A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient’s confidentiality if the patient states which of the following?

Correct Answer: D

Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.

Correct Answer: D

Rationale: The correct answer is D: Autonomy and beneficence. Autonomy refers to the patient's right to make decisions about their own healthcare. In this case, the patient is refusing medication based on how it makes them feel, which reflects their autonomy. Beneficence refers to the healthcare provider's duty to act in the patient's best interest. The nurse is trying to persuade the patient to take the medication by explaining its benefits for treating the chemical imbalance associated with schizophrenia. This reflects the conflict between respecting the patient's autonomy while also promoting their well-being through beneficence. Choices A, B, and C are incorrect: A: Autonomy and justice do not directly apply to the conflict in the scenario. B: Paternalism involves overriding a patient's autonomy for their own good, but veracity (truthfulness) is not a central issue in this scenario. C: Justice and nonmaleficence are not the primary ethical principles in conflict; the focus is on autonomy and benef

Correct Answer: A

Rationale: The correct answer is A: Behavior therapy. In the biopsychosocial model, the psychological domain focuses on the mental and emotional aspects of an individual. Behavior therapy directly addresses psychological issues by modifying maladaptive behaviors through techniques such as cognitive-behavioral therapy. Family support (B) and nutritional therapy (C) primarily fall under the social and biological domains, respectively. Sleep hygiene measures (D) are more related to the biological domain in ensuring optimal physical health. Thus, behavior therapy aligns most closely with the integration of the psychological domain in client care within the biopsychosocial model.

Correct Answer: A

Rationale: Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health. Step 2: Life stressors can significantly affect the course and severity of mental disorders. Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors. Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors. Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.

Correct Answer: D

Rationale: The correct answer is D: Hope. Hope is a crucial concept in the recovery process, as it instills optimism and motivates individuals to strive for a better future. It helps individuals envision a life beyond their current struggles. Self-direction (A) is important but without hope, individuals may lack the motivation to direct their recovery efforts. Peer support (B) and respect (C) are valuable components, but hope serves as the foundation for building strong relationships and fostering a sense of dignity and empowerment.

Correct Answer: D

Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.

Correct Answer: C

Rationale: The correct answer is C because minimizing adverse effects of drug therapy directly relates to the biological domain of care for a patient with schizophrenia. This outcome focuses on managing the physical effects of medication, which is a key aspect of addressing the biological needs of the patient. Improving problem-solving skills (A) falls under the cognitive domain, promoting economic stability (B) relates to the financial domain, improving nutritional status (D) addresses the physical domain, and providing family education (E) pertains to the psychosocial domain.

Correct Answer: D

Rationale: The correct answer is D: The Joint Commission. The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations based on quality and safety standards. It establishes and enforces internal rights protection systems to ensure patient rights are respected. The other choices do not specifically focus on accrediting and certifying healthcare organizations or ensuring internal rights protection systems. The American Hospital Association and American Public Health Association are professional organizations that advocate for healthcare policies. State mental health providers typically focus on delivering mental health services rather than accrediting healthcare organizations.

Correct Answer: D

Rationale: Rationale: 1. Axis I: Focuses on clinical disorders; Mrs. Green's experiences are not related to a specific mental disorder. 2. Axis II: Focuses on personality disorders and mental retardation; not applicable to Mrs. Green's situation. 3. Axis III: Focuses on general medical conditions; Mrs. Green's mother's cancer diagnosis falls under this axis. 4. Axis IV: Focuses on psychosocial and environmental stressors; Mrs. Green's trauma from her dog's death and mother's illness fits here.