Ch 6
When considering the civil rights of persons diagnosed with mental illness and hospitalized for treatment, which statement is true? A They are assured the same as those for any other citizen. B Their rights are altered to prevent use of poor judgment. C Their rights are always ensured by appointment of a guardian. D Their rights are limited to provision of humane treatment.
A
When considering the duty to warn and protect third parties, which client statement should the nurse report to the treatment team members? A "That judge is going to really regret putting me in here." B "All politicians need to be shot." C "When I'm elected president, I'll make them all pay for doubting me." D "The man out there who is laughing at me is going to die."
A
Which hospitalized patient should the nurse identify as being a candidate for the appropriate use of a release from hospitalization known as against medical advice (AMA)? A A 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately B A 75-year-old patient with dementia who demands to be allowed to go back to his own home C A 21-year-old actively suicidal patient who wants to be discharged to home and do outpatient counseling D A 32-year-old female patient who wishes to stay in the hospital but whose husband demands that she be discharged into his care
A
A client who presents no danger to himself or to others is forced to take medication against his will. This situation represents A assault. B battery. C defamation. D invasion of privacy.
B
The nurse is caring for an admitted client with a history of becoming aggressive when angry and has caused physical injury to another client and two staff members. When this client begins to demonstrate signs of anger while in the day room what intervention should the nurse implement to address the safety of the milieu? A Alert security to come to the unit for a show of strength B Request that the client accompany the nurse to the client's room C Inform the client that restraints will be used if the behavior continues D Prepare to administer a prn chemical restraint to the client
B
What nursing action supports a client's right to autonomy? A Spending time with an extremely anxious client B Witnessing the informed consent for electroconvulsive therapy from a client C Spending equal amount of one-on-one time with each client on the unit D Attending an inservice on a newly approved medication
B
When considering client rights, which client can be legally medicated against his or her wishes? A The client has accepted the medication in the past. B The client may cause imminent harm to himself or others. C The client's primary provider orders the medication. D The client's mental illness may relate to cognitive impairment.
B
Which ethical principle refers to the individual's right to make his or her own decisions? A Beneficence B Autonomy C Veracity D Fidelity
B
Which right of the client has been violated if he is medicated without being asked for his permission? A Right to dignity and respect B Right to treatment C Right to informed consent D Right to refuse treatment
C
The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between which ethical principles? A Autonomy and beneficence B Advocacy and confidentiality C Veracity and fidelity D Justice and humanism
A
Which scenarios describe a HIPAA violation associated with a nurse's behavior? A An ED (Emergency Department) nurse gives the intensive care unit nurse a client report from a telephone at the nurse's station. B A nurse on the medical-surgical floor calls a patient's primary care provider to obtain a list of current medications. C A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator. D A nurse on the psychiatric unit gives discharge information to the counseling office regarding a client's outpatient treatment.
C
A client reports to the nurse that once he is released he will make sure his wife will never again be able to have him committed to a psychiatric hospital. What action should the nurse take? A None, because no explicit threat has been made. B Ask the client if he is threatening his wife. C Call the client's wife and report the threat. D Report the incident to the client's therapist.
D
After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual? A Confidentiality is now reserved to the immediate family. B Only HIV status continues to be protected and privileged. C Nothing may be disclosed that would have been kept confidential before death. D The nurse must confer with the next of kin before divulging confidential, sensitive information.
C
If a client is placed in seclusion and held there for 24 hours without a written order or examination by a physician, the client has experienced which illegal act? A Battery B Defamation of character C False imprisonment D Assault
C
If a nurse is charged with leaving a suicidal client unattended, it is being suggested that the nurse's behavior has violated which ethical principle? A Autonomy B Veracity C Fidelity D Justice
C
The nurse reads the medical record and learns that a client has asked for treatment, agreed to receive treatment, and to abide by hospital rules. The nurse may correctly assume that the client has met the criteria for which type of admission? A Outpatient B Emergency C Voluntarily D Involuntarily
C
What assumption can be made about the client who has been admitted on an involuntary basis? (Select all that apply.) A The client can be discharged from the unit on demand of next of kin. B For the first 48 hours, the client can be given medication over objection. C The client has failed to agree to fully participate in treatment and care planning. D The client is a danger to self or others or unable to meet basic needs.
CDE
