Ch 9 legal stuff mental health
A nursing student identifies which as the most important tool of psychiatric nursing?
Self
The charge nurse is discussing a process in healthcare that reflect's dedication and commitment to meeting standards, and demonstrate a higher level of performance and patient care. The charge nurse asks the staff nurses, "What process am I speaking of ?" Which process should the staff nurse choose?
The process of accreditation depicts the process of dedication and commitment to meeting standards and demonstrating high patient care performance.
A nurse working on a psychiatric unit receives a telephone call from the employer of one of the clients on the unit. The employer asks to be sent a copy of the client's latest laboratory work and psychological testing results so the client's medical records in employee health can be kept up to date. Based on the nurse's knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?
"I am unable to acknowledge whether or not this client is a client on this unit.
The nurse is complaining about a client that has dementia. The client is mobile and slaps the nurse on the gluteus maximus each time he passes by. The nurse tells the client, "If you don't behave yourself, I am going to throw you out and you won't have anywhere to go." The charge nurse overhears the nurse, and states "Do you realize what your statement could be construed as?" What is the best statement for the nurse to respond?
"It could be construed as assault"
The nurse is admitting a client to the hospital. The nurse gives the client information about client rights while in the hospital. Which statement by the client indicates that more teaching is needed?
"The doctor can copy my information and send it to my son."
When a 23-year-old client, after attempting suicide, asks to speak with the nurse but wants assurance that the conversation will remain confidential, the nurse responds how?
"Will this conversation involve your desire to harm yourself?"
The nurse is explaining the responsibilities to a client's legal guardian. Which statements by the nurse are correct? Select all that apply.
"You are supposed to write checks for the client." "You have to make health care decisions for the client." "You, not the client, should sign legal documents."
A nurse is caring for a voluntary client in the health care facility. The client doesn't show signs of suicidal ideation or pose harm to others. The client states, "I would really like to leave tonight and sleep in my own bed." Although the client wants discharge tonight, the physician at this time. What is the most appropriate response of the nurse?
"You will need to sign a written request for discharge."
As a result of the increasing severity of delusions and consequent unsafe behavior, a client has been admitted to a psychiatric facility and judged incompetent to make decisions. Who will now make decisions for the client?
A guardian appointed by the court
A client with depression who is undergoing a colonoscopy tomorrow is receiving preoperative education regarding the procedure. Which nursing task best describes the explanation of the procedure and the associated risks and benefits?
Acquiring informed consent
What action by a nurse best promotes the ethical principle of justice?
Advocating for enhanced mental health services in an underserved neighborhood
A psychiatric-mental health nurse interested in joining a professional organization asks the psychiatric-mental health clinical nurse specialist about these organizations. Which organization would the clinical nurse specialist describe as the largest professional nursing organization focusing on mental health care?
American Psychiatric Nurses Association
The depressed client is deciding which type of treatment would be beneficial. The nurse would document that the client is utilizing which ethical principle in this situation?
Autonomy
A nurse recruiter is interviewing a nurse for a psychiatric-mental health nursing position at the community clinic. When reviewing the applicant's educational background, the recruiter would identify which as the preferred level of preparation?
Bachelor's degree
A psychiatric mental health facility is undergoing a change from paper-based health records to electronic records. What action should the nurse prioritize in order to ensure client rights are protected?
Being vigilant to identify any potential threats to client confidentiality
A client is being seen in the mental health clinic because of relapse. The client has been non-adherent with the medication regimen. The nurse reinforces the advantages of taking medications. The nurse is using which ethical principle?
Beneficence
A new nursing student is studying ethics in nursing and informs a client who wants to stop medication about its benefits and how the client will continue to feel better only if use of the drug continues. Which concept is the nursing student using?
Beneficence
Which client behavior would prompt the nurse manager to discuss the duty to warn with staff members?
Danger to others.
An agitated client has been put in restraints against the client's will because of inadequate staffing. The nurse determines this as which form of malpractice?
False imprisonment
The inappropriate use of restraints or seclusion is considered which form of intentional tort?
False imprisonment
A client in a psychiatric facility has ideations about killing the client's spouse. This client requests to be discharged from the facility. Which represents the most appropriate action? The health care provider should:
File for a civil commitment to detain.
When promoting client safety on an inpatient psychiatric unit, which interventions would be used as the measure of last resort?
Four-point restraint
What is the therapeutic goal of seclusion
Give the client the opportunity to gain self-control
Which ethical principle is in jeopardy when segments of the mentally ill population do not have access to care?
Justice
A client comes to the emergency department with severe depression and suicidal ideation. Staff members determine that the client does not have adequate insurance to cover inpatient psychiatric services at their facility, so they discharge the client with some prescriptions for medication. Which principle is being ignored by discharging this client?
Justice
A psychiatric-mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. The nurse is integrating which ethical principle?
Justice
One way that nurses can protect themselves against liability from malpractice is to do what?
Know the statutory and professional standards.
The nurse is caring for a client that is confused. The nurse, while giving the client a bed bath leaves the room to get supplies. The nurse returns to find the client on the floor with the bed in high position and the side rails down. What law has been broken?
Negligence
When assessing if a procedural risk to a client is justified, the ethical principle underlying the dilemma is known as what?
Nonmaleficence
Which ethical principle focuses on the duty to do no harm?
Nonmaleficence
Which ethical principle requires a nurse to prevent clients from harming themselves or others?
Nonmaleficence
To care for clients in the least restrictive environment, treatment is usually delivered in which care setting?
Outpatient
A psychiatric-mental health nurse is practicing at the advanced level. Which function would this nurse be able to perform based on the nurse's advanced level of preparation?
Psychotherapy
The interdisciplinary team is discussing the best approach to planning the care for a client with complex psychiatric-mental health needs. When determining which tasks can be performed by the psychiatric-mental health registered nurse (PMH-RN) and which must be performed by the psychiatric-mental health advanced practice registered nurse (PMH-APRN), the team should prioritize guidelines from what source?
The American Nurses Association Standards of Practice
A psychiatric treatment team is planning care for a client who was involuntarily admitted for treatment of depression and suicide ideation. When planning care, of what legal parameters of care must the nurse be aware?
The client can refuse medication.
What findings would lead the nurse to conclude that the client needs a conservator? Select all that apply.
The client cannot provide food, clothing and shelter for self. The client is unable to act in the client's best interest.
A 22-year-old client has voluntarily sought treatment for an eating disorder at a rural residential facility. Despite a promising start, the client has been involved in recent conflicts with staff members and insists that the client wants to leave the facility. Staff members have refused to facilitate the client's transportation from the facility and have stated that they will not return the client's money and identification that were held when the client was admitted. Staff at the treatment facility may be guilty of false imprisonment due to what?
The client voluntarily admitted for treatment.
When it is discovered that a nurse did not act reasonably when providing care in accordance with the standards of professional practice, which factor would confirm the nurse has been negligent?
The nurse was responsible for client injury
A client with a psychiatric illness has become extremely aggressive and the nurse decides that the client needs to be restrained. Which action would be considered human restraint?
The nurse and a group of paramedics hold the client
The nurse is assessing whether a room is fit for seclusion of clients. What are the requirements of a seclusion room? Select all that apply.
The room should not have any sharp objects. The room should have facility for direct visual monitoring. The room should have a bed that is bolted to the floor.
A psychiatric-mental health nurse is providing care to several clients. Some of the clients have been voluntarily admitted while others have been involuntarily admitted. Which description about voluntary admissions demonstrates that the nurse understands the differences between these two types of admissions?
They have agreed to the hospitalization.
A client with bipolar disorder has been following the prescribed medication regimen. The client indicates to the nurse a desire to stop the medication now that the client is feeling better. The nurse tells the client that most likely the client will have to remain on the medication for life to keep the condition under control. The nurse is practicing which principle?
Veracity
Which ethical principles become an issue in mental health when a segment of a population does not have access to health care?
justice
The client is brought to the hospital in a coma. The nurse understands that when a person is incapacitated, the document used to dictate the patient's written instructions for health care is called:
advance directive
A client with depression tells the nurse, "I want to stop taking my antidepressant medication because I don't like taking medications." The nurse discusses the benefits of adhering to the medication plan and strongly urges the client to use the medication. The nurse interprets the client's statement as reflecting which ethical principle?
autonomy
The client has not been on speaking terms with the client's parents for several years. The parents have expressed a desire to reunite with the client. At first, the client agreed to a family meeting, and then decided not to meet with the parents. The nurse has encouraged the client to attend the family meeting knowing that the family's support would be valuable. What ethical principles are in conflict in this situation?
autonomy and beneficence
Which client would a nurse determine to be the most likely candidate for involuntary commitment? The client who
is screaming in the street and disturbing neighbors.
The nursing instructor is discussing the Individuals with Disabilities Education Act and various disabilities that have the right to education in the least restrictive environment. The instructor asks whom this applies to, clients with which problems? Which examples should the student nurse choose? Select all that apply.
traumatic brain injury orthopedic impairment autism
The client asks about a new medication, it's side effects, cost and if the drug is compatible with the other medication the client takes. The nurse answers all questions the client asks without withholding information. The nurse is guided by which ethical principle?
veracity
