Questions 9

ATI RN

ATI RN Test Bank

Psychiatric Nurse Practitioner Exam Questions Questions

Question 1 of 5

A nurse is explaining the distinction between confidentiality and privacy. Which of the following would the nurse include as reflecting privacy?

Correct Answer: A

Rationale: Step 1: Privacy refers to the right to keep personal matters and information private. Step 2: Choice A is correct as it reflects the idea that privacy is about personal life not governed by laws. Step 3: Choice B is incorrect as it refers to confidentiality, not privacy. Step 4: Choice C is incorrect as privacy can involve an individual and not necessarily require the involvement of another. Step 5: Choice D is incorrect as knowledge of treatment costs and benefits is more related to informed consent than privacy.

Question 2 of 5

A nurse working on the psychiatric unit receives a telephone call from the employer of one of the patients on the unit. The employer asks to be sent a copy of Mr. Murray’s latest laboratory work and psychological testing results so Mr. Murray’s medical records in employee health can be kept up to date. Based on the nurse’s knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?

Correct Answer: B

Rationale: The correct answer is B: `I’ll have to get the patient’s signed consent before we can send that information to you. This response is appropriate as it upholds the patient's confidentiality rights as per HIPAA regulations. By obtaining the patient's signed consent, the nurse ensures that Mr. Murray's privacy is protected and that information is not disclosed without authorization. Choice A is incorrect because it is a direct violation of patient confidentiality without obtaining proper consent. Choice C is incorrect as it does not address the request and does not protect patient privacy. Choice D is incorrect as it also discloses patient information without consent, violating confidentiality laws.

Question 3 of 5

When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?

Correct Answer: D

Rationale: The correct answer is D: Mental health facilities do not accommodate the cultural needs of Hispanic Americans. This is because Hispanic Americans may feel more comfortable seeking help from resources that align with their cultural beliefs and practices. Mental health facilities that do not cater to their cultural needs may not effectively communicate or provide care in a culturally sensitive manner, leading Hispanic Americans to seek help elsewhere first. A: Requiring periods of hospitalization is not a primary reason why Hispanic Americans may avoid mental health facilities. B: Lack of 24-hour emergency services is not a significant factor influencing Hispanic Americans' preference for other resources. C: Third-party payer reimbursement does not directly impact Hispanic Americans' cultural beliefs and preferences when seeking mental health care.

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: A

Rationale: Rationale for Correct Answer A: Implementing the teaching plan when the patient's anxiety stabilizes at its current level aligns with Peplau's views on anxiety. At this point, the patient is more receptive to learning and can process information effectively without overwhelming anxiety hindering the learning process. This approach enables the patient to engage in the teaching plan with a manageable level of anxiety, promoting a more successful learning experience. Summary of Incorrect Choices: B: Implementing the teaching plan when the patient's anxiety decreases to a mild level may not be the most effective timing. The patient may still have some residual anxiety that could impact their ability to fully engage in the learning process. C: Waiting until the patient is completely free of anxiety may not be realistic or necessary. A certain level of anxiety is normal, and the goal is to teach the patient to manage anxiety effectively rather than eliminate it entirely. D: Waiting until the patient's anxiety escalates to the panic level is not ideal as it can lead

Question 5 of 5

A group of nursing students are reviewing the standards of professional performance. The students demonstrate understanding when they identify which as a standard of professional performance?

Correct Answer: D

Rationale: The correct answer is D: Collegiality. Collegiality is a standard of professional performance that involves working collaboratively with other healthcare professionals, showing respect, and fostering a positive work environment. It is essential for effective teamwork and patient care outcomes. A: Prescriptive authority is not a standard of professional performance but rather a specific legal authorization to prescribe medications or treatments. B: Consultation is an important aspect of professional practice but does not directly relate to the standards of professional performance. C: Planning is a necessary skill in nursing practice but is not specifically a standard of professional performance. In summary, collegiality is the correct answer as it directly relates to professional behavior and teamwork, while the other choices are not specifically standards of professional performance.

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