What is a primary aim of scaffolding in the context of mental health nursing?
To provide temporary assistance to help patients perform tasks until they can do it independently.
To create a permanent dependent relationship between patient and nurse.
To ensure patients rely entirely on nursing staff for all their needs.
To keep the patient completely isolated from stressful environments.
The Correct Answer is A
Choice A reason: Scaffolding provides structured, temporary support that helps patients gradually acquire skills. The nurse assists until the patient gains independence, fostering empowerment and self-efficacy.
Choice B reason: Creating permanent dependency contradicts the purpose of scaffolding. The goal is independence, not reliance.
Choice C reason: Ensuring complete reliance on staff undermines patient autonomy and prevents skill development. Scaffolding emphasizes gradual withdrawal of support.
Choice D reason: Isolation from stressors may provide temporary relief but does not build coping skills. Scaffolding involves guided exposure and support, not avoidance
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Cultural background and religious practices are important but insufficient alone. They provide context but do not capture the full complexity of family functioning.
Choice B reason: Focusing only on individual diagnoses overlooks the relational and systemic aspects of family dynamics. Mental health care requires understanding how family members interact and support one another.
Choice C reason: Interactive, developmental, coping, integrity, and health processes provide a holistic view of family functioning. This framework allows the nurse to assess communication, resilience, developmental stages, and overall family health, ensuring a comprehensive care plan.
Choice D reason: Income and access to healthcare are relevant but limited. They represent external factors rather than internal family processes, so they cannot fully guide care planning.
Correct Answer is D
Explanation
Choice A reason: Discussing bias openly in front of the patient is inappropriate because it places the emotional burden on the patient and may damage trust. Patients may feel stigmatized or unsafe if the nurse verbalizes bias in the moment without first processing it privately. Professional practice requires self-reflection before engaging the patient in sensitive discussions.
Choice B reason: Defending actions by citing protocols is a deflection strategy that prevents growth. Protocols do not eliminate bias; they only provide standardized procedures. A nurse who defends bias instead of acknowledging it risks perpetuating discriminatory behavior and undermining therapeutic relationships.
Choice C reason: Avoiding interaction with the patient is harmful because it denies the patient necessary care and reinforces stigma. Withdrawal is not a solution to bias; instead, it worsens inequities and violates the nurse’s ethical duty to provide equitable care.
Choice D reason: Reflecting on behavior and identifying possible biases is the correct step. Self-reflection allows the nurse to recognize unconscious attitudes, evaluate their impact on patient care, and implement corrective strategies. This promotes professional growth, enhances cultural competence, and ensures patients receive respectful, unbiased care.
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