Nokea
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.
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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 correct answer is A: Behavior therapy. In the biopsychosocial model, the psychological domain focuses on the mental and emotional aspects of an individual. Behavior therapy directly addresses psychological issues by modifying maladaptive behaviors through techniques such as cognitive-behavioral therapy. Family support (B) and nutritional therapy (C) primarily fall under the social and biological domains, respectively. Sleep hygiene measures (D) are more related to the biological domain in ensuring optimal physical health. Thus, behavior therapy aligns most closely with the integration of the psychological domain in client care within the biopsychosocial model.
A group of nursing students are reviewing information about internal rights protection systems. The students demonstrate understanding of this information when they identify which of the following as an example?
- A. American Hospital Association
- B. American Public Health Association
- C. State mental health provider
- D. The Joint Commission
Correct Answer: D
Rationale: The correct answer is D: The Joint Commission. The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations based on quality and safety standards. It establishes and enforces internal rights protection systems to ensure patient rights are respected. The other choices do not specifically focus on accrediting and certifying healthcare organizations or ensuring internal rights protection systems. The American Hospital Association and American Public Health Association are professional organizations that advocate for healthcare policies. State mental health providers typically focus on delivering mental health services rather than accrediting healthcare organizations.
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
- A. Axis I
- B. Axis II
- C. Axis III
- D. Axis IV
Correct Answer: D
Rationale: Rationale:
1. Axis I: Focuses on clinical disorders; Mrs. Green's experiences are not related to a specific mental disorder.
2. Axis II: Focuses on personality disorders and mental retardation; not applicable to Mrs. Green's situation.
3. Axis III: Focuses on general medical conditions; Mrs. Green's mother's cancer diagnosis falls under this axis.
4. Axis IV: Focuses on psychosocial and environmental stressors; Mrs. Green's trauma from her dog's death and mother's illness fits here.
A nurse is providing care to a patient with a mental disorder classified by the DSM- IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a patient, a truly accurate picture of the client is incomplete without considering other factors such as an estimate of current functioning and:
- A. Life stressors
- B. Cultural background
- C. Marital status
- D. Genetic history
Correct Answer: A
Rationale: Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health.
Step 2: Life stressors can significantly affect the course and severity of mental disorders.
Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors.
Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors.
Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.
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.