Ch.4 mental health

Which ethical principle is in jeopardy when segments of the mentally ill population do not have access to care?

Justice

What is provided in the Code of Ethics for Nurses of the American Nurses Association (ANA)?

A guideline for nurses regarding ethical conduct

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

A client with schizophrenia will not take medication because the client is gaining weight. This client is exercising which ethical principle?

Autonomy

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 interveiwing 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 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 autonomy

A new nursing student correctly identifies which as most essential for guiding psychiatric-mental health nursing actions?

Code of Ethics for Nurses

A new graduate practicing in a psychiatric center has learned that there are two levels of practice: basic and advanced. The graduate correctly identifies which of the following as used to help differentiate these levels? Select all that apply.

Educational preparation Complexity of practice Performance of nursing function

How can the nurse best address a client's needs in the biologic domain?

Ensuring that the client receives adequate nutrition

Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. The nurse became increasingly busy during the shift but has now taken some time to assist the client in this way. What ethical principle has the nurse best exemplified?

Fidelity

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

A psychiatric-mental health nurse is reading a journal article about clinical reasoning. The nurse demonstrates understanding of the article by identifying clinical reasoning as dependent on critical thinking and:

Reflection

A nursing instructor is teaching about the three domains of the biopsychosocial model. When discussing the social domain, the instructor recognizes a need for further education when a student states which of the following?

Social factors usually cause psychiatric disorders."

A nurse working in a remote area needs a psychiatrist to assist in diagnosing a client. The nurse schedules an interview between a psychiatrist and the client. The psychiatrist will observe and interview the client using videoconferencing software. This is a specific example of which of the following?

Telemedicine

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

After spending 45 minutes talking with an assigned patient, the student nurse promises to visit again after lunch. After lunch, the nursing student returns and talks with her client. The student's action reflects which ethical principle?

fidelity

Which member of an interdisciplinary team assists the client with transition into the workplace?

occupational therapist

The client asks about a new medication, it's side effects, cost and if the drug is compatable 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