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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.
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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.
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.
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.
A nurse is faced with an ethical dilemma involving a patient. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision making?
- A. What are my own feelings about the situation?
- B. What assumptions am I making that need more data?
- C. What do I know about the situation?
- D. What do I know about the patient?s values?
Correct Answer: C
Rationale: Ethical decision-making begins with gathering facts to understand the situation fully, making 'What do I know about the situation?' the most important first question. This ensures decisions are based on accurate information. While feelings, assumptions, and patient values are important, they are secondary to establishing the factual context.
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.