Psychiatric Nursing Practice Test Questions with Answer Key PDF

Correct Answer: A

Rationale: Step-by-step rationale: 1. Madeleine Leininger is known for developing the theory of cultural care diversity and universality. 2. Leininger emphasized the importance of understanding and integrating cultural beliefs and practices into nursing care. 3. This theory is particularly relevant in psychiatric-mental health nursing to provide culturally sensitive care. 4. Sister Calista Roy developed the Adaptation Model, Hildegard Peplau the Interpersonal Relations Model, and Dorothea Orem the Self-Care Deficit Theory, which are not directly related to cultural care diversity and universality. Summary: Choice A is correct as Madeleine Leininger is the nursing theorist responsible for the theory of cultural care diversity and universality. Choices B, C, and D are incorrect as they are associated with different nursing theories not focused on cultural care diversity and universality.

Correct Answer: B

Rationale: The correct answer is B because it accurately reflects a symptom commonly associated with schizophrenia, which is auditory hallucinations (hearing voices). This information is important for monitoring the patient's condition and adjusting treatment plans. Choice A is incorrect because it does not provide any relevant information about the patient's schizophrenia symptoms. Choice C is incorrect as it does not mention any specific symptoms related to schizophrenia. Choice D is incorrect as the term "acted crazily" is stigmatizing and unprofessional, and does not provide a clear description of the patient's symptoms.

Correct Answer: B

Rationale: The correct answer is B: Public stigma. This is because the nurse is addressing the negative stereotype and discrimination associated with mental health conditions by engaging in a conversation with the receptionist about the derogatory term "psycho." This action aims to challenge and educate the receptionist about the harmful impact of stigmatizing language on individuals with mental health issues. Incorrect choices: A: Lack of knowledge - This choice does not align with the scenario as the nurse is not addressing a lack of knowledge but rather addressing a stigma-related issue. C: Label avoidance - This choice is not relevant to the scenario as the nurse is directly confronting the stigmatizing language used by the receptionist. D: Self-stigma - This choice is not applicable as the scenario involves the nurse addressing the stigma perpetuated by the receptionist, not self-stigma.

Correct Answer: D

Rationale: The correct answer is D: Justice. The student nurse's opinion aligns with the ethical principle of justice, which emphasizes fairness and equitable access to resources for all individuals. By advocating for equal access to mental health care for those in rural areas, without insurance, and with low income, the student is promoting the ethical principle of justice. Justice ensures that everyone has the opportunity to receive necessary care regardless of their circumstances. Nonmaleficence (A) focuses on avoiding harm, paternalism (B) involves making decisions for someone else's best interest without their consent, and veracity (C) pertains to truthfulness and honesty, which are not directly related to the student nurse's opinion on access to mental health care.

Correct Answer: A

Rationale: The correct answer is A: Axis I. Alcohol dependence is classified as a mental disorder and is considered part of Axis I in the DSM-IV-TR system. Axis I includes clinical disorders, such as substance use disorders, that are the primary focus of clinical attention. In this case, the patient's alcohol dependence and withdrawal symptoms are the main reason for her admission and treatment. Explanation of incorrect choices: B: Axis II focuses on personality disorders and mental retardation, which are not the primary concern in this scenario. C: Axis III pertains to general medical conditions that are relevant to the patient's mental health, but not the primary mental disorder itself. D: Axis IV involves psychosocial and environmental stressors, such as life events or problems, which are not the primary focus in this case of alcohol dependence.