ATI Engage: Legal & Ethical Considerations

A nurse is discussing milieu therapy with a group of newly licensed nurses. Which of the following statements should the nurse make? a. Create an environment where structure is promoted over autonomy b. Create an environment that is safe and beneficial for recovery c. The mental health provider is responsible for the structure and maintenance of the therapeutic milieu d. Ensure spontaneous changes in activities throughout the client's daily schedule

Create an environment that is safe and beneficial for recovery

A nurse is caring for several children who experienced trauma. One of the children goes to group therapy wearing a cape and pretending to be a superhero. The nurse should identify that which of the following interprofessional team members should lead the group session? a. Drama therapist b. Art therapist c. Occupational therapist d. Social worker

a. Drama therapist

A nurse on a mental health unit is discussing types of admissions with a newly licensed nurse. Which of the following statements should the nurse make? a. Most states require two providers to assess a client and confirm the need for an involuntary admission b. When a voluntarily admitted client requests discharge, the provider must legally do so within 8 hours of the request. c. Clients who are involuntarily admitted are not able to testify on their own behalf in a commitment hearing d. When a client is admitted involuntarily, they do not have a diagnosis of a mental illness.

a. Most states require two providers to assess a client and confirm the need for an involuntary admission

A nurse is caring for a client who is in physical restraints. The nurse should identify that which of the following complications can result from inadequate monitoring of the client? Select all that apply: a. Positional asphyxia b. Food aspiration c. Cardiac arrest d. Infection e. Somnolence

a. Positional asphyxia b. Food aspiration c. Cardiac arrest

A newly hired nurse confides in another nurse that despite trying to be hopeful, they feel very depressed. Which of the following actions should the nurse take? a. Suggest the newly hired nurse contact a mental health professional b. Notify the employee assistance program about the newly hired nurse c. Notify Risk Managements d. Suggest the newly hired nurse try yoga

a. Suggest the newly hired nurse contact a mental health professional

A nurse should identify that which of the following is a U.S. congressional act that mandates mental health parity? a. HIPAA b. Affordable Care Act of 2010 c. No Surprises Act d. Nurse Practice Act

b. Affordable Care Act of 2010

A nurse is caring for a group of children who have experienced trauma. During group therapy, the children create drawings representing their family and community. Which of the following interprofessional team members is likely leading this group? a. Psychologist b. Art therapist c. Social worker d. Registered nurse

b. Art therapist

A nurse is caring for a client who is agitated and requires chemical restraints. Which of the following types of medications should the nurse expect the provider to prescribe? a. Antidepressant b. Sedative c. Steroid d. NMDA inhibitor

b. Sedative

A nurse is the emergency department is caring for a client who experienced abuse by an intimate partner and is scared to return home. To which of the following interprofessional team members should the nurse refer the client? a. Occupational therapist b. Social worker c. Substance use counselor d. Pharmacist

b. Social worker

A nurse is discussing false imprisonment with a group of newly hired staff members. Which of the following information should the nurse include? a. A client cannot claim false imprisonment if they were restrained by use of an injectable antipsychotic medication b. Claims of false imprisonment can be made if a nurse verbally threatens to place a client in seclusion c. Claims of false imprisonment are most often made in reference to the use of seclusion or restraints d. A client cannot claim false imprisonment if they are involuntarily admitted without being assessed by a provider

c. Claims of false imprisonment are most often made in reference to the use of seclusion or restraints

A nurse is discussing the purpose of ethics with a newly licensed nurse. Which of the following statements should the nurse make? a. Ethics describes a conflict between two or more actions where each action has a favorable and unfavorable consequence. b. Ethics involves reasoning about what one should do as a guide for what one actually does c. Ethics provides a system of moral principles or standards for governing conduct d. Ethics explains the moral inquiry into issues raised by advances in medicine and the life sciences

c. Ethics provides a system of moral principles or standards for governing conduct

A nurse is discussing the effects of workplace violence by clients and their family members on healthcare professionals with a peer. The nurse should identify that which of the following organizations provides oversight for nurses regarding workplace violence? a. American Hospital Association b. Department of Health and Human Services c. Occupational Safety and Health Administration d. The Joint Commission

c. Occupational Safety and Health Administration

A nurse is preparing a client who has schizophrenia for a magnetic resonance imaging (MRI) of their head to determine if they have a brain injury or a new onset of dementia. The nurse should identify that which of the following members of the interprofessional team likely prescribed the MRI? a. Licensed clinical social worker b. Psychologist c. Psychiatrist d. Occupational Therapist

c. Psychiatrist

A nurse tells a client that they will return in 30 min with their medication. The nurse returns 30 min later with the client's medication. Which of the following ethical principles is the nurse demonstrating? a. Beneficence b. Autonomy c. Veracity d. Justice

c. Veracity

A charge nurse on a mental health unit is discussing the concept of client competency with a group of newly licensed nurses. Which of the following information should the charge nurse include? a. A client can be deemed legally competent via confirmation by two mental health providers b. A client is automatically deemed to be incompetent upon admission to the facility if they are experiencing psychosis c. A client who is deemed incompetent will be unable to make decisions for themselves d. A client is considered mentally competent until deemed incompetent by a judge in a legal hearing

d. A client is considered mentally competent until deemed incompetent by a judge in a legal hearing

A nurse on a mental health unit is discussing laws that guide the care of clients on the unit with a newly hired staff member. Which of the following statements by the staff member indicates an understanding? a. A claim of assault can only be substantiated if there is evidence of physical harm b. False imprisonment only refers to a seclusion of clients c. Battery is the most common unintentional tort d. A physical injury does not need to occur for a client to make a claim of battery

d. A physical injury does not need to occur for a client to make a claim of battery

A nurse is sitting with a client who is extremely anxious until they fall asleep. The nurse should identify that this is an example of which of the following ethical principles? a. Justice b. Autonomy c. Nonmaleficence d. Beneficence

d. Beneficence

A nurse encourages each client in a group session to speak and be heard. The nurse should identify that this is an example of which of the following ethical principles? a. Beneficence b. Autonomy c. Nonmaleficence d. Justice

d. Justice

A nurse is discussing what to do about feelings of burnout with a group of nurses. Which of the following is the best strategy the nurse should implement? a. Suggest that nurses who are experiencing burnout get treatment or quit their position b. Reduce meetings for shared governance c. Request an increase in pay d. Meet with other nurses to create plan to support each other

d. Meet with other nurses to create plan to support each other

A nurse is beginning a debrief with staff about a behavioral emergency that resulted in physically restraining a client. The nurse should identify that which of the following is the purpose of debriefing? a. To determine what to say to the client about the incident b. To determine which team members did not perform well c. To carefully document the entire incident d. To improve the quality of future responses

d. To improve the quality of future responses