Psychiatric Mental Health Nursing Practice Questions

Questions 11

ATI RN

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Psychiatric Mental Health Nursing Practice Questions Questions

Question 1 of 5

Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?

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.

Question 2 of 5

A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient�s confidentiality if the patient states which of the following?

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.

Question 3 of 5

When applying the biopsychosocial model to client care, the nurse integrates the psychological domain when involved with which of the following?

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.

Question 4 of 5

During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient�s plan of care?

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.

Question 5 of 5

The plan of care for a patient with schizophrenia identifies the following outcomes. Which of the following would the nurse identify as addressing the biologic domain? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C because minimizing adverse effects of drug therapy directly relates to the biological domain of care for a patient with schizophrenia. This outcome focuses on managing the physical effects of medication, which is a key aspect of addressing the biological needs of the patient. Improving problem-solving skills (A) falls under the cognitive domain, promoting economic stability (B) relates to the financial domain, improving nutritional status (D) addresses the physical domain, and providing family education (E) pertains to the psychosocial domain.

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