Mental

A patient who was originally admitted involuntarily for suicidal ideation has since signed in voluntarily with the approval of her psychiatrist. Which patient right should guide the nurse's delivery of care? a. The patient has the right to participate in the plan of care b.The patient has the right to refuse any treatment modality. c.The patient has the right to choose which staff members provide care. d.If the patient declines to participate in treatment, she must be discharged. e.The patient has the right to receive an explanation of her mental condition.

CORRECT a. The patient has the right to participate in the plan of care. - The patient has the right to participated in the plan of care and in the periodic review of the plan of care. CORRECT b. The patient has the right to refuse any treatment modality. - The patient has the right not to receive a course of treatment if the patient declines that course of treatment. c. The patient has the right to choose which staff members provide care. - The patient has the right to qualified staff and available services for care but not to choose which staff members provide that care. d. If the patient declines to participate in treatment, she must be discharged. - The patient may decline one treatment modality but still benefit from other parts of treatment. CORRECT e. The patient has the right to receive an explanation of her mental condition. - The patient has a right to receive a reasonable explanation of her mental condition, as well as the objectives of treatment and reasons for treatment.

Which statement is true regarding the practice of bioethics? a. Ethical guidelines should override laws. b. Bioethics pertain to the health care team members. c. Nurses are allowed to befriend mental health patients after discharge. d. It is the study of morals and ethics as they relate to the specialty of mental health.

a. Ethical guidelines should override laws. - Laws should not be overridden by ethical guidelines, even though one may feel the need to put ethical guidelines first. CORRECT b. Bioethics pertain to the health care team members. - Bioethics pertains to all health care providers, including nurses. c. Nurses are allowed to befriend mental health patients after discharge. - It is unethical for nurses to befriend mental health patients during care or after discharge. d. It is the study of morals and ethics as they relate to the specialty of mental health. - Bioethics is the study of distinct moral and ethical questions that emerge as it relates to medical policy and practice in all of health care.

In which situation may the nurse legally administer a psychotropic medication, despite the patient's refusal? a.If the patient is under a legal hold. b.If the medication is medically beneficial to the patient. c. If the patient is an imminent danger to self or another person. d. If the patient shows medical proof that the medication is not required.

a. If the patient is under a legal hold. - Legal hold or involuntary admission does not pertain to medications. b. If the medication is medically beneficial to the patient. - Non-emergency psychotropic medications may not be given without patient consent or court order. CORRECT c. If the patient is an imminent danger to self or another person. - A single dose of psychotropic medication may be given in a psychiatric emergency, despite the patient's refusal. d. If the patient shows medical proof that the medication is not required. - The health care provider is the only person who may "show proof" that a patient no longer requires a medication.