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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.
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A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse?s opinion most closely reflects which ethical principle?
- A. Nonmaleficence
- B. Paternalism
- C. Veracity
- D. Justice
Correct Answer: D
Rationale: The ethical principle of justice emphasizes fairness and equitable distribution of resources and opportunities. The student?s opinion about equitable access to mental health care for underserved populations directly aligns with this principle. Nonmaleficence focuses on avoiding harm, paternalism involves making decisions for others, and veracity pertains to truthfulness, none of which fit as closely.
In a postclinical conference, a group of students are engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. The students are engaged in which of the following?
- A. Therapeutic use of self
- B. Critical thinking
- C. Interdisciplinary care
- D. Planning care
Correct Answer: B
Rationale: Critical thinking involves analyzing and evaluating information to make reasoned judgments. The instructor?s focus on having students analyze and evaluate nursing interventions aligns with this process, as it encourages reflective and evidence-based reasoning. Therapeutic use of self involves personal engagement with patients, interdisciplinary care involves collaboration with other professionals, and planning care is a specific phase of the nursing process, none of which fit as well.
A nurse is faced with an ethical dilemma involving a patient. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision making?
- A. What are my own feelings about the situation?
- B. What assumptions am I making that need more data?
- C. What do I know about the situation?
- D. What do I know about the patient?s values?
Correct Answer: C
Rationale: Ethical decision-making begins with gathering facts to understand the situation fully, making 'What do I know about the situation?' the most important first question. This ensures decisions are based on accurate information. While feelings, assumptions, and patient values are important, they are secondary to establishing the factual context.
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.
When applying the biopsychosocial model for a patient with a mental health problem, the nurse addresses the psychological domain when assessing which of the following?
- A. Sleep patterns
- B. Feelings
- C. Family functioning
- D. Cultural groups
Correct Answer: B
Rationale: The psychological domain of the biopsychosocial model focuses on emotions, thoughts, and mental states. Assessing feelings directly addresses this domain. Sleep patterns are primarily biological, while family functioning and cultural groups relate to the social domain.