CH 6 Final Review

Report the incident to the client's therapist.

A client reports to the nurse that once released, "I will make sure she will never again be able to have me committed to a psychiatric hospital again." What action is the nurse obligated to take?

battery

A client who presents no danger to himself or to others is forced to take medication against his will. What situation does this represent?

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

After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual?

False imprisonment

If a client is placed in seclusion and held there for 24 hours without a written order or examination by a primary healthcare provider, the client has experienced which illegal act?

Fidelity

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?

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

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?

voluntarily

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 client has met the criteria for which type of admission?

Autonomy and beneficence

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?

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

What assumption can be made about the client who has been admitted on an involuntary basis?

Witnessing the informed consent for electroconvulsive therapy from a client

What nursing action supports a client's right to autonomy?

The client may cause imminent harm to self or others.

When considering client rights, which client can be legally medicated against his or her wishes?

They are assured the same as those for any other citizen.

When considering the civil rights of persons diagnosed with mental illness and hospitalized for treatment, which statement is true?

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

When considering the duty to warn and protect third parties, which client statement should the nurse report to the treatment team members?

autonomy

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

A 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately

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)?

Right to informed consent

Which right of the client has been violated if he is medicated without being asked for his permission?

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 scenarios describe a Health Insurance Portability and Accountability Act (HIPAA) violation associated with a nurse's behavior?