Nokea
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.
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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,D
Rationale: The biologic domain focuses on physical health and bodily functions. Minimizing adverse effects of drug therapy (C) addresses medication-related physical outcomes, and improving nutritional status (D) focuses on physical health through diet. Improving problem-solving skills is psychological, promoting economic stability is social, and providing family education is social.
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 biopsychosocial model integrates biological, psychological, and social domains. The psychological domain focuses on mental processes, emotions, and behaviors. Behavior therapy directly addresses psychological aspects by modifying maladaptive behaviors and thought patterns, making it the correct choice. Family support relates to the social domain, while nutritional therapy and sleep hygiene measures primarily address the biological domain.
A group of nursing students are reviewing the standards of professional performance. The students demonstrate understanding when they identify which as a standard of professional performance?
- A. Prescriptive authority
- B. Consultation
- C. Planning
- D. Collegiality
Correct Answer: D
Rationale: Collegiality, which involves collaborating and maintaining respectful relationships with colleagues, is a recognized standard of professional performance in nursing. Prescriptive authority is specific to advanced practice, consultation is a function rather than a performance standard, and planning is part of the nursing process, not a performance standard.
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.
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.