Ch 9 Videbeck

From a legal standpoint, clients hospitalized as voluntary admissions differ from other types of admissions which of the following ways?

They are considered competent

Which statement made by the nurse demonstrated a limited understanding of the use of seclusion? ~select all that apply~

- "Seclusion helps the client to be more active" - "Seclusion minimizes the use of psychotropic drugs"

The nurse is providing information to the caregivers of the client who has been secluded. Which of the following statements about the implementation of the seclusion are correct? ~select all that apply~

- "The client will be assessed by the nurse every 1-2 hours" - "The client can also be monitored by audio and video equipment" - "The health-care provided will review the seclusion order every 4 hours" - "The client will be assessed by a specialized independent within the hour"

A client has been estranged from her parents for several years and they have expressed a desire to reconcile with her. The client initially agreed to a meeting but has told the nurse that she plans to cancel it at the last minute. The nurse has encouraged the client to attend the meeting, knowing that the family's support would be valuable. What ethical principles are in conflict in this situation? ~select all that apply~

- Autonomy - Beneficence

The insanity defense is used in approximately how many criminal cases?

1%

Which of the following clients most likely has the legal right to refuse treatment?

A client who voluntarily entered a substance abuse treatment facility to address his addiction to alcohol

The Tarasoff decision has resulted in the mental health clinician having a responsibility to do what?

A duty to warn

As a result of the increasing severity of her delusions and consequent unsafe behavior, a client has been admitted to a psychiatric facility and judged incompetent to make decisions. Who will now make decisions for the client?

A guardian appointed by the court

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

A guideline for nurses regarding ethical conduct

A psychiatric client informs the nurse that he is feeling better and does not want to take his antidepressant medication. This client is exhibiting which of the following when making this decision?

Autonomy

A client was admitted for electroconvulsive therapy (ECT). The physician performing the procedure failed to obtain informed consent before the ECT was administered. The physician could be charged with which of the following?

Battery

Which of the following is the most important nursing intervention to complete when restraining an aggressive client?

Check correct application of the restraints

Which client behavior would prompt the nurse manager to discuss the duty to warn with staff members?

Danger to others

Which intervention does not meet the standard of care for the client in seclusion?

Documented assessment by the nurse every 30 minutes

What term is used to identify the situation when ethical principles conflict or when there is not one clear course of action in a given situation?

Ethical dilemma

The inappropriate use of restraints or seclusion is considered which form of intentional tort?

False imprisonment

A nurse tells a client that she will bring him his pain medicine in 5 minutes after she checks on another client. The nurse returns in 5 minutes and administered the medication as planned. The nurse is practicing which of the following principles by returning as promised?

Fidelity

Earlier in the shift, the nurse promised to help a client acquired 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

What is the therapeutic goal of seclusion?

Give the client the opportunity to gain self-control

When staff members physically control the client and move him/her to a seclusion room, what form of restraint is being implemented?

Human

Which of the following occurs when staff members physically control the client and move him/her to a seclusion room?

Human restraint

When determining the existence of malpractice, which factor is not considered?

Intent

Which state allows for an insanity defense?

Iowa

A client comes to the ER 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 of the following principles is being ignored by discharging this client?

Justice

A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principal?

Justice

While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room. Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that she was prescribed in the hospital. This nurse may be guilty of what?

Malpractice

Which ethical principle focuses on the duty to do no harm?

Nonmaleficence

Which ethical principle requires a nurse to prevent clients from harming themselves or others?

Nonmaleficence

Susan, age 22 years, has voluntarily sought treatment for an eating disorder at a rural residential facility. Despite a promising start, she has been involved in recent conflicts with staff members and insists that she wants to leave the facility. Staff members have refused to facilitate her transportation from the facility and have stated that they will not return her money and identification that were held when she was admitted. Staff at the treatment facility may be guilty of false imprisonment due to which of the following?

Susan voluntarily admitted herself for treatment

Short-term use of restraints is permitted only in which of the following situations?

The client is imminently aggressive and a danger to himself or others