Psychiatric Mental Health Nursing Practice Questions

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.

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: 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: A

Rationale: The correct answer is A because the patient's statement indicates that she has a support system in her church friends who visited her. This demonstrates a connection to a spiritual community, which can provide comfort, hope, and a sense of belonging. It shows that the patient values and maintains relationships with individuals who share her spiritual beliefs, contributing to her overall well-being. Choices B, C, and D are incorrect: - B reflects hopelessness and a lack of belief in the value of life, which is not indicative of intact spirituality. - C suggests resignation and acceptance of the current circumstances without any mention of spiritual beliefs or practices. - D indicates a sense of guilt and punishment, which may be indicative of a distorted or negative view of spirituality rather than an intact spiritual connection.

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.