Psychiatric Mental Health Nursing Practice Questions

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: Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health. Step 2: Life stressors can significantly affect the course and severity of mental disorders. Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors. Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors. Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.

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: Desire is the cause of all human suffering and misery. In Buddhism, it is believed that desire and attachment lead to suffering. By understanding this principle, the nurse can develop a plan of care that focuses on helping the patient let go of attachments and desires that may be causing distress. This approach aligns with Buddhist teachings of mindfulness and non-attachment, promoting overall well-being. Choice B is incorrect because self-indulgence is not a concept in Buddhism, and nirvana is achieved through the cessation of desires, not indulging in them. Choice C is incorrect as Buddhism emphasizes the impermanence of all things, including happiness and unhappiness, rather than basing present behavior solely on current unhappiness. Choice D is incorrect because salvation in Buddhism is attained through one's own efforts, not through faith or humility in a higher power.

Correct Answer: D

Rationale: The correct answer is D: Autonomy and beneficence. Autonomy refers to the patient's right to make decisions about their own healthcare. In this case, the patient is refusing medication based on how it makes them feel, which reflects their autonomy. Beneficence refers to the healthcare provider's duty to act in the patient's best interest. The nurse is trying to persuade the patient to take the medication by explaining its benefits for treating the chemical imbalance associated with schizophrenia. This reflects the conflict between respecting the patient's autonomy while also promoting their well-being through beneficence. Choices A, B, and C are incorrect: A: Autonomy and justice do not directly apply to the conflict in the scenario. B: Paternalism involves overriding a patient's autonomy for their own good, but veracity (truthfulness) is not a central issue in this scenario. C: Justice and nonmaleficence are not the primary ethical principles in conflict; the focus is on autonomy and benef