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A group of students is reviewing the functions of psychiatric nurses. The students demonstrate understanding of the information when they identify which of the following as an advanced practice level function?
- A. Milieu therapy
- B. Promotion of self-care
- C. Psychopharmacology interventions
- D. Health promotion activities
Correct Answer: C
Rationale: Advanced practice psychiatric nurses have specialized training, often including prescriptive authority and expertise in managing medications. Psychopharmacology interventions, which involve prescribing and managing psychotropic medications, are specific to advanced practice roles. Milieu therapy, self-care promotion, and health promotion activities are typically within the scope of basic-level psychiatric nursing.
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A nursing student is initiating a relationship with an assigned patient. After meeting and spending approximately 20 minutes talking with the patient, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of patients to play volleyball. The student starts to go with them but then remembers the promise to meet with the patient. The student decides to stay behind and talk to with her patient. The student?s decision reflects which ethical principle?
- A. Autonomy
- B. Beneficence
- C. Fidelity
- D. Veracity
Correct Answer: C
Rationale: Fidelity refers to keeping promises and maintaining loyalty to commitments. By choosing to honor the promise to meet with the patient instead of joining the volleyball game, the student demonstrates fidelity. Autonomy relates to respecting the patient?s decision-making, beneficence involves promoting well-being, and veracity pertains to truthfulness, none of which are as directly relevant.
A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?
- A. Interdisciplinary care
- B. Reflection
- C. Plan of care
- D. Clinical reasoning
Correct Answer: B
Rationale: Reflection is the process of introspection and self-examination, which is essential for developing self-awareness in nursing. Interdisciplinary care involves collaboration, a plan of care is a structured approach to patient care, and clinical reasoning is a cognitive process for decision-making, none of which directly target self-awareness.
An instructor is preparing a class for a group of students about professional organizations and the leadership provided. Which of the following would the instructor include as an important function of the International Society of Psychiatric-Mental Health Nurses?
- A. Advocating for mental health nursing practice through liaison activities
- B. Advancing psychiatric-mental health nursing practice
- C. Improving mental health care for culturally diverse individuals
- D. Providing a strong voice for psychiatric-mental health nurses
Correct Answer: B
Rationale: The International Society of Psychiatric-Mental Health Nurses (ISPN) focuses on advancing psychiatric-mental health nursing practice through education, research, and professional development. While advocacy, improving care for diverse populations, and providing a voice are important, advancing practice is the core function.
A nurse is working on developing ways to meet the challenge of knowledge development. Which of the following would be most appropriate?
- A. Access new information through continuing education programs.
- B. Improve access to community psychiatric care for all populations.
- C. Reduce the burden of mental illness by fighting stigma.
- D. Provide culturally competent, high-quality nursing care.
Correct Answer: A
Rationale: Knowledge development in nursing involves staying updated with current evidence and practices. Continuing education programs directly address this by providing access to new research and clinical advancements. The other options focus on improving access, reducing stigma, or providing care, which are important but not directly tied to knowledge development.
A nurse had developed a plan of care for a patient with depression. Which nursing diagnosis would reflect the social domain?
- A. Imbalanced Nutrition, Less Than Body Requirements related to lack of appetite.
- B. Powerlessness related to feelings of lack of control over the situation.
- C. Ineffective Role Performance related to inability to participate as family provider
- D. Risk for Suicide related to depressed mood and feelings of oneself as a failure
Correct Answer: C
Rationale: The social domain of the biopsychosocial model addresses interpersonal relationships and social roles. Ineffective Role Performance related to inability to participate as a family provider directly reflects the social domain, as it involves the patient?s role within the family. Imbalanced Nutrition is biological, while Powerlessness and Risk for Suicide are primarily psychological.