PrepU chapter 9 NRS330

When it is discovered that a nurse did not act reasonably when providing care in accordance with the standards of professional practice, which factor would confirm the nurse has been negligent?

The nurse was responsible for client injury

A nurse is providing care to a male client who is hospitalized with a diagnosis of schizophrenia. Which would be appropriate for the nurse to include in the client's medical record?

"Reports being unable to sleep because the client heard voices throughout the night."

The nurse is working with a client who is manic and is in the partial hospitalization program, stabilized, and then given referrals for therapy and support groups. The significant other asks the nurse why the client was not admitted to the hospital? What is the best response from the nurse? Select all that apply.

"The partial hospitalization program is the least restrictive environment appropriate to meet the client's needs."

As a result of the increasing severity of 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 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 physician would like to include a client with schizophrenia in a research study testing a new medication. The nurse's obligation is to do what?

Assess the client's legal capacity when that client is asked to give consent.

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

Code of Ethics for Nurses

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

Danger to others.

An agitated client has been put in restraints against the client's will because of inadequate staffing. The nurse determines this as which form of malpractice?

False imprisonment

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 client in a psychiatric facility has ideations about killing the client's spouse. This client requests to be discharged from the facility. Which represents the most appropriate action? The health care provider should:

File for a civil commitment to detain.

When promoting client safety on an inpatient psychiatric unit, which interventions would be used as the measure of last resort?

Four-point restraint

A mental health nurse is caring for a client with an anxiety and substance use disorder. The family is requesting to see the client's records. The nurse understands that this would be a violation of which law?

Health Insurance Portability and Accountability Act (HIPAA).

A client receives a court order for commitment. Which best exemplifies the concept of "least restrictive environment"?

Involuntary commitment to an outpatient community mental health center

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

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 the client 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

A client is being discharged but still needs close supervision. Which type of involuntary commitment would be appropriate for this client?

Outpatient

Which are functions of assertive community treatment? Select all that apply.

Reduces inpatient service use Increases the stability of people with serious mental illnesses Promotes continuity of outpatient care

A client with a psychiatric illness has become extremely aggressive and the nurse decides that the client needs to be restrained. Which action would be considered human restraint?

The nurse and a group of paramedics hold the client.

Which situations depict a nurse employing the principles of fidelity while providing care? Select all that apply.

The nurse tells the client, "I will return to give you pain medication in 1 hour." The nurse returns in 1 hour.

Professional regulations and laws that govern nursing practice are in place for what reason?

To protect the safety of the public

A nurse understands the importance of protecting clients' rights of self-determinism. Self-determinism is similar to which ethical principle?

autonomy

A client with schizophrenia is refusing antipsychotic medication. The client states, "I don't like the way it makes me feel, I feel like I'm under water when I take it." The nurse explains, "schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. Your symptoms will get better if you take the medication." This conversation reflects conflict between which ethical principles?

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

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 principle?

justice

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