ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 6 : Ethics, Standards, and Nursing Frameworks Questions
Question 1 of 5
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.
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.
Question 2 of 5
A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?
Correct Answer: B
Rationale: Reflection is the process of introspection and self-examination, which is essential for developing self-awareness in nursing. Interdisciplinary care involves collaboration, a plan of care is a structured approach to patient care, and clinical reasoning is a cognitive process for decision-making, none of which directly target self-awareness.
Question 3 of 5
When applying the biopsychosocial model to client care, the nurse integrates the psychological domain when involved with which of the following?
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.
Question 4 of 5
A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. Which of the following would the instructor identify as a major challenge associated with it?
Correct Answer: A
Rationale: Electronic health records (EHRs) improve access to patient data but pose significant challenges in maintaining confidentiality due to risks of unauthorized access, data breaches, or improper sharing. This is a well-documented concern in psychiatric care, where sensitive mental health information requires stringent protection. The other options are less directly related to EHR challenges: educational models and professional standards are broader issues, and EHRs typically reduce fragmented care.
Question 5 of 5
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?
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.