Psych law

Which ethical principle can be overridden by the nurse when clients have been deemed to be at risk of harming themselves or others? Justice Veracity Autonomy Beneficence

Autonomy

When can the nurse disclose a client's information to others without obtaining consent from the client? If the client is mentally ill If the client is younger than 10 years old If the client is in a life-threatening situation If the client is in the end stage of life

If the client is in a life-threatening situation

After undergoing an abortion, an adolescent client asks the nurse, "Can you provide me with some information regarding birth control pills?" Which response from the nurse indicates ethical egoism? "You can ask the primary health-care provider about birth control pills." "I will provide you the information if it is really helpful to avoid pregnancy." "It is my moral duty not to provide information about birth control pills to teenagers." "I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."

"I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."

Which statement made by the student nurse indicates effective learning about restraints? Select all that apply. "Restraints are straps that should be made only of leather." "Restraints will help promote the psychological well-being of the client." "Restraints can be used for the staff's convenience during a medical procedure." "Restraints should only be used if the client's behavior poses a risk to his or her physical safety." "Restraints can include a medication that causes sedation and controls the client's behavior."

"Restraints should only be used if the client's behavior poses a risk to his or her physical safety." "Restraints can include a medication that causes sedation and controls the client's behavior."

Which client requires the renewal of restraint orders every 2 hours unless state law is more restrictive? A client who is 8 years old . A client who is 13 years old A client who is 20 years old A client who is 35 years old

A client who is 13 years old Rationale: Clients between 9 and 17 years of age require the renewal of restraining orders every 2 hours. Therefore, a 13-year-old client requires this intervention. <9 1 hour 9-17 = 2 hours 18+ = every 4 hours

The nurse tells a client who is psychotic, "If you don't keep quiet, I am going to give you your medication with a needle." The nurse can be charged with which legal action? Assault Battery False imprisonment Breach of confidentiality

Assault assault is inducing fear.

Which law provides protection from conduct deemed injurious to the public welfare? Civil law Criminal law Common law Statutory law

Criminal law Rationale: Criminal law provides protection from conduct deemed injurious to the public welfare. other rationales: Civil law Rationale: Civil law protects the private and property rights of individuals and businesses. Criminal law Rationale: Criminal law provides protection from conduct deemed injurious to the public welfare. Common law Rationale: Common laws are derived from decisions made in previous cases. These laws apply to a body of principles that evolve from court decisions resolving various controversies. Statutory law Rationale: A statutory law is a law that has been enacted by a legislative body, such as a county or city council, state legislature, or the U.S. Congress.

A client has been diagnosed with a life-threatening condition. The nurse discloses the client's health information to the client's family members. Which information does the nurse document in the client's record following disclosure? Select all that apply. Date of disclosure Reason for disclosure Specific information disclosed Contact number of professional who disclosed the information Address of person to whom information was disclosed

Date of disclosure Rationale: After disclosing the client's health information, the nurse should enter the date of disclosure in the client's records as per hospital policies. Reason for disclosure Rationale: The reason for disclosure should be documented in the client's records because it is required by law. Specific information disclosed Rationale: The disclosed information should be entered in the client's reports in order to follow the law.

A client suffering from a psychiatric disorder tells the nurse, "I am going to kill my girlfriend. She cheated on me." Which nursing interventions are valid in this situation? Select all that apply. Documenting the situation in a written format Conveying the information to the primary health-care provider Restraining the client's movement Protecting the client's privacy by not disclosing the information to others Discussing the client's situation with other members of the health-care team

Documenting the situation in a written format (so HCP can assess) Conveying the information to the primary health-care provider (duty to warn) Discussing the client's situation with other members of the health-care team (duty to warn others who may be dealing)

Which ethical theory involves a mental conflict between moral values? Kantianism Ethical egoism Ethical dilemma Natural law theory

Ethical egoism Rationale: An ethical egoism indicates a right to do things according to one's self-interest.

During ethical decision making, the nurse effectively follows and communicates the decision made. Which step of a model for making ethical decisions does the nurse exemplify? Planning Assessment Evaluating Implementation

Implementation Rationale: In this step, the nurse follows the decision she made and communicates the decision to others effectively.

The nurse is caring for a critically ill client who is often complains about treatment and is uncooperative. During an unfavorable event, the nurse becomes very defensive in his or her approach to the client. Which outcome may be expected due to the nurse's approach to the client? Increased likelihood of a lawsuit from the client against the nurse Improved interpersonal communication between the nurse and the client Increased chances of avoiding nursing malpractice Improved chances of fulfilling the emotional needs of the client

Increased likelihood of a lawsuit from the client against the nurse

Which is the appropriate nursing intervention when taking care of a mechanically restrained client? Arranging video equipment near the client Changing the leather straps frequently Monitoring the client's respiratory rate but not heart rate Performing in-person evaluation within 15 minutes of restraint

Performing in-person evaluation within 15 minutes of restraint nurse should ensure the physical and psychological well-being of the restrained client. The nurse should perform in-person evaluation within 1 hour of restraining the client.

The primary health-care provider instructs the nurse to seclude a psychotic client showing aggressive behaviors. Which action should the nurse take in this situation? Take the client for shock therapy Administer tranquilizers to the client Restrain the client's extremities with leather straps Place the client alone in a closed, minimally furnished room

Place the client alone in a closed, minimally furnished room this will decrease stimulation and potentially calm the patient down.

While making an ethical decision, the nurse thinks, "It is my moral duty to convey the truth to the client even if it is not beneficial." Which phase of ethical decision making is indicated by the nurse's thought process? Planning Evaluation Assessment Problem identification

Planning Rationale: When the nurse considers the ethical theories involved in decision making, it indicates the planning phase of decision making. The ethical theories and their implication on the decision are considered in this phase.

While making an ethical decision, the nurse thinks, "It is my moral duty to convey the truth to the client even if it is not beneficial." Which phase of ethical decision making is indicated by the nurse's thought process? Planning Evaluation Assessment Problem identification

Planning When the nurse considers ethical theories in decision making, it indicates the planning phase. Ethics are considered in this phase.

The nurse is caring for a depressed client in a health-care setting. Which action should the nurse implement to avoid accidental false imprisonment of the client? Only touch the client when absolutely necessary Reduce actions that might frighten the client during treatment Reduce the use of restraints with the client Only administer medication as prescribed

Reduce use of restraints with the client Rationale: The nurse who implements unlawful restraint of the client can be charged with forced imprisonment. Therefore, the nurse who avoids unlawful restraint of a client may avoid being charged with false imprisonment.

A representative of a client with bipolar disorder asks the nurse to show him or her the client's medical records. What should the nurse do in this situation? Report it to the primary health-care provider immediately Tell the client's representative that this is not allowed according to the health-care facility's policies. Ignore the representative's words and continue to work. Respect the representative's wish and allow him or her to access the medical records.

Respect the representative's wish and allow him or her to access the medical records. The representative of a client with a medical disorder has the right to access the clients medical records.

Which actions in nursing practice can result in the nurse being accused of false imprisonment? Select all that apply. Keeping an aggressive client alone in a room Taking the clothes of a depressed client against his or her wishes Restraining the extremities of a voluntary competent client demanding release Locking the client in a room for the nurse's convenience Administering tranquilizers to the client who attempts to harm others

Taking the clothes of a depressed client against his or her wishes Rationale: Taking the clothes of any client against his or her wishes may be considered false imprisonment. Restraining the extremities of a voluntary competent client demanding release Rationale: Restraining the extremities of a voluntary competent client who demands to be released can result in false imprisonment accusations. Locking the client in a room for the nurse's convenience Rationale: The nurse should not lock the client alone in a room for the nurse's convenience. This intervention can lead to false imprisonment accusations.

A nursing instructor is teaching a group of student nurses about the methods used to determine right or wrong behavior during nursing practice. Which concept is the nursing instructor trying to teach the students? Rights Values Bioethics Ethics

Bioethics: simply right and wrong pratice in nursing

The registered nurse is teaching about the ethical principle of advocacy that has to be followed while caring for a client on the psychiatric unit. Which actions taken by the student nurse indicate teaching has been effective? Select all that apply. Educating the client's family about legal rights Encouraging the client to fulfill his or her own needs without assistance Being honest with the client's family about the client's condition Avoiding harming the client

Educating the client's family about legal rights Rationale: Explaining about legal rights to the client's family indicates effective implementation of the ethical principle of advocacy. Encouraging the client to fulfill his or her own needs without assistance Rationale: The nurse implements the advocacy principle by encouraging the client to fulfill his or her needs without any assistance. Avoiding harming the client Rationale: If the nurse implements nonmaleficence in the practice effectively, he or she avoids harming any client intentionally or unintentionally. Speaking about the client's condition on his or her behalf to secure necessary health care services Rationale: The nurse acts as advocate by speaking on behalf of clients with mental illness to secure essential mental health services.

The family members of a client diagnosed with a life-threatening disease tell the nurse, "Don't tell the client about his disease, because he gets depressed." The nurse responded, "I am going to tell the client about his condition because it is my moral duty." Which ethical principle did the nurse follow? Ethical egoism Kantianism Utilitarianism Natural law theory

Kantianism Rationale: Kantianism states that actions are bound by a sense of duty and that ethical decisions are made out of respect for moral law. The nurse has followed the ethical principle of Kantianism since the response from the nurse implies a moral duty, which is the basic principle of Kantianism.

While documenting a client's response, the nurse writes false information in the client's record that results in defamation of the client's character. What charge could the nurse face in a lawsuit resulting from this situation? Libel Slander Assault Battery

Libel This is defaming the clients character through writing slander is oral defaming

What is the priority nursing intervention for a newly admitted client in a psychiatric unit? Scheduling follow-up visits for the client Notifying the psychiatrist before assessing the client. Providing notice of privacy policies to the client and the client's representative Explaining the entire treatment procedure to the client's representative

Providing notice of privacy policies to the client and the client's representative Rationale: The notice of privacy policies ensures protected health information (PHI). The priority nursing intervention is to provide notice of privacy policies to the client and the client's representative.

Which interventions should the nurse implement to prevent malpractice while caring for a client with psychiatric illness? Select all that apply. Responding to the client Careful documentation of the client's response Educating the client about his or her condition Discussing the client's condition with other nurses Performing routine body searches in mentally ill clients

Responding to the client Careful documentation of the client's response Educating the client about his or her condition

A client with a psychotic disorder shows symptoms of agitation and psychotic behavior. What is the priority nursing intervention to reduce agitation in the client? Administer tranquilizers to the client Speak with the client in a simplified fashion Restrict the client's freedom of movement by using mechanical restraints Restrain the client by confining him or her to a room from which he or she is unable to leave

Speak with the client in a simplified fashion

Which action may place a nurse at risk of being charged with slander? Discussing the client's condition with another nurse Spreading false information about a client by word of mouth Providing information to others about the client's condition without his or her consent Writing malicious and false information about the client during assessment

Spreading false information about a client by word of mouth

In which situation may the nurse be charged with assault and battery? The nurse touched the client without his or her consent. The nurse disrespected the decision of a mentally ill client. The nurse disclosed the client's information during an emergency situation. The nurse performed a life-sustaining treatment that the client refused.

The nurse performed a life-sustaining treatment that the client refused.

The primary health-care provider suggests that the nurse provide verbal therapy rather than restraining therapy to a client with cognitive impairment. Which right of the client is protected in this situation? The right to privacy The right to freedom The right to confidentiality The right to the least-restrictive treatment

The right to the least-restrictive treatment Rationale: In this case, the primary health-care provider has safeguarded the client's right to the least-restrictive treatment by opting for verbal therapy rather than restraining therapy.

What provisions are included in a state's nursing practice act? Select all that apply. The ethical issues pertaining to nursing practice The scope of practice for various levels of nursing The general powers and authority of the state board of nursing The rights of the clients pertaining to medical treatment The educational and training requirements for nursing licensure

The scope of practice for various levels of nursing The general powers and authority of the state board of nursing The educational and training requirements for nursing licensure

During evaluation, the registered nurse concludes that a new trainee nurse is implementing the ethical principle of justice effectively. Which action of the trainee nurse supports the registered nurse's conclusion? Avoiding harm to the client intentionally or unintentionally Avoiding secrecy about the client's condition Ensuring that the client fulfills his or her needs without any help Treating both married and unmarried clients equally

Treating both married and unmarried clients equally Rationale: The nurse should treat all clients equally irrespective of sex, race, marital status, or socioeconomic status to implement justice effectively in his or her profession.

Which theory of ethical decision making states that ethical decisions that are "right" are determined by the decision's tendency to bring happiness to the client? Kantianism Utilitarianism Ethical egoism Christian ethics

Utilitarianism states that whether an ethical decision is right is determined by its tendency to bring happiness to the client

Under the supervision of the registered nurse (RN), a group of student nurses is discussing the Patient Self-Determination Act. Which statements by the group demonstrate effective learning? Select all that apply. "We should include the client in periodic revision of his or her care plan." "We should allow inpatient clients access to phones and mail while caring for them." "We should get consent from the client's representative during a life-threatening condition." "We should send the client's blood specimen for analysis after getting consent." "We should use restraint techniques to medicate the client."

We should include the client in periodic revision of his or her care plan." "We should allow inpatient clients access to phones and mail while caring for them." "We should send the client's blood specimen for analysis after getting consent." According to the patient self determination act the client unless mentally disturbed has the right to be involved in his or her care plan. Also get consent before doing anything invasive obviously.

The nurse is receiving informed consent from a client who has been scheduled for a knee-replacement surgery. What should the nurse check before receiving the consent? Select all that apply. Whether the client has received adequate information about the procedure Whether the client is properly able to make decisions Whether the client is giving consent voluntarily Whether the client has a caregiver at home Whether the client has received proper nutritional counseling

Whether the client has received adequate information about the procedure Whether the client is properly able to make decisions Whether the client is giving consent voluntarily

Which steps should the nurse follow while making an ethical decision? Arrange the steps in order of their priority. Gather objective and subjective information ab out the situation Identify the conflict between two or more alternative actions Explore the benefits and consequences of each alternative Implement the decision made and communicate the same to others Evaluate the outcomes of the decision

Which steps should the nurse follow while making an ethical decision? Arrange the steps in order of their priority. Gather objective and subjective information about the situationCorrect Position: 1 Identify the conflict between two or more alternative actionsCorrect Position: 2 Explore the benefits and consequences of each alternative Correct Position: 3 Implement the decision made and communicate the same to others Correct Position: 4 Evaluate the outcomes of the decisionCorrect Position: 5 Rationale: Ethical decision making should always start with assessment of the situation. This involves gathering objective and subjective information about the situation. Then, the problem is identified by drawing possible alternatives and analyzing the conflict between two or more alternative actions. This is followed by exploring the benefits of each alternative and then implementing the most beneficial one. The final step of ethical decision making involves evaluating the outcome of the decision.

A nursing instructor tells a group of nursing students, "You have to treat clients with the same respect and dignity with which you would expect to be treated." Which ethical theory is the nursing instructor teaching the students? Kantianism Ethical egoism Christian ethics Natural law theory

answer: Christian ethics Ethical egoism states that an ethical decision should be made that is beneficial to the individual making the decision. Kantianism states that the nurse has a moral duty. natural law says the decisions depend on the nature of the nurse.

The nurse is teaching a newly recruited nurse about unlawful acts. Which action described by the nurse would be categorized as intentional tort? A.Failing to fulfill an obligation to others B.Stealing hospital supplies and drugs C.Showing negligence during a medical treatment D. Touching a client without his or her consent

answer: D. Touching a client without his or her consent Touching a client w/o consent may result in a charge of battery...which is catagorized as intentional tort negligence is malpractice stealing is violation of criminal law

Which ethical principle indicates that a nurse should always be truthful in his or her profession? Justice Veracity Autonomy Beneficence

answer: veracity The ethical principle that the nurse should always be truthful to clients and not intentionally decieve or mislead them Beneficence refers to the duty of the nurse to benefit or promote the good of others.

While treating a client who is critically ill, the primary health-care provider tells the client's family members, "The treatment is very painful and the chances of survival are limited. I would suggest you take the client home." Which ethical principle can be inferred from the primary health-care provider's statements? Justice Autonomy Beneficence Nonmaleficence

nonmalficence This is avoiding harm...its painful and chances are limited