Ch 9 psych

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

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

danger to others

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

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

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

The nurse is admitting a client to the hospital. The nurse gives the client information about client rights while in the hospital. Which statement by the client indicates that more teaching is needed?

"The doctor can copy my information and send it to my son."

Which mental health client meets criteria to be involuntarily committed?

A client diagnosed with borderline personality disorder who is threatening to self-harm

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 action by a nurse best promote the ethical principle of justice?

Advocating for enhanced mental health services in an underserved neighborhood

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 statement as reflecting which ethical principle?

Autonomy

The depressed client is deciding which type of treatment would be beneficial. The nurse would document that the client is utilizing which ethical principle and the situation?

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 support would be valuable. What ethical principles are in conflict in the situation?

Autonomy and beneficence

A client is being seen in the mental health clinic because of relapse. The client has been nonadherent with the medication regimen. The nurse reinforces the advantages of taking medication's. The nurse is using which ethical principle?

Beneficence

A new nursing student is studying ethics in nursing and informs a client who wants to start medication about its benefits and how the client will continue to feel better only if use of the drug continues. Which concept is the nursing student using?

Beneficence

A new nursing student correctly identifies which is most essential for guiding psychiatric mental health nursing actions?

Code of Ethics for Nurses

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 in a psychiatric facility has ideations about killing the client spouse. The client request to be discharged from the facility. Which represents the most appropriate action? The healthcare provider should:

File for a civil commitment to detain

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

Four-point restraint

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

Justice

One way that nurses can protect themselves against liability from malpractice is to do what?

Know the statutory and professional standards.

The client just received a diagnosis of end-stage renal disease. After hearing options, the client visited a lawyer and documented what treatment is to be held in the event that the client is unable to make decisions. The nurse asked for a copy of this document for the chart. The name of this document is:

Living will

When assessing if a procedural risk to a client is justified, the ethical principle underlying the dilemma is known as what?

Nonmaleficence

Client charts are legal documents that can be used in court; therefore, all nursing notes and progress record showed above all include which information?

Reflect descriptive, nonjudgmental, and objective statements

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.

The nursing instructor is talking to a class of nursing students about the Americans with disabilities act, and persons having various disabilities that have the right to education in the least restrictive environment. The nursing instructor asked the students, "what is the reason for the least restrictive environment?" Which example should the student nurse choose?

Unique needs

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

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

false imprisonment

A nursing student is initiating a relationship with an assigned client. After meeting and spending approximately 20 minutes talking with the client, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of clients to play volleyball. The student starts to go with them but then remembers the promise to meet with the client. The student decides to forgo volleyball and talk with the client. The students decision reflects 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 students action reflects which ethical principle?

fidelity

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

What is the therapeutic goal of seclusion?

give the client the opportunity to gain self-control

A psychiatric mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. The nurse is integrating which ethical principle?

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 nurses opinion most closely reflects which ethical principle?

justice