115 PrepU Ch.6 Ethics, Standards, and Nursing Frameworks

A nurse working in a psychiatric facility needs to be competent to practice safe care. The nurse obtains this competency through which of the following avenues? Select all that apply.

Education Experience

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 psychiatric-mental health nurse is conducting an in-service education program for a group of staff nurses at a community mental health center. The nurse is discussing the challenges in today's health care climate for psychiatric nursing. The nurse determines that additional discussion is needed based on which statement by the group?

"Although knowledge is rapidly growing, little of this knowledge applies to psychiatric care and mental disorders."

A psychiatric-mental health nurse is reviewing the medical record of a client with depression admitted to the acute inpatient facility because of a suicide attempt. Which statement by the client would the nurse correlate with the psychological domain of the biopsychosocial framework?

"I've lost any feelings of pleasure that I had with life."

A class of student nurses are discussing trends in mental health care. A student states, "There should be equal access to mental health care and resources for clients who live in rural areas, those without health insurance, and for the poor." Which statement by the nurse would best reflect the correct ethical principle?

"Justice refers to treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs."

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

A guideline for nurses regarding ethical conduct

A nurse working in psychiatric-mental health who is a licensed registered nurse but also educationally prepared at the master's level and certified as a specialist is also known as which of the following?

APN

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

Which of the following medication classifications are used to assist clients to calm down? Select all that apply.

Antianxiety medications Antipsychotics Mood stabilizers

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 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 psychiatric-mental health nurse is conducting a review course for a group of psychiatric-mental health nurses. The topic of the course is ethics in psychiatric nursing. The nurse determines that additional review is needed when the group identifies which concept as an ethical principle?

Competency

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

Code of Ethics for Nurses

A psychiatric-mental health nurse is reviewing the medical record of a patient who comes to the community mental health center for care. Which intervention would the nurse identify as belonging to the psychological domain? Select all that apply.

Cognitive behavior therapy Therapeutic communication Relaxation exercises

A psychiatric mental health nurse is providing care for several clients and is aware of the need to adhere to the Standards of Practice. How can the nurse best demonstrate the standard of evaluation?

Determining whether a client's status has improved during milieu therapy

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

A group of psychiatric-mental health nurses are working to reduce the effect of stigma for patients with mental health problems in the community. Which role would the nurses most likely assume to achieve their outcome?

Educator

A client's plan of care includes revoking privileges for inappropriate behavior, based on a contract between the client and the nurse who wrote the plan. Another nurse decides to ignore this because the client promises that the client will adhere to the contract in the future. The second nurse's behavior may have violated which ethical principle?

Fidelity

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

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."

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

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

Justice

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

Justice

Which of the following provides a foundation for clinical decision-making?

Nursing Process

Which of these activities are beyond the standards of practice of the psychiatric mental health (PMH) registered nurse and are reserved for the PMH advanced practice registered nurse? Select all that apply.

Ordering a reduced dosage of a client's sustained serotonin reuptake inhibitor Structuring milieu therapy Providing individual psychotherapy Providing group psychotherapy

A nurse is reviewing standards of practice. Which component would the nurse identify as correct?

Outcome identification

Which statement is inconsistent with the social domain of the biopsychosocial model?

Psychiatric disorders are caused by societal factors.

While caring for a client with insomnia, the nurse teaches the client to use guided imagery. This intervention is an example of which domain?

Psychological

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 student identifies which as the most important tool of psychiatric nursing?

Self

A psychiatric-mental health registered nurse recommended a change in a client's medication dosing schedule, and in doing so violated standards of practice. To whom is the nurse ultimately accountable for this violation of nursing standards.

Society

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 what?

Telemedicine

The psychological domain contains which theoretical bases?

Thoughts Feelings Behavior

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

Providing milieu therapy is an example of the use of which ethical principle?

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

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

occupational therapist