Psychiatric Mental Health Nursing Practice Questions

Correct Answer: D

Rationale: The correct answer is D: Hope. Hope is a crucial concept in the recovery process, as it instills optimism and motivates individuals to strive for a better future. It helps individuals envision a life beyond their current struggles. Self-direction (A) is important but without hope, individuals may lack the motivation to direct their recovery efforts. Peer support (B) and respect (C) are valuable components, but hope serves as the foundation for building strong relationships and fostering a sense of dignity and empowerment.

Correct Answer: D

Rationale: Rationale: 1. Axis I: Focuses on clinical disorders; Mrs. Green's experiences are not related to a specific mental disorder. 2. Axis II: Focuses on personality disorders and mental retardation; not applicable to Mrs. Green's situation. 3. Axis III: Focuses on general medical conditions; Mrs. Green's mother's cancer diagnosis falls under this axis. 4. Axis IV: Focuses on psychosocial and environmental stressors; Mrs. Green's trauma from her dog's death and mother's illness fits here.

Correct Answer: A

Rationale: The correct answer is A: Behavior therapy. In the biopsychosocial model, the psychological domain focuses on the mental and emotional aspects of an individual. Behavior therapy directly addresses psychological issues by modifying maladaptive behaviors through techniques such as cognitive-behavioral therapy. Family support (B) and nutritional therapy (C) primarily fall under the social and biological domains, respectively. Sleep hygiene measures (D) are more related to the biological domain in ensuring optimal physical health. Thus, behavior therapy aligns most closely with the integration of the psychological domain in client care within the biopsychosocial model.

Correct Answer: D

Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.

Correct Answer: A

Rationale: The correct answer is A (Behaviors) because, when integrating the Neuman systems model for a patient with a mood disorder, the nurse would focus on the patient's behaviors to assess how the disorder is impacting their daily functioning and interactions. By observing behaviors, the nurse can gain insights into the patient's coping mechanisms, emotional responses, and overall mental health status. This information is crucial for developing a tailored care plan that addresses the patient's specific needs. Summary of why other choices are incorrect: - Relationships (B): While relationships may play a role in the patient's mental health, the primary focus in the Neuman systems model for a patient with a mood disorder is on individual behaviors. - Self-care activities (C): While self-care is important, it may not be the primary focus when caring for a patient with a mood disorder using the Neuman systems model. - Stressors (D): While stressors can contribute to a mood disorder, the Neuman systems model emphasizes the assessment of