Correct Answer: A

Rationale: The correct answer is A: Maintaining confidentiality. Electronic health records in psychiatric-mental health care present challenges in protecting sensitive patient information due to potential breaches in security. This is crucial in maintaining trust and privacy between patients and healthcare providers. Choice B (Establishing educational models) is not a major challenge related to technology and EHRs. Choice C (Decreasing fragmented care) is actually a potential benefit of technology by improving communication and coordination among healthcare providers. Choice D (Defining professional standards more clearly) is important but not a major challenge specifically associated with technology and EHRs in psychiatric-mental health care.

Correct Answer: B

Rationale: The correct answer is B: Reflection. Self-awareness is the process of introspection and understanding one's own thoughts, feelings, and actions. Reflection is a tool that helps individuals explore their experiences, emotions, and beliefs, leading to increased self-awareness. Interdisciplinary care (A) involves collaboration among different healthcare professionals. Plan of care (C) refers to the specific actions and interventions for a patient's treatment. Clinical reasoning (D) is the process of analyzing patient data to make clinical decisions. Reflection is the most appropriate tool for developing self-awareness among healthcare professionals.

Correct Answer: C

Rationale: Axis III in the DSM-5 refers to any relevant medical conditions or physical disorders that may be impacting the patient's mental health. In this case, Chronic obstructive pulmonary disorder (COPD) would be found on Axis III as it is a physical health condition. Cocaine dependence (A) and Bipolar I disorder (B) would be found on Axis I as they are mental health disorders. Cellulitis (D) is a skin infection and would also not be found on Axis III as it is not a chronic physical health condition.

Correct Answer: B

Rationale: The correct answer is B because ethical decision-making requires examining assumptions and seeking more information before making a judgment. By questioning assumptions, the nurse can avoid biases and ensure decisions are based on accurate data. This step is crucial in understanding the full context of the ethical dilemma and considering all perspectives involved. Choices A, C, and D are incorrect because focusing on personal feelings, existing knowledge, or patient values alone may not address the root of the ethical issue or lead to a comprehensive decision-making process.

Correct Answer: C

Rationale: The correct answer is C: Self-care. Peplau's model emphasizes the therapeutic nurse-patient relationship, where the nurse helps the patient develop self-awareness, self-understanding, and self-care skills. By identifying self-care as a key component, the nurse promotes the patient's independence and empowerment in managing their mental illness. Incorrect choices: A: Suffering - While suffering may be a part of the patient's experience, it is not a key component in Peplau's model. B: Anxiety - Although anxiety may be present in a patient with mental illness, it is not a central focus of Peplau's model. D: Nonverbal behaviors - While nonverbal behaviors are important in communication, they are not a key component in Peplau's model, which focuses more on the therapeutic relationship and patient-centered care.