A local politician running for mayor says he will address the issue of homelessness by "getting serious help for all of them, because they are mostly schizophrenics." Which of the following would be the most effective way for a PMHNP to advocate for the homeless community?
Volunteer at a homeless shelter and provide her services for those who are mentally ill
Combat stigma by making an appearance on a news morning show explaining the relationship between mental illness and the homeless community
Research the relationship between mental illness and the homeless population in her community and publish the results in a peer-reviewed journal
Ignore the politician's platform and focus on her patients
The Correct Answer is B
Choice A reason: Volunteering provides direct support but has limited impact on public perception or systemic change regarding homelessness and mental health stigma.
Choice B reason: Public advocacy through media helps combat misconceptions, educates the community, and challenges stereotypes that link homelessness predominantly with schizophrenia, thereby promoting systemic understanding and policy change.
Choice C reason: Research contributes valuable evidence but may not reach or influence the public or policymakers immediately; it is less direct in challenging public misconceptions.
Choice D reason: Ignoring public misconceptions does not address stigma or advocate for systemic improvements and leaves harmful narratives unchallenged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Threatening hospitalization violates patient autonomy and informed consent principles. Coercion is unethical and legally problematic.
Choice B reason: Telling the patient to “trust me” dismisses her autonomy and does not allow her to make an informed decision. This approach undermines patient-centered care.
Choice C reason: Respecting the patient’s autonomy while offering guidance exemplifies ethical practice. By acknowledging her concerns and exploring alternatives, the PMHNP fosters a collaborative therapeutic relationship and supports informed decision-making.
Choice D reason: Pressuring the patient to accept ECT disregards her autonomy and can erode trust. This approach is coercive and not consistent with patient-centered ethical standards.
Correct Answer is B
Explanation
Choice A reason: Bipolar disorder is a mood disorder with a biological basis and is not directly caused by failure to develop trust in infancy.
Choice B reason: Failure to develop trust in the first year of life can lead to difficulties forming secure attachments and coping mechanisms, which may manifest later as maladaptive behaviors, including increased risk for addictions.
Choice C reason: Conversion disorder is characterized by neurological symptoms without a medical cause and is not directly linked to early trust development.
Choice D reason: Gender identity development is influenced by multiple factors and is not a direct consequence of early trust issues.
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