Question 1

When applying the biopsychosocial model to client care, the nurse integrates which psychological domain?&#10;A) Behavior therapy&#10;B) Family support&#10;C) Nutritional therapy&#10;D) Sleep hygiene measures

Accepted Answer

Cognitive approaches, behavior therapy, and client education are all based on the use of theories from the psychological domain. Family support involves the social domain. Nutritional therapy and sleep hygiene measures address the biologic domain.

Question 2

A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. What would the instructor identify as a major challenge associated with technology?

A) Maintaining confidentiality
B) Establishing educational models
C) Decreasing fragmented care
D) Defining professional standards more clearly

Maintaining confidentiality

Accepted Answer

One major challenge of new technology and electronic health records is maintaining confidentiality and privacy. Records are now readily available and easily accessed. Fragmented care is associated with changes in the health care delivery system. The growing knowledge base in conjunction with disseminating and applying this knowledge poses challenges related to education and professional standards.

Question 3

A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principle?

A) Nonmaleficence
B) Paternalism
C) Veracity
D) Justice

Justice

Accepted Answer

Justice is the duty to treat all fairly, distributing the risks and benefits equally. Justice becomes an issue when some portion of a population does not have access to health care. Nonmaleficence is the duty to cause no harm, both individually and for all. Paternalism is the belief that knowledge and education authorize professionals to make decisions for the good of clients. Veracity is the duty to tell the truth.

Question 4

A nursing student is initiating a relationship with an assigned client. After meeting and spending approximately 20 minutes talking with the client, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of clients to play volleyball. The student starts to go with them but then remembers the promise to meet with the client. The student decides to forgo volleyball and talk with the client. The student's decision reflects which ethical principle?

A) Autonomy
B) Beneficence
C) Fidelity
D) Veracity

Accepted Answer

Fidelity is faithfulness to obligations and duties. It is keeping promises. Fidelity is important in establishing trusting relationships. With autonomy, each person has the fundamental right of self-determination. According to the principle of beneficence, a health care provider uses knowledge of science and incorporates the art of caring to develop an environment in which individuals achieve their maximal health care potential. Veracity is the duty to tell the truth.

Question 5

In a post-clinical conference, a group of students is engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. What are the students engaged in?

A) Therapeutic use of self
B) Critical thinking
C) Interdisciplinary care
D) Planning care

Accepted Answer

Sound clinical reasoning depends on critical thinking skills and reflection. Reflection involves continual self-evaluation through observing, monitoring, and judging nursing behaviors with the goal of providing ideal interventions. In therapeutic use of self, the nurse guides, teaches, and advocates for clients through the therapeutic relationship. Interdisciplinary care involves collaboration with other professionals. Planning care involves participation of the client for the provision of services to the client.

Question 6

A group of students is reviewing the functions of psychiatric nurses. The students demonstrate understanding of the information when they identify which function as an advanced practice-level?&#10;A) Milieu therapy&#10;B) Promotion of self-care&#10;C) Psychopharmacology interventions&#10;D) Health promotion activities

Accepted Answer

Psychopharmacology interventions are advanced practice level-functions. Milieu therapy, self-care promotion, and health promotion are basic-level functions.

Question 7

A nursing instructor has prepared a lecture about the scope and standards of practice of psychiatric nurses. The instructor determines that the education was effective when the students identify what commonality of basic- and advanced-level practice of psychiatric nurses?

A) Case management
B) Program development
C) Clinical supervision
D) Community interventions

Accepted Answer

Both basic- and advanced-level psychiatric nurses engage in case management. Only advanced practice-level psychiatric nurses engage in program development, clinical supervision, and community interventions.

Question 8

A nurse is working on developing ways to meet the challenge of knowledge development. Which action would be most appropriate?&#10;A) Access new information through continuing education programs.&#10;B) Improve access to community psychiatric care for all populations.&#10;C) Reduce the burden of mental illness by fighting stigma.&#10;D) Provide culturally competent, high-quality nursing care.

Accepted Answer

Accessing new information through journals, electronic databases, and continuing education programs takes time and vigilance, but provides a sound basis for application of new knowledge. Improving access to community psychiatric care and reducing the burden of mental illness are ways to overcome stigma. Providing culturally competent, high-quality care is a means to address the challenges of the health care delivery system.

Question 9

A 22-year-old client diagnosed with schizophrenia is refusing antipsychotic medication. The client states, "I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it." The nurse explains to the client, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation reflects a conflict between which two types of ethical principles?

A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence

Accepted Answer

Ethical conflicts can occur when the client is being guided by the principle of autonomy and the nurse by the principle of beneficence. According to the principle of autonomy, each person has the fundamental right of self-determination. According to the principle of beneficence, the health care provider uses knowledge of science, and incorporates the art of caring, to develop an environment in which individuals achieve their maximal health care potential. Justice involves a duty to treat all fairly. Paternalism is the belief that knowledge and education authorize professionals to make decisions for the good of the client. Veracity is the duty to tell the truth. Nonmaleficence is the duty to cause no harm.

Question 10

A nurse is faced with an ethical dilemma involving a client. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision-making?&#10;A) What are my own feelings about the situation?&#10;B) What assumptions am I making that need more data?&#10;C) What do I know about the situation?&#10;D) What do I know about the client's values?

Accepted Answer

The first question that needs to be asked is, "What do I know about the situation?" This information is critical before being able to proceed. Next the nurse would reflect on the client's values, then about any assumptions, and then about personal feelings.

Question 11

A psychiatric-mental health nurse is adhering to the standards of practice. When engaging in clinical decision-making, the nurse is integrating what as the foundation?&#10;A) Developmental issues&#10;B) Nursing process&#10;C) Commitment&#10;D) Accountability

Accepted Answer

The answer of A psychiatric-mental health nurse is adhering to...

Question 12

A group of nurses is reviewing the standards of professional performance. The nurses demonstrate understanding when they identify what as a standard of professional performance?&#10;A) Prescriptive authority&#10;B) Consultation&#10;C) Planning&#10;D) Collaboration

Accepted Answer

The answer of A group of nurses is reviewing the...

Question 13

A psychiatric-mental health nurse is providing care to clients diagnosed with a mental illness and is investigating factors related to client safety, delivery of care services, and cost-effectiveness. The nurse is involved with which area of professional performance?

A) Education
B) Quality of practice
C) Resource utilization
D) Collaboration

Accepted Answer

The answer of A psychiatric-mental health nurse is providing care...

Question 14

When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?&#10;A) Sleep patterns&#10;B) Feelings&#10;C) Family functioning&#10;D) Cultural groups

Accepted Answer

The answer of When applying the biopsychosocial model to a...

Question 15

A nurse has developed a plan of care for a client diagnosed with depression. For problems related to the social domain, which issue would the nurse most likely identify?&#10;A) Poor nutrition secondary to a loss of appetite&#10;B) Powerlessness with feelings of loss of control&#10;C) Inability to participate as family provider&#10;D) Risk for self-harm from feeling like a failure

Accepted Answer

The answer of A nurse has developed a plan of...

Question 16

A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?&#10;A) Interdisciplinary care&#10;B) Reflection&#10;C) Plan of care&#10;D) Clinical reasoning

Accepted Answer

The answer of A nurse is engaged in exercises to...

Question 17

A nurse is looking for information about the parameters of professional psychiatric-mental health nursing practice that provide the framework for nursing practice. The nurse would most likely seek out which source?

A) Standards of Practice
B) Standards of Professional Performance
C) Code of Ethics for Nurses
D) State Board of Nursing

Accepted Answer

The answer of A nurse is looking for information about...

Question 18

A psychiatric-mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. The nurse is integrating which ethical principle?

A) Nonmaleficence
B) Justice
C) Veracity
D) Fidelity

Accepted Answer

The answer of A psychiatric-mental health nurse is working with...

Question 19

The plan of care for a client with schizophrenia identifies certain outcomes. Which outcomes would the nurse identify as addressing the biologic domain? Select all that apply.&#10;A) Improving problem-solving skills&#10;B) Promoting economic stability&#10;C) Minimizing adverse effects of drug therapy&#10;D) Improving nutritional status&#10;E) Providing family education

Accepted Answer

The answer of The plan of care for a client...

Deck 6: Ethics, Standards, and Nursing Frameworks