ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 6 Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nursing student is initiating a relationship with an assigned patient. After meeting and spending approximately 20 minutes talking with the patient, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of patients to play volleyball. The student starts to go with them but then remembers the promise to meet with the patient. The student decides to stay behind and talk to with her patient. The student?s decision reflects which ethical principle?
Correct Answer: C
Rationale: Fidelity refers to keeping promises and maintaining loyalty to commitments. By choosing to honor the promise to meet with the patient instead of joining the volleyball game, the student demonstrates fidelity. Autonomy relates to respecting the patient?s decision-making, beneficence involves promoting well-being, and veracity pertains to truthfulness, none of which are as directly relevant.
Question 5 of 5
In a postclinical conference, a group of students are engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. The students are engaged in which of the following?
Correct Answer: B
Rationale: Critical thinking involves analyzing and evaluating information to make reasoned judgments. The instructor?s focus on having students analyze and evaluate nursing interventions aligns with this process, as it encourages reflective and evidence-based reasoning. Therapeutic use of self involves personal engagement with patients, interdisciplinary care involves collaboration with other professionals, and planning care is a specific phase of the nursing process, none of which fit as well.