Videbeck Chapter 9 and 10

The interdisciplinary team caring for a client diagnosed with depression is having daily meetings about the client's plan of care. What could the nurse say to protect the client from unwarranted use of paternalism in their care? - "The client has a right to their privacy." "We need to truthfully tell the client their plan of care." "We should involve the client in the decision-making process." "We need to treat the client with dignity and respect regardless of their values."

"We should involve the client in the decision-making process."

Which client should the nurse anticipate will be at greatest risk for alteration in quality of life as a result of loss? - 24-year-old diagnosed with borderline personality disorder 50-year-old with psychosis in the context of schizophrenia 72-year-old in the late stages of dementia 45-year-old with severe depression

45-year-old with severe depression

The nurse recognizes that the difference between a voluntary and an involuntary commitment is what? - An involuntarily committed client may not initiate his or her own discharge The voluntarily committed client is usually less aggressive The voluntarily committed client usually has good insight into his or her mental health problem An involuntarily committed client may refuse all treatment

An involuntarily committed client may not initiate his or her own discharge

A client who has recently lost his same-sex partner in a motor vehicle accident tells the nurse, "My family doesn't speak to me because of my lifestyle. I feel like I have no one to talk to about my loss." The client is experiencing: disenfranchised grief. ambivalent attachment. insecure attachment. complicated grieving.

Disenfranchised grief

A client is exhibiting a behavioral response to grief. When obtaining a health history, the nurse would expect which assessment finding to be noted? Hostility Stupor Sadness Calmness

Hostility

Which explanation would be the nurse's best response when asked about the denial stage of grief? It affords the individual a chance to prepare for the death experience It gives all involved a chance to hope that there has been a mistake made It provides an opportunity to adjust to the realization that death will occur It provides the individual with a temporary escape from the reality of dying

It provides the individual with a temporary escape from the reality of dying

Which explanation would be the nurse's best response when asked about the denial stage of grief? - It provides an opportunity to adjust to the realization that death will occur It provides the individual with a temporary escape from the reality of dying It gives all involved a chance to hope that there has been a mistake made It affords the individual a chance to prepare for the death experience

It provides the individual with a temporary escape from the reality of dying

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

Outpatient

A nurse is reviewing a journal article about malpractice and the elements required to prove negligence. The nurse demonstrates a need for additional review when the nurse identifies which element as being necessary? The nurse professional had a duty of due care toward the plaintiff. The client must be injured physically as a result of the nurse's action. The client must prove the existence of injury. The nurse's performance fell below the standard of care

The client must be injured physically as a result of the nurse's action.

A client with bipolar disorder has been following the prescribed medication regimen. The client indicates to the nurse a desire to stop the medication now that the client is feeling better. The nurse tells the client that most likely the client will have to remain on the medication for life to keep the condition under control. The nurse is practicing which principle? - Autonomy Veracity Fidelity Justice

Veracity

A nurse is witnessing a client signing an informed consent form. Which ethical principle does the nurse identify that applies to this situation? - justice beneficence nonmaleficence autonomy

autonomy

Which experience could be the possible cause of grief due the loss of security and belonging for the client? Violence at workplace Amputation Divorce Failure to achieve promotion at work

divorce

The nurse is caring for a client after having various diagnostic tests. The client discusses a proxy being in attendance for the health care provider's diagnosis. The nurse requests a copy for the file, and allows the proxy to be in attendance with what type of document? - living will informed consent patient rights durable power of attorney

durable power of attorney

A nurse is advocating for improved mental health services to be available in the community. Which ethical principle is the nurse demonstrating? - justice beneficence nonmaleficence autonomy

justice

A nurse is caring for a group of clients with different histories, behaviors, and personalities. Which ethical principle does the nurse identify that applies to distributing mental health services equally among clients? - autonomy nonmaleficence justice beneficence

justice