Mental Health Unit 6 Course Point
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 depressed client is deciding which type of treatment would be beneficial. The nurse would document that the client is utilizing which ethical principle in this situation?
Autonomy
A psychiatric-mental health nurse is preparing a refresher course for a group of colleagues about ethics and psychiatric-mental health nursing. When describing the major ethical principles often involved in ethical dilemmas associated with psychiatric-mental health nursing, which principle would the nurse most likely identify? Select all that apply.
Autonomy Beneficence
A nurse recruiter is interveiwing a nurse for a psychiatric-mental health nursing position at the community clinic. When reviewing the applicant's educational background, the recruiter would identify which as the preferred level of preparation?
Bachelor's degree
A client with schizophrenia tells the nurse, "I'm going to stop taking my medication because it makes me feel like I'm in a fog." The nurse explains to the client about the medication and how it helps with the condition. The nurse also urges the client to reconsider the decision and use the medication as prescribed. The nurse's statement reflects which ethical principle?
Beneficence
A new nursing student is studying ethics in nursing and informs a client who wants to stop 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 client with persistent depression is considering electroconvulsive therapy (ECT). The nurse has seen ECT be effective in other cases. When the client expresses fear and doubt about undergoing ECT, the nurse tries to talk the client into it, because the nurse truly believes it will help the client. Which two ethical concepts are in conflict?
Beneficence and autonomy
A new nursing student correctly identifies which as most essential for guiding psychiatric-mental health nursing actions?
Code of Ethics for Nurses
A nursing student identifies which as the most important tool of psychiatric nursing?
Self
Providing milieu therapy is an example of the use of which ethical principle?
beneficence
A psychiatric-mental health nurse is conducting an in-service education program for a group of staff nurses at a community mental health center. The nurse is discussing the challenges in today's health care climate for psychiatric nursing. The nurse determines that additional discussion is needed based on which statement by the group?
"Although knowledge is rapidly growing, little of this knowledge applies to psychiatric care and mental disorders."
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."
A client diagnosed with major depression is prescribed electroconvulsive therapy (ECT) for the treatment. Which statement made by the client would indicate a need for the nurse to follow up with the health care provider?
"It is not really my decision; I have to get these treatments to feel better."
The nursing ethics committee is reviewing the ethical principle of justice. One committee member states, "What are some examples of justice?" Which statement(s) by the nurse exemplifies justice? Select all that apply.
"Nurses should be fair when they distribute care among the clients that they are assigned." "Nurses should make sure that all clients have a meal if they are permitted to eat."
A nursing instructor is teaching about the three domains of the biopsychosocial model. When discussing the social domain, the instructor recognizes a need for further education when a student states which of the following?
"Social factors usually cause psychiatric disorders."
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?
"We should involve the client in the decision-making process."
A nurse working in psychiatric-mental health who is a licensed registered nurse but also educationally prepared at the master's level and certified as a specialist is also known as which of the following?
APN
What action by a nurse best promotes the ethical principle of justice
Advocating for enhanced mental health services in an underserved neighborhood
What action by a nurse best promotes the ethical principle of justice?
Advocating for enhanced mental health services in an underserved neighborhood
The nurse employs ethical principles of practice when caring for clients. Which ethical principle is correctly paired with nursing practice?
Answers the client's questions without withholding information.
A nurse is implementing interventions that address a client's psychological domain. Which intervention would be most appropriate?
Assisting with behavior therapy
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
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.
Educational preparation Complexity of practice Performance of nursing function
A nurse tells a client that the nurse will bring the client pain medicine in 5 minutes after checking on another client. The nurse returns in 5 minutes and administers the medication as planned. The nurse is practicing which principle by returning as promised?
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
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."
When faced with what appears to be a client-focused ethical dilemma, the nurse should initially ...
Implement the steps of an ethical decision-making model
A psychiatric-mental health nurse has joined the Society for Education and Research in Psychiatric-Mental Health Nursing. The nurse is an active member of which nursing organization?
International Society of Psychiatric-Mental Health Nurses (ISPN)
Which ethical principle is in jeopardy when segments of the mentally ill population do not have access to care?
Justice
A psychiatric-mental health nurse practitioner is one of several nurses representing their employment facility at a local job fair in the community. One of the attendees approaches the nurse practitioner and asks about the nurse practitioner role. When describing this role, which educational level would the nurse practitioner cite as being the minimum requirement?
Master's degree in Nursing
When assessing if a procedural risk to a client is justified, the ethical principle underlying the dilemma is known as what?
Nonmaleficence
Which of the following provides a foundation for clinical decision-making?
Nursing process
Which statement is inconsistent with the social domain of the biopsychosocial model?
Psychiatric disorders are caused by societal factors.
A psychiatric-mental health nurse is practicing at the advanced level. Which function would this nurse be able to perform based on the nurse's advanced level of preparation?
Psychotherapy
When working with clients with mental illness, a psychiatric-mental health nurse examines the nurse's own interactions with clients to improve communication skills. The nurse is using which tool?
Reflection
A nurse working in a remote area needs a psychiatrist to assist in diagnosing a client. The nurse schedules an interview between a psychiatrist and the client. The psychiatrist will observe and interview the client using videoconferencing software. This is a specific example of which of the following?
Telemedicine
A client with a diagnosis of depression has been referred to a support group led by a psychiatric-mental health nurse. What action by the nurse best demonstrates the ethical principle of nonmaleficence?
Tell the client that participation in the group is not necessary because it causes the client anxiety.
A client's estranged spouse has phoned the hospital unit several times seeking information about the client's admission and status. A nurse hears a colleague tell the client, "No, your spouse has not called as far as I know." When confronted by the nurse, the colleague states, "I'm just trying to look out for the client by protecting the client from stress." How should the colleague's actions be interpreted?
The colleague had good motives but violated the principle of veracity
The psychological domain contains which theoretical bases? Select all that apply.
Thoughts Feelings Behavior
The nurse must be truthful and honest when caring for mental health clients. In this instance, the nurse is utilizing which ethical principle?
Veracity
The nurse is working with a client who has expressed a desire to discontinue treatment. The care team knows that this decision would have negative consequences for the client and is discussing the ethics of the situation. In order to best address the situation, the nurse should first:
ask reflective questions in order to fully understand the situation.
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 student's action reflects which ethical principle?
fidelity
A nurse is advocating for improved mental health services to be available in the community. Which ethical principle is the nurse demonstrating?
justice
The client asks about a new medication, it's side effects, cost and if the drug is compatable with the other medication the client takes. The nurse answers all questions the client asks without withholding information. The nurse is guided by which ethical principle?
justice
Which ethical principles become an issue in mental health when a segment of a population does not have access to health care?
justice
A psychiatric-mental health nurse develops a plan that identifies strategies and alternatives to assist the client in attainment of expected outcomes. Which standard of practice is the nurse utilizing?
planning
A nurse is witnessing a client signing an informed consent form. Which ethical principle does the nurse identify that applies to this situation?
Autonomy
The client is to undergo a computed tomography (CT) scan of the head with contrast. Ensuring that the client has provided informed consent for a treatment regimen displays which ethical principle?
Autonomy
A mental health nurse is reviewing the Standards of Practice and the competencies listed for each standard. Which information will the nurse utilize when caring for clients? Select all that apply.
Collection and synthesis of health data Plan for strategies and alternatives for outcome achievement Data analysis to determine focus areas for treatment
A psychiatric-mental health nurse is conducting a review course for a group of psychiatric-mental health nurses. The topic of the course is ethics in psychiatric nursing. The nurse determines that additional review is needed when the group identifies which concept as an ethical principle?
Competency
A nurse is assessing a psychiatric client using the biopsychosocial model. Which area would the nurse address with the biologic domain?
Nutritional patterns
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
The interdisciplinary team is discussing the best approach to planning the care for a client with complex psychiatric-mental health needs. When determining which tasks can be performed by the psychiatric-mental health registered nurse (PMH-RN) and which must be performed by the psychiatric-mental health advanced practice registered nurse (PMH-APRN), the team should prioritize guidelines from what source?
The American Nurses Association Standards of Practice
The nurse is advocating for justice for all clients with a mental illness and is addressing stigma, improving clients' access to care, and educating clients and the community regarding mental illnesses. Which ethical principle is the nurse demonstrating?
autonomy
Which ethical priniciple is being addressed when the nurse encourages an older, cognitively impaired client to select the food the client will be served for dinner?
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's support would be valuable. What ethical principles are in conflict in this situation?
autonomy and beneficence
A psychiatric-mental health registered nurse (PMH-RN) is considering attending graduate school to become a psychiatric-mental health advanced practice registered nurse (PMH-APRN). What aspect of client care would be within the scope of the PMH-APRN?
psychotherapy
A psychiatric-mental health nurse is advocating to improve client care by giving visibility to nursing activities and documenting adherence to standards of client care. What can the nurse advocate that can be added to electronic documentation to improve communication and documentation among the nursing staff?
standardized nursing language
