ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 7 : Psychosocial Theoretic Basis of Psychiatric Nursing Questions
Question 1 of 5
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
Correct Answer: D
Rationale: The Neuman systems model views the patient as a system affected by stressors. Nurses focus on identifying and managing stressors to maintain system stability. Behaviors, relationships, and self-care are secondary to addressing stressors in this model.
Question 2 of 5
The nurse is integrating Peplau?s model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?
Correct Answer: B
Rationale: Hildegard Peplau?s interpersonal model identifies anxiety as a key component, as it drives patient behavior and influences the nurse-patient relationship. The model focuses on therapeutic interactions to address anxiety. Suffering is less specific, self-care aligns with Orem, and nonverbal behaviors are secondary.
Question 3 of 5
A group of nursing students are reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality?
Correct Answer: A
Rationale: Madeleine Leininger developed the theory of cultural care diversity and universality, emphasizing culturally congruent care. Roy developed the adaptation model, Peplau focused on interpersonal relations, and Orem created the self-care deficit theory.
Question 4 of 5
A patient is being discharged from the psychiatric unit this afternoon, and the nurse needs to teach the patient about discharge medications. The patient is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau?s views regarding anxiety, the nurse would expect to implement the teaching plan at which time?
Correct Answer: B
Rationale: Peplau?s theory suggests that moderate anxiety impairs learning, while mild anxiety can enhance it. Teaching about discharge medications would be most effective when the patient?s anxiety decreases to a mild level, allowing better comprehension. Complete absence of anxiety is unrealistic, and panic level would hinder learning.
Question 5 of 5
A nursing instructor is integrating Piaget?s theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?
Correct Answer: C
Rationale: Piaget?s theory identifies adolescents (roughly ages 12 and up) as being in the formal operations stage, characterized by abstract thinking and problem-solving. Concrete operations apply to younger children, preoperational to preschoolers, and sensorimotor to infants.