A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse?s opinion most closely reflects which ethical principle?
- A. Nonmaleficence
- B. Paternalism
- C. Veracity
- D. Justice
Correct Answer: D
Rationale: The ethical principle of justice emphasizes fairness and equitable distribution of resources and opportunities. The student?s opinion about equitable access to mental health care for underserved populations directly aligns with this principle. Nonmaleficence focuses on avoiding harm, paternalism involves making decisions for others, and veracity pertains to truthfulness, none of which fit as closely.
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When applying the biopsychosocial model for a patient with a mental health problem, the nurse addresses the psychological domain when assessing which of the following?
- A. Sleep patterns
- B. Feelings
- C. Family functioning
- D. Cultural groups
Correct Answer: B
Rationale: The psychological domain of the biopsychosocial model focuses on emotions, thoughts, and mental states. Assessing feelings directly addresses this domain. Sleep patterns are primarily biological, while family functioning and cultural groups relate to the social domain.
An instructor is preparing a class for a group of students about professional organizations and the leadership provided. Which of the following would the instructor include as an important function of the International Society of Psychiatric-Mental Health Nurses?
- A. Advocating for mental health nursing practice through liaison activities
- B. Advancing psychiatric-mental health nursing practice
- C. Improving mental health care for culturally diverse individuals
- D. Providing a strong voice for psychiatric-mental health nurses
Correct Answer: B
Rationale: The International Society of Psychiatric-Mental Health Nurses (ISPN) focuses on advancing psychiatric-mental health nursing practice through education, research, and professional development. While advocacy, improving care for diverse populations, and providing a voice are important, advancing practice is the core function.
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 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 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.
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