Psychiatric Nursing Practice Questions

Correct Answer: A

Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (B) is essential, appreciation for situation and consequences (C) demonstrates critical thinking, and discussion of what is right and wrong (D) reflects ethical reasoning, but communication is crucial for effective nursing practice. Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.

Correct Answer: A

Rationale: The correct answer is A: Maintaining confidentiality. Electronic health records in psychiatric-mental health care present challenges in protecting sensitive patient information due to potential breaches in security. This is crucial in maintaining trust and privacy between patients and healthcare providers. Choice B (Establishing educational models) is not a major challenge related to technology and EHRs. Choice C (Decreasing fragmented care) is actually a potential benefit of technology by improving communication and coordination among healthcare providers. Choice D (Defining professional standards more clearly) is important but not a major challenge specifically associated with technology and EHRs in psychiatric-mental health care.

Correct Answer: B

Rationale: The correct answer is B because the client screaming in the street disturbing neighbors poses a risk to themselves and others, indicating imminent danger and need for involuntary commitment for safety. Choice A, refusing medication, alone does not warrant involuntary commitment. Choice C, refusal to participate in therapy, may not indicate immediate danger. Choice D, being homeless with a mental disorder, does not automatically necessitate involuntary commitment unless there is imminent risk to self or others.

Correct Answer: B

Rationale: The correct answer is B because Confucianism does not believe in assigning people to castes. Confucianism emphasizes meritocracy and the importance of personal virtue rather than birthright or social status. A: People are born good aligns with Confucianism's belief in the innate goodness of individuals. C: Authority figures are respected reflects Confucianism's emphasis on respecting and obeying elders and leaders. D: Self-responsibility leads to improvement is in line with Confucian teachings on self-cultivation and ethical conduct. Therefore, the belief that people are assigned to castes is not associated with Confucianism.

Correct Answer: A

Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (B) is essential, appreciation for situation and consequences (C) demonstrates critical thinking, and discussion of what is right and wrong (D) reflects ethical reasoning, but communication is crucial for effective nursing practice. Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.