chapter 4 behavioral health

A client diagnosed with schizophrenia insists on stopping medication because it causes the client to gain weight. The client is exercising which ethical principle?

autonomy

A psychiatric-mental health nurse develops a plan that identifies strategies and alternatives to assist the client in attainment of expected outcomes. Which standard of practice is the nurse utilizing?

planning

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 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 client diagnosed with anxiety is being assessed by the nurse utilizing the biopsychosocial model. Which question made by the nurse would indicate the social domain is being assessed?

"Who is in your support network?"

A nurse is reading a journal article about professional psychiatric nursing organziations. The nurse learns that these organizations are responsible for helping to shape mental health care in the United States. Which organization would the nurse most likely find as being described in the article? Select all that apply.

ANA, APNA, ISPN

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

The nurse is providing care for a client with a diagnosis of depression. How can the nurse best address the client's needs in the biologic domain?

Administering the client's scheduled dose of citalopram

What action by a nurse best promotes the ethical principle of justice?

Advocating for enhanced mental health services in an underserved neighborhood

A nurse is implementing interventions that address a client's psychological domain. Which intervention would be most appropriate?

Assisting with behavior therapy

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 nonadherent with the medication regimen. The nurse reinforces the advantages of taking medications. The nurse is using which ethical principle?

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 autonomy

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

Code of Ethics for Nurses

A client with a history of trauma has been reluctant to participate in psychotherapy. Recently, the client expressed a willingness to begin psychotherapy during a dialogue with the psychiatric mental health (PMH) registered nurse. What is an appropriate action by the nurse?

Facilitate a prompt referral to a PMH advanced practice nurse

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

The mental health nurse is talking to nursing students in an ethics class and says, "Correctly pair an ethical principle with a nursing practice." Which statement by a student would be correct?

Fidelity: "Telling the client that you will return in 15 minutes, then returning in 15 minutes."

When assessing if a procedural risk to a client is justified, the ethical principle underlying the dilemma is known as what?

Nonmaleficence

A psychiatric-mental health registered nurse (PMH-RN) is considering attending graduate school to become a psychiatric-mental health advanced practice registered nurse (PMH-APRN). What aspect of client care would be within the scope of the PMH-APRN?

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 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

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

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

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

A client with insomnia has been prescribed a sleep medication that does not contain REM sleep suppressors. This is an example of an intervention related to which domain in the biopsychological model?

biologic

A nurse is caring for a group of clients with different histories, behaviors, and personalities. Which ethical principle does the nurse identify that applies to distributing mental health services equally among clients?

justice

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

justice

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

Which ethical principles become an issue in mental health when a segment of a population does not have access to health care?

justice