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DHA Psychiatric Nurse (DHA-Psyc Nurse) Practice Tests & Test Prep - Review


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DHA Psychiatric Nurse - Reviews


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DHA Psychiatric Nurse - Test Reviews Sample Questions

When a nurse works with the parents of a child with Down syndrome, as well as with a psychologist and chaplain, to provide a plan of care, this is classified as which of the following?

Correct Answer:
relationship-based care
the correct classification for the scenario described in the question is "relationship-based care." here, we will expand on why this is the most apt classification and differentiate it from other types of care.

**relationship-based care** relationship-based care is a model that emphasizes the importance of forming meaningful relationships between healthcare providers and patients, as well as among healthcare providers themselves. in the scenario described, the nurse collaborates with the parents of a child with down syndrome, a psychologist, and a chaplain to create a comprehensive plan of care. this multidisciplinary approach is a hallmark of relationship-based care, where the focus is on building partnerships that enhance the support and care provided to the patient. by engaging directly with the parents and coordinating with other professionals, the nurse ensures that the care plan addresses the physical, psychological, emotional, and spiritual needs of the child, thus fostering a holistic approach to healthcare.

**community-based care** while relationship-based care does involve interactions with various members of the community, community-based care specifically refers to healthcare practices that are designed to meet the specific needs of a community as a whole, rather than focusing on individual relationships. it often involves public health interventions and programs that target broader health issues within a community. although the nurse in the scenario does interact with multiple community members, the primary focus is on the individual care of the child, rather than addressing broader community health needs.

**population-focused care** population-focused care is similar to community-based care but is typically narrower in scope, concentrating on specific population segments within the community, such as children, the elderly, or those with chronic diseases. it involves strategies and interventions tailored to the needs of these specific groups. while the nurse in the scenario does care for a child, which could be seen as a focus on a specific population (children with down syndrome), the essence of the interaction is centered around personalized care and building relationships rather than addressing the needs of all children with down syndrome as a group.

**global-based care** global-based care extends the principles of community and population-focused care to a global scale, addressing worldwide health issues through international cooperation and strategies that transcend national borders. the scenario described does not involve global elements but is localized to the individual care of one child within a specific community setting.

thus, "relationship-based care" is the most accurate classification for the nurse's approach in the scenario, as it best captures the essence of forming and maintaining caring and therapeutic relationships with the patient and other stakeholders involved in the care process.

Your client’s mother died ten months ago. She is not coping well with the death and seems apathetic. You assess this condition as which of the following?

Correct Answer:
complicated grief
the question you've presented involves assessing the mental health condition of a client who is not coping well with her mother's death ten months after the event. the client exhibits signs of apathy and perhaps other unspecified maladaptive behaviors. based on the description provided, the most appropriate diagnosis to consider is "complicated grief."

**complicated grief** is characterized by an extended mourning period during which normal grief responses become severe and persistent, leading to significant impairment in daily functioning. this condition is marked by intense sorrow and pain that does not improve over time, contrary to the usual progression through the stages of grief where gradual healing occurs.

in typical **uncomplicated grief**, also known as normal grief, individuals experience a range of physical, psychological, cognitive, and spiritual responses as they mourn the loss of a loved one. these responses, although painful, gradually lead to an adjustment to life without the deceased over time. symptoms might include sadness, anger, guilt, or confusion, but they do not generally persist in a way that significantly impairs an individual’s ability to function.

in contrast, complicated grief involves persistent and pervasive grief and pain that does not improve as one would expect in the natural course of bereavement. signs of this condition may include extreme focus on the loss and reminders of the loved one, intense longing or yearning for the deceased, problems accepting the death, numbness or detachment, bitterness about the loss, feeling that life holds no meaning or purpose, lack of trust in others, and the inability to enjoy life or think back on positive experiences with the loved one.

your client's apathy and possible neglect of personal care suggest that she may not be progressing through the natural grieving process. instead, she appears to be stuck in a state of persistent mourning with maladaptive behaviors, which is indicative of complicated grief.

other conditions like **dementia** and **anxiety disorders** might also involve some similar symptoms such as changes in mood and behavior. however, given the context of a significant loss and the specific symptoms described, they seem less likely. dementia primarily involves cognitive decline rather than prolonged grief, and primary anxiety disorders would not typically center around grief unless they are specifically adjustment disorders with an anxious mood.

therefore, assessing your client for complicated grief would be a prudent step, involving a detailed look at her specific symptoms, their duration, and the impact on her daily functioning. treatment for complicated grief may involve targeted grief therapy, potentially including cognitive-behavioral therapy techniques, which focus on addressing the maladaptive thoughts and behaviors associated with the grief process and helping the client find new meanings and purposes in life.