Nokea
A group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
- A. Maslow
- B. Gilligan
- C. Bandura
- D. Miller
Correct Answer: B
Rationale: The correct answer is B: Gilligan. Carol Gilligan is known for her work on female development, particularly in contrast to the male-focused theories of development by theorists like Kohlberg. Gilligan emphasized the importance of relationships, care, and compassion in moral development, which are often more central to female experiences. Maslow's hierarchy of needs (A) is a general theory of motivation, not specific to female development. Bandura (C) is known for social learning theory, which applies to all genders. Miller (D) is not a theorist associated with female development. In this context, Gilligan stands out as the theorist most directly addressing female development.
You may also like to solve these questions
After teaching a class of nursing students about the rights of persons receiving mental health services, the instructor determines a need for additional instruction when the students identify which of the following as a right?
- A. Freedom from restraints or seclusion
- B. Access to one’s own mental health records on request
- C. An individualized written treatment plan
- D. Refuse treatment during an emergency situation
Correct Answer: D
Rationale: The correct answer is D because the right to refuse treatment during an emergency situation is not an absolute right for persons receiving mental health services. In emergency situations where a person's life or safety is at risk, healthcare providers may need to provide treatment even if the individual refuses. This is done to ensure the person's immediate safety and well-being. It is essential for healthcare providers to act in the best interest of the individual in emergency situations.
A: Freedom from restraints or seclusion is a right as it promotes dignity and autonomy.
B: Access to one's own mental health records on request is a right that promotes transparency and informed decision-making.
C: An individualized written treatment plan is a right to ensure personalized and effective care.
A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
- A. Committed patient
- B. Schizophrenic
- C. Schizophrenic patient
- D. Person with schizophrenia
Correct Answer: D
Rationale: The correct answer is D: Person with schizophrenia. This terminology is person-first language, emphasizing the individual over the condition. It is respectful, person-centered, and reduces stigma. Using terms like "schizophrenic" (B), "schizophrenic patient" (C), or "committed patient" (A) can be dehumanizing, label-focused, and perpetuate negative stereotypes. It is important to always prioritize personhood and dignity when referring to individuals with mental health conditions.
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
- A. Research information about the cultures of the population being served after assessing the patients.
- B. Recognize that one’s own culture is the predominant way of addressing a patient’s health care needs. 11
- C. Assume that any individual of a racial or ethnic group is the same as another individual in that group.
- D. Demonstrate an appreciation of and a genuine interest in the individual and his or her cultural beliefs.
Correct Answer: D
Rationale: Step 1: Developing cultural competence involves understanding and respecting the cultural beliefs of individuals.
Step 2: Choice D aligns with this by emphasizing appreciation and genuine interest in the individual's cultural beliefs.
Step 3: By demonstrating appreciation and interest, the nurse can build trust and rapport with the patient.
Step 4: This approach promotes culturally sensitive care and patient-centered practice.
Step 5: Choices A, B, and C are incorrect as they do not prioritize understanding individual cultural beliefs and may lead to stereotyping, ethnocentrism, or lack of respect for diversity.
Summary: Choice D is the most appropriate as it promotes respect for individual cultural beliefs and fosters effective communication and relationship building. Choices A, B, and C lack the key components necessary for developing cultural competence.
A patient receives a court order for commitment. Which of the following best exemplifies the concept of `least restrictive environment?
- A. Involuntary commitment to an outpatient community mental health center
- B. Medication administration for sedation so the patient cannot get out of bed
- C. Placing the patient in a locked padded room in response to threats of self-harm
- D. Allowing the patient to make the decision about whether treatment is necessary
Correct Answer: A
Rationale: The correct answer is A because involuntary commitment to an outpatient community mental health center provides treatment while allowing the patient to remain in the community and maintain some level of freedom. This option aligns with the principle of the least restrictive environment by balancing the patient's need for treatment with their rights and autonomy.
Option B is incorrect as sedating a patient to prevent them from getting out of bed is overly restrictive and limits their freedom unnecessarily. Option C is also incorrect as placing a patient in a locked padded room is highly restrictive and does not promote autonomy or community integration. Option D is incorrect because allowing the patient to decide on treatment, while important, may not always align with their best interests in cases of severe mental illness requiring involuntary commitment for safety and treatment.
A psychiatric-mental health nurse working in a Veteran’s Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband’s mental health problems, which response would the nurse most likely expect?
- A. `Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family.
- B. `I know the war messed his mind up. He’ll never be the same.
- C. `Sometimes he hallucinates that he is back in Vietnam.
- D. `He just stays to himself; he never talks to me about what is bothering him.
Correct Answer: D
Rationale: The correct answer is D because it indicates potential symptoms of posttraumatic stress syndrome (PTSD), such as avoidance of discussing traumatic events and social withdrawal. This response suggests the husband may be experiencing emotional distress and difficulty communicating about his problems. Choices A, B, and C do not specifically address the key features of PTSD and may indicate misunderstandings or oversimplifications of mental health issues. Choice A attributes symptoms to a vitamin deficiency, which is not typically associated with PTSD. Choice B implies a permanent and hopeless outlook on the husband's mental health, which may not be accurate. Choice C mentions hallucinations, which are not a common symptom of PTSD but rather may be associated with other psychiatric conditions.