A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. What would the instructor identify as a major challenge associated with technology?
Maintaining confidentiality
Decreasing fragmented care
Establishing educational models
Defining professional standards more clearly
The Correct Answer is A
Choice A reason:
Maintaining confidentiality is a significant challenge associated with the use of technology in psychiatric-mental health care. Electronic health records and other digital tools can increase the risk of data breaches and unauthorized access to sensitive patient information. Ensuring the privacy and security of patient data is crucial to maintaining trust and compliance with legal and ethical standards.
Choice B reason:
Decreasing fragmented care is actually a potential benefit of technology in mental health care. Digital tools can improve communication and coordination among healthcare providers, leading to more integrated and comprehensive care for patients. Therefore, it is not considered a major challenge.
Choice C reason:
Establishing educational models is an important aspect of integrating technology into healthcare, but it is not the primary challenge. Educational models can be developed and adapted to incorporate new technologies, and this process is generally seen as an opportunity rather than a challenge.
Choice D reason:
Defining professional standards more clearly is also a potential benefit of technology. Digital tools can help standardize practices and ensure consistency in care delivery. While it is important to establish clear standards, this is not considered a major challenge compared to maintaining confidentiality.
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Correct Answer is A
Explanation
Choice A reason:
Feelings are a key component of the psychological domain in the biopsychosocial model. This domain focuses on the client’s emotions, thoughts, and behaviors, which are crucial in understanding and treating mental health problems. Addressing feelings helps the nurse develop a comprehensive care plan that considers the client’s emotional well-being.
Choice B reason:
Cultural groups fall under the social domain of the biopsychosocial model. This domain includes factors such as family, community, and cultural influences on the client’s health. While cultural considerations are important, they are not part of the psychological domain.
Choice C reason:
Family functioning is also part of the social domain. It involves the dynamics and interactions within the client’s family that can impact their mental health. Understanding family functioning is essential, but it is not categorized under the psychological domain.
Choice D reason:
Sleep patterns can be influenced by both psychological and biological factors. However, in the context of the biopsychosocial model, sleep patterns are typically considered part of the biological domain. The psychological domain specifically addresses the client’s emotions and mental processes.
Correct Answer is D
Explanation
Choice A reason:
The statement “I think that the federal government is spying on me” reflects a delusional belief, which is a symptom of certain mental health disorders. While this statement indicates the need for further assessment and possibly treatment, it does not pose an immediate threat to the safety of the client or others. Therefore, it does not warrant breaching confidentiality.
Choice B reason:
Expressing anger towards a doctor, as in the statement “That doctor I had today really made me angry,” is not uncommon in a mental health setting. While it may indicate dissatisfaction or a need for conflict resolution, it does not suggest an immediate risk of harm to the client or others. Confidentiality should be maintained unless there is a clear and imminent threat.
Choice C reason:
The statement “I get really ‘turned on’ by your appearance” is inappropriate and may indicate boundary issues or sexual attraction towards the nurse. While this requires professional handling and possibly setting boundaries, it does not constitute a threat that would necessitate breaching confidentiality.
Choice D reason:
The statement “When I get out of here, I’m going to make my neighbor sorry” indicates a specific threat of harm towards another person. Nurses are legally and ethically obligated to breach confidentiality in situations where there is a clear and imminent risk of harm to the client or others. This duty to warn and protect overrides the obligation to maintain confidentiality.
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