Psychiatric Mental Health Nursing Practice Questions

Psychiatric Mental Health Nursing Practice Questions Related

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A 22-year-old patient with schizophrenia is refusing his antipsychotic medication. He states, `I don’t like the dopey way it makes me feel. I feel like I’m walking under water when I take it.​ The nurse explains to him, `Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better.​ This conversation reflects a conflict between which two types of ethical principles?

  • A. Autonomy and justice
  • B. Paternalism and veracity
  • C. Justice and nonmaleficence
  • D. Autonomy and beneficence
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

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A psychiatric-mental health nurse is working with a patient who is being treated for depression. Which patient statement would indicate that her spirituality is intact?

  • A. `My church friends came to visit me this past Sunday afternoon.​
  • B. `Nothing will ever be the same again; my life is not worth living.​
  • C. `I know I am as well off as I can be under the circumstances.​
  • D. `I know God must be punishing me for all my sins.​
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.

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?

  • A. Desire is the cause of all human suffering and misery.
  • B. Self-indulgence is necessary to reach nirvana.
  • C. Present behavior is based on current unhappiness.
  • D. Salvation is achieved through faith and humility.
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.

A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?

  • A. Self-direction
  • B. Peer support
  • C. Respect
  • D. Hope
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.

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.

  • A. Improving problem-solving skills
  • B. Promoting economic stability
  • C. Minimizing adverse effects of drug therapy
  • D. Improving nutritional status E) Providing family education
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.

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

  • A. Behavior therapy
  • B. Family support
  • C. Nutritional therapy
  • D. Sleep hygiene measures
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.

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