Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?
- A. Offering depression screening to all ages on a regular basis
- B. Working towards an advanced practice psychiatric nursing degree
- C. Discussing nursing interventions with the client's multidisciplinary care team
- D. Re-evaluating the validity of traditionally accepted psychiatric nursing care interventions
Correct Answer: D
Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence.
A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing.
B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field.
C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.
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Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother’s behavior. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Maturational/developmental crisis
- C. Dispositional crisis
- D. Crisis reflecting psychopathology
Correct Answer: C
Rationale: The correct answer is C: Dispositional crisis. This type of crisis arises from an external event or stressor that overwhelms an individual's usual coping mechanisms. In this case, Jenny's mother's alcoholism is causing distress and fear for Jenny, impacting her ability to function normally. A is incorrect because traumatic stress typically involves a singular event causing intense emotional response. B is incorrect as maturational crisis relates to normal life transitions. D is incorrect as crisis reflecting psychopathology involves mental health conditions as the primary cause of crisis.
The best way to objectively evaluate the effectiveness of an individual staff member's time management skills in a longitudinal manner is to:
- A. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities.
- B. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately completed priority tasks.
- C. Ask the staff member how they feel like they have been able to employ their time management skills for the last six months.
- D. Collect outcome data over time and then aggregate and analyze this data to determine whether or not the staff member has completed reasonable assignments in the allotted time before the end of their shift of duty.
Correct Answer: D
Rationale: Longitudinal evaluation requires data collection and analysis over time.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
Which of these is not a pitfall of Ecosystems Theory?
- A. May value the status quo and avoid any real change to avoid disruptions within the family or to ensure stability
- B. Existing circumstances may be accepted as givens. The focus may be to make adjustments within those limits, instead of challenging the limits.
- C. One must master many interventive skills to address issues at all system levels which is not realistic.
- D. There is an inattention to power differences in family and in the community regarding interpretations
Correct Answer: D
Rationale: Attention to power differences is a strength, not a pitfall, of ecosystems theory.
Which mental health service focuses on a largely underserved at-risk population?
- A. Stress management classes for new mothers
- B. A support group for recovering male alcoholics
- C. A depression support group for adolescent children
- D. Socialization therapy for adults diagnosed with schizophrenia
Correct Answer: C
Rationale: The correct answer is C: A depression support group for adolescent children. This population is largely underserved due to stigma, lack of resources, and limited awareness. Adolescents are at a vulnerable stage in their lives and may struggle to express their emotions and seek help. Providing a support group specifically tailored to address their mental health needs can offer a safe space for them to share experiences, receive guidance, and build coping skills. Stress management classes for new mothers (A) target a specific demographic but not as underserved as adolescent children. A support group for recovering male alcoholics (B) and socialization therapy for adults with schizophrenia (D) also address important mental health issues but are not focused on as an underserved population as adolescent children struggling with depression.