the use of medications to manage symptoms. Option A focuses on cognitive-behavioral interventions to interrupt hallucinations, option C focuses on social skills training, and option D focuses on identifying responsible ways to manage delusions, all of which are more aligned with psychosocial models of care.

Question 10

The charge nurse is reviewing the care plans for the clients on the unit. In several care plans, the nurse has noted that the words noncompliant and manipulative have been used to describe those clients with severe mental illness. The nurse plans on discussing this with the staff at the next unit meeting. Which of the following responses will demonstrate the charge nurse's personal accountability to the staff?

Accepted Answer

This response demonstrates the charge nurse's personal accountability to the staff by asking an open-ended question that encourages critical thinking and reflection about the negative connotations associated with using words like "noncompliant" and "manipulative." It also addresses the potential stigma towards persons with mental illness and encourages staff to consider alternative, more respectful language. The other answer choices do not address the issue in a constructive or educational manner.

Question 11

The nurse is interviewing a Native American client who acknowledges seeing "spirits." Which of the following actions will be most important for the nurse to take to assist in assessing this client's symptoms?

Accepted Answer

Understanding cultural norms and beliefs is crucial in assessing and interpreting symptoms in clients from diverse cultural backgrounds. In this case, the nurse should obtain information on how the client's culture views "spirits" and whether it is a common experience or something that may indicate a mental health condition. Consulting with the physician may also be necessary, but it should not be the first action taken. Observing the client's behavior and questioning their family may provide some insight, but it may not necessarily lead to a complete understanding of the cultural beliefs and norms.

Question 12

The client says to the nurse, "It's my right to refuse medications." Which statement best reflects the nurse's ability to create a mutual understanding?

Accepted Answer

This response shows empathy and allows the client to express their concerns and fears about taking medications. It also allows for the nurse to address and clarify any misconceptions the client may have about the medications. Choices B and C are confrontational and may make the client feel defensive, while Choice D assumes the client is angry and may not address their actual concerns.

Question 13

The nurse is caring for a client with depression who is withdrawn. Which of the following statements suggests that the nurse is able to challenge his or her dogmatic beliefs?

Accepted Answer

Option C suggests that the nurse challenges the dogmatic belief that clients with depression are simply avoiding their problems. This shows that the nurse has a deeper understanding of the complexities of depression and does not oversimplify it. The other options either perpetuate the stigma surrounding depression or offer simplistic solutions to a complex issue.

Question 14

A nurse is seeking consultation on strategies to cope with the potential for burnout while working on a psychiatric unit. Which of the following strategies demonstrates the nurse's ability to reduce the occurrence of burnout?

Accepted Answer

Taking time to pursue personal needs for social interactions during days off helps the nurse recharge and maintain a healthy work-life balance, which is crucial in preventing burnout.

Question 15

A female client has made the decision to leave her husband who abuses alcohol. She states she is very depressed. Which of the following statements best demonstrates the nurse's empathy?

Accepted Answer

Choice B demonstrates empathy by acknowledging the client's feelings and offering support by sitting with her. Choice A expresses sympathy, but does not offer support or validation. Choice C is a vague statement that does not show understanding of the client's situation. Choice D uses the nurse's personal experience instead of focusing on the client's feelings and experiences.

Question 16

An adolescent who is pregnant asks the nurse on the psychiatric unit, "Do you think I should give my baby up for adoption?" Which of the following responses best reflects the nurse's empathy?

Accepted Answer

This response shows empathy by acknowledging the adolescent's dilemma and encouraging her to explore her own feelings and thoughts. It also avoids imposing the nurse's own beliefs or values on the patient.

Question 17

The charge nurse has just given a presentation about the importance of practicing self-care. Which of the following staff behaviors will the nurse find concerning?

Accepted Answer

Calling the unit on days off to inquire about clients' progress violates the principle of taking time off and maintaining healthy boundaries. This behavior can lead to burnout and interfere with self-care.

Question 18

A client approaches the nurse grimacing, talking in a whisper, and waving his arms. Which of the following actions best demonstrates the nurse's ability to develop a therapeutic relationship?

Accepted Answer

Greeting the client by name demonstrates caring and humanizes the interaction. It also shows that the nurse recognizes the client's presence and is ready to engage with them. Ignoring the client or confronting them about their behavior may be off-putting and create further distress. Assisting the client to leave the area may be appropriate if they are a danger to themselves or others, but it should only be done after attempting to establish a rapport with the client.

Question 19

A nurse is taking a class on providing culturally competent care for clients with severe mental illnesses. Which response best reflects the nurse's self-awareness of the sociocultural factors influencing his or her beliefs?

Accepted Answer

Choice B reflects the nurse's self-awareness of the sociocultural factors influencing their beliefs by acknowledging that their parents held beliefs about mental illness that may differ from other cultures. Choice A focuses on the nurse's personal experience and may not be applicable to all clients. Choice C speaks to the nurse's personal knowledge and experience, but may not be reflective of all cultures or individual experiences. Choice D suggests that cultural competency can be obtained solely through research, which does not account for the nuances and complexities of individual cultures and experiences.

Question 20

During a staff meeting, a nurse makes the following remark about the clients on the unit, "These clients are just trying to avoid the problems of life. They just need to go out and work." Which of the following responses best demonstrates the charge nurse's respectful attitude toward this nurse?

Accepted Answer

Option D is the best response as it demonstrates the charge nurse's respectful attitude towards the nurse by reflecting on her statement and expressing a willingness to understand her perspective. The charge nurse also clarifies that she is hearing the nurse's frustration and invites her to discuss it further. Options A and B are dismissive of the nurse's statement and do not address her underlying feelings. Option C assumes the nurse is having trouble accepting something and may come off as confrontational.

Quiz 1: The Strength and Structure of Psychiatric Mental Health Nursing; Theoretical Basis for Psychiatric-Mental Health Nursing Practice and Process

If the nurse was assessing the client from primarily a 19th century perspective, in which dimension Would the nurse most likely focus data collection?

The psychiatric-mental health nurse is planning a personal program of continuing education in order to better meet the challenges of the future in psychiatric nursing practice. What areas should be included in the nurse's plan for continuing education? Select all that apply.