Psychiatric Nursing Questions

Correct Answer: C

Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or biases onto the patient. In this scenario, the nurse is responding to the patient as if he were her grandfather, indicating a personal emotional response that may impact the therapeutic relationship. This can hinder the nurse's ability to provide objective care. A: Empathy is the ability to understand and share the feelings of another, but in this case, the nurse is projecting her own feelings onto the patient, not truly empathizing with his emotions. B: Transference is when the patient projects their feelings onto the nurse, which is not happening in this scenario. D: Modeling refers to learning through observation and imitation, which is not applicable in this context.

Correct Answer: C

Rationale: The correct answer is C: Psychopharmacology interventions. Advanced practice psychiatric nurses have the authority and expertise to prescribe and manage medications for mental health conditions, including psychopharmacology interventions. This function requires specialized education, training, and certification beyond the basic level of practice. Milieu therapy (A) involves creating a therapeutic environment, which is a fundamental nursing function. Promotion of self-care (B) and health promotion activities (D) are important roles for all nurses but are not exclusive to advanced practice psychiatric nurses. Psychopharmacology interventions are a key component of advanced psychiatric nursing practice, making choice C the correct answer.

Correct Answer: A

Rationale: The correct answer is A because a living will specifies the medical treatments a patient wishes to receive or refuse in the event they are unable to make decisions. This is important for ensuring the patient's preferences are followed. Choice B is incorrect because a living will does not require an attorney to be present during signing. Choice C is incorrect because it is not a requirement for the patient's physician to act as a witness for the document. Choice D is incorrect because while an attorney can assist in drafting the document, it is not a strict requirement for a living will. In summary, the key aspect of a living will is to outline the patient's preferences regarding treatment decisions in advance, ensuring their wishes are followed in case they cannot communicate them later.

Correct Answer: C

Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or biases onto the patient. In this scenario, the nurse is responding to the patient as if he were her grandfather, indicating a personal emotional response that may impact the therapeutic relationship. This can hinder the nurse's ability to provide objective care. A: Empathy is the ability to understand and share the feelings of another, but in this case, the nurse is projecting her own feelings onto the patient, not truly empathizing with his emotions. B: Transference is when the patient projects their feelings onto the nurse, which is not happening in this scenario. D: Modeling refers to learning through observation and imitation, which is not applicable in this context.

Correct Answer: A

Rationale: Rationale: A: Self-determinism is the right to make one's own decisions about their treatment, including seeking a second opinion. B: Least restrictive environment refers to providing care in the least restrictive setting, not relevant in this case. C: Confidentiality is about protecting patient's information, not directly related to seeking a second opinion. D: Mandates to inform is about mandatory reporting, not related to seeking a second opinion. In this scenario, self-determinism is crucial because it empowers the patient to make informed decisions about their treatment plan, including seeking a second opinion. This right ensures that the patient's autonomy and preferences are respected, aligning with ethical principles of patient-centered care.