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Exam (elaborations)

Test Bank Nur 322 Practice Questions and Correct Answers

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When applying the biopsychosocial model to client care, the nurse integrates the psychological domain when involved with which of the following? A) Behavior therapy B) Family support C) Nutritional therapy D) Sleep hygiene measures A. Behavior Therapy A nursing instructor is describing the impact of technology and electronic health records on psychiatricmental health care. Which of the following would the instructor identify as a major challenge associated with it? A) Maintaining confidentiality B) Establishing educational models C) Decreasing fragmented care D) Defining professional standards more clearly A. Maintaining confidentiality 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 nurses opinion most closely reflects which ethical principle? A) Nonmaleficence B) Paternalism C) Veracity D) Justice D. Justice 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 students decision reflects which ethical principle? A) Autonomy B) Beneficence C) Fidelity D) Veracity C. Fidelity 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? A) Therapeutic use of self B) Critical thinking C) Interdisciplinary care D) Planning care B. Critical thinking A

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Test Bank Nur 322 Practice Questions
and Correct Answers
When applying the biopsychosocial model to client care, the nurse integrates the
psychological domain when involved with which of the following?
A) Behavior therapy
B) Family support
C) Nutritional therapy
D) Sleep hygiene measures ✅A. Behavior Therapy

A nursing instructor is describing the impact of technology and electronic health records
on psychiatricmental health care. Which of the following would the instructor identify as
a major challenge associated with it?
A) Maintaining confidentiality
B) Establishing educational models
C) Decreasing fragmented care
D) Defining professional standards more clearly ✅A. Maintaining confidentiality

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 nurses opinion most closely reflects which
ethical principle?
A) Nonmaleficence
B) Paternalism
C) Veracity
D) Justice ✅D. Justice

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 students decision reflects which
ethical principle?
A) Autonomy
B) Beneficence
C) Fidelity
D) Veracity ✅C. Fidelity

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?

,A) Therapeutic use of self
B) Critical thinking
C) Interdisciplinary care
D) Planning care ✅B. Critical thinking

A group of students is reviewing the functions of psychiatric nurses. The students
demonstrate understanding of the information when they identify which of the following
as an advanced practice level function?
A) Milieu therapy
B) Promotion of self-care
C) Psychopharmacology interventions
D) Health promotion activities ✅C. Psychopharmacology interventions

A nursing instructor has prepared a lecture about the scope and standards of practice of
psychiatric nurses. The instructor determines that the teaching was effective when the
students identify which of the following as common to both basic and advanced level
practice?
A) Case management
B) Program development
C) Clinical supervision
D) Community interventions ✅A. Case management

A nurse is working on developing ways to meet the challenge of knowledge
development. Which of the following would be most appropriate?
A) Access new information through continuing education programs.
B) Improve access to community psychiatric care for all populations.
C) Reduce the burden of mental illness by fighting stigma.
D) Provide culturally competent, high-quality nursing care. ✅A. Access new
information through continuing education programs.

A 22-year-old patient with schizophrenia is refusing his antipsychotic medication. He
states, I dont like the dopey way it makes me feel. I feel like Im walking under water
when I take it. The nurse explains to him, Your schizophrenia is caused by a chemical
imbalance in your brain, and this medication helps fix that chemical imbalance. You
need to take it so your symptoms will get better. This conversation reflects a conflict
between which two types of ethical principles?
A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence ✅D. Autonomy and beneficence

A nurse is faced with an ethical dilemma involving a patient. Which question would be
most important for the nurse to ask first when engaging in the process of ethical
decision making?
A) What are my own feelings about the situation?
B) What assumptions am I making that need more data?

, C) What do I know about the situation?
D) What do I know about the patients values? ✅C. What do I know about the
situation?

A psychiatricmental health nurse is adhering to the standards of practice. When
engaging in clinical decision making, the nurse is integrating which of the following as
the foundation?
A) Developmental issues
B) Nursing process
C) Commitment
D) Accountability ✅B. Nursing Process

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?
A) Prescriptive authority
B) Consultation
C) Planning
D) Collegiality ✅D. Collegiality

A psychiatricmental health nurse is providing care to patients with a mental illness and
is investigating factors related to the patient safety, delivery of care services, and cost
effectiveness. The nurse is involved with which area of professional performance?
A) Education
B) Quality of practice
C) Resource utilization
D) Collaboration ✅C. Resource utilization

An instructor is preparing a class for a group of students about professional
organizations and the leadership provided. Which of the following would the instructor
include as an important function of the International Society of Psychiatric-Mental Health
Nurses?
A) Advocating for mental health nursing practice through liaison activities
B) Advancing psychiatric-mental health nursing practice
C) Improving mental health care for culturally diverse individuals
D) Providing a strong voice for psychiatric-mental health nurses ✅D. Providing a
strong voice for psychiatricmental health nurses

When applying the biopsychosocial model for a patient with a mental health problem,
the nurse addresses the psychological domain when assessing which of the following?
A) Sleep patterns
B) Feelings
C) Family functioning
D) Cultural groups ✅B. Feelings

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