Ch.4,6,11

Which client would most likely be mandated outpatient treatment?

A client who is addicted to alcohol who has two driving under the influence offenses

The nurse is providing care for a client with a diagnosis of depression. How can the nurse best address the client's needs in the biologic domain?

Administering the client's scheduled dose of citalopram

The nurse is reading a journal article that describes legal action brought against a nurse because the nurse touched a client without consent. The nurse interprets this legal action as an example of which tort?

Battery

A client diagnosed with depression tells the psychiatric-mental health nurse that the client wants to use an herbal supplement to treat the symptoms rather than an antidepressant. The nurse interprets this information as demonstrating which concept?

self-determinism

The accused individual being not fully capable of instructing legal counsel refers to ...

unfit to stand trial

A nurse is talking with a psychiatric-mental health nurse practitioner and says, "I know I need to maintain a client's privacy and confidentiality, but is there a difference between these two?" Which response by the nurse practictioner would be most appropriate?

"Confidentiality affords the client privacy."

A psychiatric-mental health nurse is reviewing the medical record of a client with depression admitted to the acute inpatient facility because of a suicide attempt. Which statement by the client would the nurse correlate with the psychological domain of the biopsychosocial framework?

"I've lost any feelings of pleasure that I had with life."

The nurse is complaining about a client that has dementia. The client is mobile and slaps the nurse on the gluteus maximus each time he passes by. The nurse tells the client, "If you don't behave yourself, I am going to throw you out and you won't have anywhere to go." The charge nurse overhears the nurse, and states "Do you realize what your statement could be construed as?" What is the best statement for the nurse to respond?

"It could be construed as assault"

The mental health nurse is talking to nursing students in an Ethics class and asks, "Which example of an ethical principle is correctly paired with nursing practice?" Which statement by the student would be correct?

"Telling the client that you will come in to help with dressing in 15 minutes, then returning in 15 minutes."

What action by a nurse best promotes the ethical principle of justice?

Advocating for enhanced mental health services in an underserved neighborhood

A psychiatric mental health nurse is providing care for several clients and is aware of the need to adhere to the Standards of Practice. How can the nurse best demonstrate the standard of evaluation?

Determining whether a client's status has improved during milieu therapy

A group of psychiatric-mental health nurses are working to reduce the effect of stigma for patients with mental health problems in the community. Which role would the nurses most likely assume to achieve their outcome?

Educator

A nurse is reviewing information about standards of professional performance for psychiatric-mental nurses. The nurse demonstrates understanding of this concept, identifying which area as being addressed? Select all that apply.

Ethics Leadership Communication Collaboration

Although competency is a legal determination, it is not clearly defined across states. What is a true statement regarding competence?

It is decision specific.

A nurse is reviewing information about legal and ethical aspects of psychiatric-mental health nursing. The nurse demonstrates understanding of the information by identifying which aspect as having the most significant influence in determining malpractice?

Laws

A new graduate practicing in a psychiatric center has learned that there are two levels of practice: basic and advanced. The graduate correctly identifies which of the following as used to help differentiate these levels? Select all that apply.

Performance of nursing function Complexity of practice Educational preparation

During rounds, a client with depression is discovered to have completed a suicide attempt in the bathroom. The staff members on the inpatient psychiatric unit have been very busy and fell behind on periodic assessment for this client. The client's family decides to pursue legal action against the staff and facility. The client's family would most likely claim:

Malpractice

Which of the following provides a foundation for clinical decision-making?

Nursing process

A psychiatric-mental health nurse is providing care to clients at a local community health center. With which activities would the nurse most likely be involved? Select all that apply.

Obtain initial assessment data Identify expected outcomes Educate about health promotion strategies

A psychiatric-mental health nurse is conducting a program for a community group on safety measures and the mandatory use of protective helmets for children when riding bicycles, skateboards and roller skating. The nurse is applying which ethical principle as the foundation for this program?

Paternalism

An experienced nurse working in mental health uses the holisitc and well-supported biopsychosocial model. The nurse correctly identifies which of the following as domains of this model? Select all that apply.

Psychological Biologic Social

A psychiatric-mental health nurse is reading a journal article about clinical reasoning. The nurse demonstrates understanding of the article by identifying clinical reasoning as dependent on critical thinking and:

Reflection

Outpatient treatment can include which of the following services? Select all that apply.

Substance abuse counseling Supportive group therapy Skills training

Which nursing intervention constitutes false imprisonment?

The client has been "pesky," seeking the attention of nurses in the nurses' station much of the day. Now the nurse escorts the client to the room and tells the client to stay there or be put into seclusion.

A nurse is reviewing a journal article about mental health care and voluntary and involuntary treatment. After reading the article, the nurse demonstrates a need for additional review when the nurse identifies which element as being most commonly included as part of the statute?

The client must be refusing medication.

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?

Veracity

The concept of "least-restrictive environment" indicates that clients with mental health disorders have a right to be treated with programs or services that ...

achieve the highest level of functioning

The nursing instructor is discussing the Individuals with Disabilities Education Act and various disablities that have the right to education in the least restrictive environment. The instructor asks whom this applies to, clients with which problems? Which examples should the student nurse choose? Select all that apply.

autism orthopedic impairment traumatic brain injury

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's support would be valuable. What ethical principles are in conflict in this situation?

autonomy and beneficence

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?

durable power of attorney

A nurse working in a psychiatric facility needs to be competent to practice safe care. The nurse obtains this competency through which of the following avenues? Select all that apply.

education, experience

When faced with what appears to be a client-focused ethical dilemma, the nurse should initially ...

implement parts of the ethical decision making model.

A client who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The client continues to need routine psychiatric services. The nurse should explain to the client that she or he will most likely be referred to which of the following services?

intensive outpatient program.