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A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder. Which statement would be most appropriate for the nurse to include about this process?
- A. `It is a step-by-step process from being ill to being well.
- B. `The patient focuses mainly on the emotional aspects of his condition.
- C. `The patient is helped to live a meaningful life to his fullest potential.
- D. `Although peer support is important, the self-acceptance is essential.
Correct Answer: C
Rationale: The correct answer is C because recovery from a mental disorder involves helping the patient live a meaningful life to their fullest potential. This statement acknowledges the holistic approach to recovery, focusing not only on symptom management but also on empowerment and quality of life. It emphasizes the importance of supporting the patient in achieving their goals and aspirations. On the other hand, choices A and B are too simplistic and do not capture the complexity of the recovery process. Choice D, although acknowledging the importance of self-acceptance, does not encompass the broader concept of living a fulfilling life beyond just peer support and self-acceptance.
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An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?
- A. `The theories attempt to explain the mental processes development and effects on behavior.
- B. `The theories attempt to describe how people learn and act.
- C. `The theories attempt to link internal thought processes with behavior.
- D. `The theories attempt to explain normal human growth and development.
Correct Answer: C
Rationale: The correct answer is C: `The theories attempt to link internal thought processes with behavior. Cognitive theories in psychiatric-mental health nursing focus on how internal thought processes, such as perceptions, beliefs, and interpretations, influence behavior. They emphasize the role of cognition in shaping emotions and actions. This statement accurately reflects the core focus of cognitive theories.
Choice A is incorrect because it refers more to psychological theories that explain mental processes' development and effects on behavior in general, not specifically focusing on cognitive processes. Choice B is incorrect as it describes behavioral theories that emphasize learning and actions rather than internal thought processes. Choice D is incorrect as it pertains to developmental theories that explain normal human growth and maturation, not specifically cognitive processes and behavior.
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: The correct answer is A because continuing education programs help nurses stay updated with the latest evidence-based practices and advancements in healthcare. This enables them to enhance their knowledge and skills, ultimately improving patient care outcomes. Choice B is incorrect as it focuses on access to care rather than knowledge development. Choice C is incorrect because fighting stigma, while important, does not directly relate to knowledge development. Choice D is incorrect as it pertains to providing care rather than developing knowledge. Therefore, the most appropriate way for the nurse to meet the challenge of knowledge development is through accessing new information via continuing education programs.
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 correct answer is C: Ineffective Role Performance related to inability to participate as family provider. This nursing diagnosis reflects the social domain because it focuses on the patient's inability to fulfill their role as a family provider due to depression, which impacts their social functioning. This diagnosis addresses the patient's social interactions, relationships, and roles within the family unit.
Explanation:
1. Imbalanced Nutrition (A) is related to physical health and nutrition, not the social domain.
2. Powerlessness (B) is related to feelings of lack of control, not specifically tied to social interactions or roles.
3. Risk for Suicide (D) is related to the patient's safety and mental health, not directly addressing social functioning.
In summary, choice C is the correct answer as it specifically addresses the patient's social domain by focusing on their role within the family unit, while the other choices are more related to physical health, mental health, and personal feelings.
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.
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.