Psych Clients Chapter 6

A psychiatric-mental health clinical nurse specialist has been asked to be a guest speaker at a seminar for psychiatric nurses on the topic of the changing face of psychiatric nursing. After the seminar, one of the attendees comes up to the clinical nurse specialist and asks how the speaker became a clinical nurse specialist. Which response would be most appropriate? "I obtained my master's degree and then got certified by an accrediting agency." "I got a baccalaureate degree and then worked as a psychiatric nurse for 5 years." "I needed to get a doctorate in nursing first, then work for 2 years in psychiatry." "After my associate's degree, I worked for 2 years and then took a licensing exam."

"I obtained my master's degree and then got certified by an accrediting agency."

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? Ascertaining the client's privacy Acquiring informed consent Encouraging the client to be self-determined Acting in a beneficent manner

Acquiring informed consent

A client with schizophrenia tells the nurse, "I'm going to stop taking my medication because it makes me feel like I'm in a fog." The nurse explains to the client about the medication and how it helps with the condition. The nurse also urges the client to reconsider the decision and use the medication as prescribed. The nurse's statement reflects which ethical principle? Autonomy Beneficence Paternalism Justice

Beneficence

A client with persistent depression is considering electroconvulsive therapy (ECT). The nurse has seen ECT be effective in other cases. When the client expresses fear and doubt about undergoing ECT, the nurse tries to talk the client into it, because the nurse truly believes it will help the client. Which two ethical concepts are in conflict? Beneficence and fidelity Fidelity and paternalism Justice and autonomy Beneficence and autonomy

Beneficence and autonomy

Which statement is inconsistent with the social domain of the biopsychosocial model? Psychiatric disorders are caused by societal factors. Family support can improve treatment outcomes. Treatment of psychiatric disorders can be affected by the society in which the client lives. Community forces shape the client's manifestation of disorders.

Psychiatric disorders are caused by societal factors.

When providing care to a patient with major depression, what is the most important tool the nurse would use? self client physician client's family

Self

The concept of "least-restrictive environment" indicates that clients with mental health disorders have a right to be treated with programs or services that ... allow complete freedom of activities. achieve the highest level of functioning are based entirely on the client's symptoms. are effective at a low cost.

achieve the highest level of functioning

The nurse is teaching a client about the importance of adhering to a medication regimen. The client does not believe that it is important. The nurse is communicating which ethical principle? beneficence justice veracity paternalism

beneficence