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A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient’s confidentiality if the patient states which of the following?
- A. `I think that the federal government is spying on me.
- B. `I get really ‘turned on’ by your appearance.
- C. `That doctor I had today really made me angry.
- D. `When I get out of here, I’m going to kill my neighbor.
Correct Answer: D
Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.
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When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
- A. Behaviors
- B. Relationships
- C. Self-care activities
- D. Stressors
Correct Answer: A
Rationale: The correct answer is A (Behaviors) because, when integrating the Neuman systems model for a patient with a mood disorder, the nurse would focus on the patient's behaviors to assess how the disorder is impacting their daily functioning and interactions. By observing behaviors, the nurse can gain insights into the patient's coping mechanisms, emotional responses, and overall mental health status. This information is crucial for developing a tailored care plan that addresses the patient's specific needs.
Summary of why other choices are incorrect:
- Relationships (B): While relationships may play a role in the patient's mental health, the primary focus in the Neuman systems model for a patient with a mood disorder is on individual behaviors.
- Self-care activities (C): While self-care is important, it may not be the primary focus when caring for a patient with a mood disorder using the Neuman systems model.
- Stressors (D): While stressors can contribute to a mood disorder, the Neuman systems model emphasizes the assessment of
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.
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.
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.