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A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. Which of the following would the instructor identify as a major challenge associated with it?
- A. Maintaining confidentiality
- B. Establishing educational models
- C. Decreasing fragmented care
- D. Defining professional standards more clearly
Correct Answer: A
Rationale: Electronic health records (EHRs) improve access to patient data but pose significant challenges in maintaining confidentiality due to risks of unauthorized access, data breaches, or improper sharing. This is a well-documented concern in psychiatric care, where sensitive mental health information requires stringent protection. The other options are less directly related to EHR challenges: educational models and professional standards are broader issues, and EHRs typically reduce fragmented care.
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A psychiatric-mental health nurse is providing care to patients with a mental illness and is investigating factors related to the patient safety, delivery of care services, and cost effectiveness. The nurse is involved with which area of professional performance?
- A. Education
- B. Quality of practice
- C. Resource utilization
- D. Collaboration
Correct Answer: B
Rationale: Investigating patient safety, care delivery, and cost-effectiveness aligns with the quality of practice, a professional performance standard focused on improving care outcomes and efficiency. Education involves knowledge development, resource utilization focuses on efficient use of resources, and collaboration involves working with others, none of which fit as directly.
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.
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 psychiatric-mental health nurse is adhering to the standards of practice. When engaging in clinical decision making, the nurse is integrating which of the following as the foundation?
- A. Developmental issues
- B. Nursing process
- C. Commitment
- D. Accountability
Correct Answer: B
Rationale: The nursing process (assessment, diagnosis, planning, implementation, evaluation) is the foundational framework for clinical decision-making in psychiatric-mental health nursing, ensuring systematic and evidence-based care. Developmental issues inform care but are not the foundation, while commitment and accountability are professional qualities, not decision-making frameworks.