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

Answer and Explanation

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 B

Explanation

Choice A reason:
Neuroleptic malignant syndrome (NMS) is a rare but serious side effect of antipsychotic medications. It is characterized by symptoms such as high fever, muscle rigidity, altered mental status, and autonomic dysfunction. The client’s description of needing to move around does not align with the symptoms of NMS.
Choice B reason:
Akathisia is a common side effect of first-generation antipsychotic medications. It is characterized by a feeling of inner restlessness and an urgent need to move. The client’s behavior of pacing and the statement “I just need to move around” are indicative of akathisia.
Choice C reason:
Tardive dyskinesia is a long-term side effect of antipsychotic medications, characterized by involuntary, repetitive movements, particularly of the face and tongue. The client’s symptoms of needing to move around do not match the typical presentation of tardive dyskinesia.
Choice D reason:
Impaired ability to regulate body temperature can occur with antipsychotic medications, but it is not characterized by the need to move around. The client’s symptoms are more consistent with akathisia rather than issues with thermoregulation.

A. Countertransference B. Empathy C. Transference D. Modeling

Correct Answer is A

Explanation

Choice A reason:
Countertransference occurs when a healthcare provider projects their own feelings and experiences onto the client. In this case, the nurse is responding to the client as if they were their grandparent, which indicates that the nurse’s personal feelings are influencing their professional relationship.
Choice B reason:
Empathy involves understanding and sharing the feelings of another person. While empathy is important in nursing, it does not involve projecting personal relationships onto the client.
Choice C reason:
Transference occurs when a client projects feelings about important figures in their life onto the healthcare provider. This is the opposite of countertransference, where the provider projects their feelings onto the client.
Choice D reason:
Modeling involves demonstrating behaviors for others to imitate. It does not describe the emotional reaction of projecting personal feelings onto a client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?

Correct Answer is A

Explanation

Which client would a nurse determine to be the most likely candidate for involuntary commitment?

A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?

A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, “My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?” Which of the following responses should the nurse make?