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A psychiatric–mental health nurse is educating a class at a community health center on social factors associated with mental illness. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk?

A 22-year-old client diagnosed with schizophrenia is refusing antipsychotic medication. The client states, “I don’t like the dopey way it makes me feel. I feel like I’m walking underwater when I take it.” The nurse explains to the client, “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?

The following events are important in the development of psychiatric–mental health nursing practice. Which event occurred first?

A nurse is assessing a client who has come to the health care facility for treatment. During the assessment, the client states, “I don’t know if there is a God or Heaven.” The nurse interprets this statement to be a reflection of what belief?

A nurse is performing a biopsychosocial assessment of a client with depression. What would the nurse assess as part of the psychological domain? Select all that apply.

A client is engaged in bibliotherapy and begins to express feelings and associate past experiences with that provided by the reading material. The nurse interprets this using what term?

A psychiatric–mental health nurse is providing care to a client diagnosed with depression. The nurse determines that a client is competent when the client is able to engage in what action?

When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?

A nurse is faced with an ethical dilemma involving a client. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision-making?

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