mental health chapter 6

When considering the duty to warn and protect third parties, which client statement should the nurse report to the treatment team members? "That judge is going to really regret putting me in here." "All politicians need to be shot." "When I'm elected president, I'll make them all pay for doubting me." "The man out there who is laughing at me is going to die."

"That judge is going to really regret putting me in here."

Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept? A. "it isn't right to deny someone healthcare because they can't pay for it." B. "I never discuss my patient's refusal of treatment." C. " the the hospital needs to buy more respirations so we always have one available." D. " Not all ICU patients have the right to unbiased attention from the staff."

A

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? Autonomy and beneficence Advocacy and confidentiality Veracity and fidelity Justice and humanism

Autonomy and beneficence

How can a newly hired nurse best attain information concerning the state's mental health laws and statutes? A. discuss the issue with the facility's complicance officer B. conduct an interest search using the keywords"mental +helath +statutes+(your state)" C. consult the American Nurses Association's (ANA) Code of ethics for nurses D. review the facility's latest edition of the policies manual

B

Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. which of the following examples represents implied consent? A. the mother of an unconscious patient saying okay to surgery B. care given to a heroin overdose victim C. immobilizing a patient who has refused to take medication D. signing general intake paperwork with specific parameters

B

A client who presents no danger to himself or to others is forced to take medication against his will. This situation represents assault. battery. defamation. invasion of privacy.

battery.

when considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission? A. the patient poses no substantial threat to themselves or to others. B. the patient has the right to seek legal counsel C. a request in writing is required before admission D. a mental illness has been previously diagnosed.

c

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 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately A 75-year-old patient with dementia who demands to be allowed to go back to his own home A 21-year-old actively suicidal patient who wants to be discharged to home and do outpatient counseling 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 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately

Which scenarios describe a HIPAA violation associated with a nurse's behavior? An ED (Emergency Department) nurse gives the intensive care unit nurse a client report from a telephone at the nurse's station. A nurse on the medical-surgical floor calls a patient's primary care provider to obtain a list of current medications. A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator. A nurse on the psychiatric unit gives discharge information to the counseling office regarding a client's outpatient treatment.

A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator.

which situations demonstrate liable(有责任的，该受罚的） behavior on the part of the staff? (select all that apply) A. forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient B. leaving a patient with suicidal thoughts alone in the bathroom to shower. C. promising to restrain a patient who stole from another patient on the unit. D. reassuring a patient with paranoia that his antipsychotic medication was not tampered with E. Placing a patient who has repeatedly threatened to assault staff in seclusion

ABC

Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: (select all apply) A. private toileting, oral hydration B. checking the tightness of the restraints c. therapeutic communication D. maintaing a patient airway

ABD

Which ethical principle refers to the individual's right to make his or her own decisions? Beneficence Autonomy Veracity Fidelity

Autonomy

A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. he does not use the name of the patient. the nurse: A. has not violated confidentiality laws because he did not use the patient's name B. cannot be held liable for violating confidentiality laws because he was not the primary nuse for the patient. C. has violated confidentiality laws and can be held liable D. cannot be held liable because postings on a social media site are excluded from confidentiality laws.

C

Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release? A. " I will continue treatment in an outpatient treatment center. b." my nuse practitioner has recommended group therapy C. " I am finnaly free, no more therapy." D. " attending therapy and taking my meds are a part of this conditional release."

C

Which nursing intervention demonstrates the ethical principle of beneficence? A. refusing to administer a placebo to a patient B. attending an in-service on the operation of the new IV infusion pumps. C. providng frequent updates to the family of a patient currently in surgery D. respecting the right of the patient to make decisions about wheter or not to have electroconvulsive therapy.

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? Battery Defamation of character False imprisonment Assault

False imprisonment

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? Autonomy Veracity Fidelity Justice

Fidelity Fidelity refers to being "true" or faithful to one's obligations to the client. Client abandonment would be a violation of fidelity. None of the other options addressed abandonment.

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? Alert security to come to the unit for a show of strength Request that the client accompany the nurse to the client's room Inform the client that restraints will be used if the behavior continues Prepare to administer a prn chemical restraint to the client

Request that the client accompany the nurse to the client's room

After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual? Confidentiality is now reserved to the immediate family. Only HIV status continues to be protected and privileged. Nothing may be disclosed that would have been kept confidential before death. The nurse must confer with the next of kin before divulging confidential, sensitive information.

Nothing may be disclosed that would have been kept confidential before death.

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? None, because no explicit threat has been made. Ask the client if he is threatening his wife. Call the client's wife and report the threat. Report the incident to the client's therapist.

Report the incident to the client's therapist.

Which right of the client has been violated if he is medicated without being asked for his permission? Right to dignity and respect Right to treatment Right to informed consent Right to refuse treatment

Right to informed consent

What assumption can be made about the client who has been admitted on an involuntary basis? (Select all that apply.) The client can be discharged from the unit on demand of next of kin. For the first 48 hours, the client can be given medication over objection. The client has failed to agree to fully participate in treatment and care planning. The client is a danger to self or others or unable to meet basic needs. The commitment was court ordered.

The client has failed to agree to fully participate in treatment and care planning. The client is a danger to self or others or unable to meet basic needs. The commitment was court ordered.

When considering client rights, which client can be legally medicated against his or her wishes? The client has accepted the medication in the past. The client may cause imminent harm to himself or others. The client's primary provider orders the medication. The client's mental illness may relate to cognitive impairment.

The client may cause imminent harm to himself or others.

When considering the civil rights of persons diagnosed with mental illness and hospitalized for treatment, which statement is true? They are assured the same as those for any other citizen. Their rights are altered to prevent use of poor judgment. Their rights are always ensured by appointment of a guardian. Their rights are limited to provision of humane treatment.

They are assured the same as those for any other citizen. Civil rights are not lost because of hospitalization for mental illness. None of the other statements are accurate when describing the rights of a hospitalized mentally ill client.

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? Outpatient Emergency Voluntarily Involuntarily

Voluntarily

What nursing action supports a client's right to autonomy? Spending time with an extremely anxious client Witnessing the informed consent for electroconvulsive therapy from a client Spending equal amount of one-on-one time with each client on the unit Attending an inservice on a newly approved medication

Witnessing the informed consent for electroconvulsive therapy from a client

In providing care for patients of a mental health unit, Li recognizes the importance of standards of care, when Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway? A. professional association, customary care, facility policy B. state board of nursing, facility policy, customary care C. facility policy, professional associations, state board of nursing D. state board of nursing, professional association, facility policy

d