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After teaching a class of nursing students about the rights of persons receiving mental health services, the instructor determines a need for additional instruction when the students identify which of the following as a right?
- A. Freedom from restraints or seclusion
- B. Access to one’s own mental health records on request
- C. An individualized written treatment plan
- D. Refuse treatment during an emergency situation
Correct Answer: D
Rationale: The correct answer is D because the right to refuse treatment during an emergency situation is not an absolute right for persons receiving mental health services. In emergency situations where a person's life or safety is at risk, healthcare providers may need to provide treatment even if the individual refuses. This is done to ensure the person's immediate safety and well-being. It is essential for healthcare providers to act in the best interest of the individual in emergency situations.
A: Freedom from restraints or seclusion is a right as it promotes dignity and autonomy.
B: Access to one's own mental health records on request is a right that promotes transparency and informed decision-making.
C: An individualized written treatment plan is a right to ensure personalized and effective care.
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A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
- A. Research information about the cultures of the population being served after assessing the patients.
- B. Recognize that one’s own culture is the predominant way of addressing a patient’s health care needs. 11
- C. Assume that any individual of a racial or ethnic group is the same as another individual in that group.
- D. Demonstrate an appreciation of and a genuine interest in the individual and his or her cultural beliefs.
Correct Answer: D
Rationale: Step 1: Developing cultural competence involves understanding and respecting the cultural beliefs of individuals.
Step 2: Choice D aligns with this by emphasizing appreciation and genuine interest in the individual's cultural beliefs.
Step 3: By demonstrating appreciation and interest, the nurse can build trust and rapport with the patient.
Step 4: This approach promotes culturally sensitive care and patient-centered practice.
Step 5: Choices A, B, and C are incorrect as they do not prioritize understanding individual cultural beliefs and may lead to stereotyping, ethnocentrism, or lack of respect for diversity.
Summary: Choice D is the most appropriate as it promotes respect for individual cultural beliefs and fosters effective communication and relationship building. Choices A, B, and C lack the key components necessary for developing cultural competence.
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 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 nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
- A. Committed patient
- B. Schizophrenic
- C. Schizophrenic patient
- D. Person with schizophrenia
Correct Answer: D
Rationale: The correct answer is D: Person with schizophrenia. This terminology is person-first language, emphasizing the individual over the condition. It is respectful, person-centered, and reduces stigma. Using terms like "schizophrenic" (B), "schizophrenic patient" (C), or "committed patient" (A) can be dehumanizing, label-focused, and perpetuate negative stereotypes. It is important to always prioritize personhood and dignity when referring to individuals with mental health conditions.
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
- A. Provide a commonly understood diagnostic category for clinical practice.
- B. Describe treatment modalities for psychiatric disorders and mental illnesses.
- C. Identify various etiologies for mental disorders based on family histories.
- D. Provide optimal outcomes for treatment for individuals with mental illnesses.
Correct Answer: A
Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The primary purpose of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is to establish a standardized system for classifying mental disorders to aid clinicians in diagnosis and treatment. It provides a common language and criteria for mental health professionals to communicate effectively and ensure consistency in diagnosis.
Choice B is incorrect because the DSM-IV-TR focuses on diagnostic criteria rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not primarily focus on identifying etiologies but rather on classification. Choice D is incorrect as the manual does not provide specific outcomes for treatment but rather aids in diagnosing mental disorders.