Psychiatric - Chp 9
The nurse is teaching the caregivers of the client regarding the seclusion of the client. What statements about the intervention, immediately after seclusion, are correct? Select all that apply. a) "The client will be assessed by the nurse every 1 to 2 hours." b) "The client will be removed from seclusion in one day." c) "The client will be kept under observation for 12 hours after seclusion." d) "The health-care provider will review the seclusion order every 4 hours." e) "The client will be assessed by a specialized independent practitioner within the hour."
a) "The client will be assessed by the nurse every 1 to 2 hours." d) "The health-care provider will review the seclusion order every 4 hours." e) "The client will be assessed by a specialized independent practitioner within the hour."
The insanity defense is used in approximately how many criminal cases? a) 1% b) 10% c) 50% d) 20%
a) 1%
Which of the following mental health clients meets criteria to be involuntarily committed? a) A client diagnosed with borderline personality disorder who is threatening to cut himself b) A client diagnosed with mania who is pacing the hallways c) A client diagnosed with schizophrenia who is singing in his room d) A client diagnosed with anxiety disorder who is fidgeting
a) A client diagnosed with borderline personality disorder who is threatening to cut himself
The Tarasoff decision involves an exception to the client's right to confidentiality as being ... a) A duty to warn b) Placement of the client in the least restrictive environment c) Mandated outpatient treatment (MOT) d) An appointment of a legal guardian
a) A duty to warn
All but which of the following states have abolished the insanity defense? a) Iowa b) Idaho c) Utah d) Montana
a) Iowa
A client has a prescription for Haloperidol, 5mg orally two times a day, as ordered by the physician. The client is suspicious and refuses to take to medication. The nurse says, "If you don't take this pill, I'll get an order to give you an injection." The nurse's statement is an example of a) assualt b) battery c) malpractice d) unintentional tort
a) assualt
Which of the following elements are necessary to prove liability in a malpractice lawsuit? (select all that apply) a) client is injured b) failure to conform to standards of care c) injury caused by breach of duty d) injuries must be visible and verified e) recognized relationship between client and nurse
a) client is injured b) failure to conform to standards of care c) injury caused by breach of duty e) recognized relationship between client and nurse
Dr. Smith, a psychotherapist, hears her client state, "I have had it with this marriage. I'm telling you, and not that I ever would do it, but I feel like hiring a hit man to kill the woman!" Dr. Smith ... a) must warn the client's wife, based on the Tarasoff rule. b) must keep this confidential because the client made a disclaimer that he would never do it. c) may be anxious, but since the client did not say he would kill his wife, must hold the client's statements in confidence. d) is bound to hold all psychotherapeutic content under strict confidence.
a) must warn the client's wife, based on the Tarasoff rule.
The depressed client is deciding which type of treatment would be beneficial for him. The nurse would document that the client is utilizing which of the following ethical principles in this situation? a) Veracity b) Autonomy c) Justice d) Beneficence
b) Autonomy
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client states which of the following? a) "I get really 'turned on' by your appearance." b) "That doctor I had today really made me angry." c) "When I get out of here, I'm going to kill my neighbor." d) "I think that the federal government is spying on me."
c) "When I get out of here, I'm going to kill my neighbor."
Ensuring that the client has informed consent before agreeing to a treatment regimen displays which of the following ethical principles? a) Nonmaleficence b) Fidelity c) Autonomy d) Justice
c) Autonomy
Malpractice must be proven by four elements. All of the following must be proven except ... a) Injury b) Causation c) Intent d) Duty
c) Intent
The nurse recognizes that the difference between a voluntary and an involuntary commitment is that ... a) The voluntarily committed client usually has good insight into his or her mental health problem b) An involuntarily committed client may refuse treatment c) The voluntarily committed client is usually less aggressive d) An involuntarily committed client may not initiate their own discharge
d) An involuntarily committed client may not initiate their own discharge
A client diagnosed with schizophrenia insists on stopping her medication because it causes her to gain weight. The client is exercising which ethical principle? a) Beneficence b) Justice c) Veracity d) Autonomy
d) Autonomy
Which ethical principle is at risk when the client presents an imminent threat of danger to himself or others? a) Justice b) Autonomy c) Beneficence d) Nonmaleficence
d) Nonmaleficence
One way that nurses can protect themselves against liability from malpractice is to do which of the following? a) Avoid documenting incriminating information. b) Know the statutory and professional standards. c) Request legal consultation from the employer. d) Carry individual malpractice insurance.
b) Know the statutory and professional standards.
A client who has bipolar disorder stops taking her medication because she says she likes how she feels in a manic state. What is a client's right to make decisions for oneself known as? a) Veracity b) Autonomy c) Paternalism d) Justice
b) Autonomy
What is provided in the Code of Ethics for Nurses of the American Nurses Association (ANA)? a) A guideline for nurses regarding ethical conduct b) Definitions of ethical principles and how they relate to nursing practice c) A description of case studies featuring ethical dilemmas d) Information about what to do when confronted with an ethical dilemma
a) A guideline for nurses regarding ethical conduct
A nurse tells a client that she will bring him his pain medicine in 5 minutes after she checks on another client. The nurse returns in 5 minutes and administers the medication as planned. The nurse is practicing which of the following principles by returning as promised? a) Fidelity b) Autonomy c) Paternalism d) Nonmaleficence
a) Fidelity
A client who was admitted to the facility voluntarily has requested to be discharged and allowed to return home. The health care provider files for a civil commitment to hold the client in the hospital. What is the most likely reason to file this action? a) The client has suicidal ideation. b) The client needs medications to be administered on time. c) The client requires psychotherapy. d) The client needs to be monitored regularly for vital signs.
a) The client has suicidal ideation.
Which client would the nurse determine to be the most likely candidate for involuntary commitment? a) The client who is screaming in the street disturbing neighbors b) The client who refuses to participate in the planned therapy c) The client with a mental disorder who is homeless d) The client who refuses to take the prescribed medication
a) The client who is screaming in the street disturbing neighbors
Which of the following elements are essential in a clinician's duty to warn? (select all that apply) a) client makes threatening statements b) history of violence c) potential victim(s) are identifiable d) potential victim is easy to locate e) threat is not a delusion f) threat of harm is serious
a) client makes threatening statements c) potential victim(s) are identifiable f) threat of harm is serious
What findings would lead the nurse to conclude that the client needs a conservator? Select all that apply. a) The client is not taking medications on time. b) The client cannot provide food, clothing and shelter for self. c) The client is extremely aggressive. d) The client has schizophrenia. e) The client is unable to act in one's best interest.
b) The client cannot provide food, clothing and shelter for self. e) The client is unable to act in one's best interest.
A nurse working on the psychiatric unit receives a telephone call from the employer of one of the clients on the unit. The employer asks to be sent a copy of Mr. Murray's latest laboratory work and psychological testing results so Mr. Murray's medical records in employee health can be kept up-to-date. Based on the nurse's knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate? a) "I am unable to acknowledge whether or not a Mr. Murray is a client on this unit." b) "Sure, give me your address, and I will see that the information is sent to you." c) "I'll have to get the client's signed consent before we can send that information to you." d) "I'm sorry; we're not allowed to give out that information about our client."
a) "I am unable to acknowledge whether or not a Mr. Murray is a client on this unit."
The nurse is explaining the responsibilities to a client's legal guardian. Which statements by the nurse are correct? Select all that apply. a) "You, not the client, should sign legal documents." b) "You are supposed to monitor the client all the time." c) "You are supposed to write checks for the client." d) "You have to make healthcare decisions for the client." e) "You have to make the client stay with you."
a) "You, not the client, should sign legal documents." c) "You are supposed to write checks for the client." d) "You have to make healthcare decisions for the client."
A client was admitted for electroconvulsive therapy (ECT). The physician performing the procedure failed to obtain informed consent before the ECT was administered. The physician could be charged with which of the following? a) Battery b) Beneficence c) Assault d) Fidelity
a) Battery
The client who is involuntarily committed to an impatient psychiatric unit loses which of the following rights? a) Right to freedom b) Right to refuse treatment c) Right to sign legal documents d) The client loses no rights
a) Right to freedom
Providing milieu therapy is an example of use of which ethical principle? a) Beneficence b) Fidelity c) Veracity d) Autonomy
a) Beneficence
Which of the following occurs when there is a situation in which ethical principles conflict or when there is not one clear course of action in a given situation? a) Ethical dilemma b) Negligence c) Malpractice d) Breach of duty
a) Ethical dilemma
An agitated client has been put in restraints against his will because of inadequate staffing. The nurse determines this as which form of malpractice? a) False imprisonment b) Assault c) Battery d) Defamation
a) False imprisonment
A client who was deemed to be at high risk for suicide was ordered visual checks every 15 minutes. Nurse K. had been performing these checks since the beginning of her shift but neglected to pass off this responsibility to a colleague before leaving the unit for her scheduled break. As a result, the client made a suicide attempt while Nurse K. was off the unit. Which ethical principle has Nurse K. most clearly violated? a) Fidelity b) Autonomy c) Veracity d) Beneficence
a) Fidelity
A nursing student is initiating a relationship with an assigned client. After meeting and spending approximately 20 minutes talking with the client, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of clients to play volleyball. The student starts to go with them but then remembers the promise to meet with the client. The student decides to forgo volleyball and talk with her client. The student's decision reflects which ethical principle? a) Fidelity b) Beneficence c) Autonomy d) Veracity
a) Fidelity
Which of the following occurs when staff members physically control the client and move him or her to a seclusion room? a) Human restraint b) Battery c) Mechanical restraint d) Abuse
a) Human restraint
Which ethical principle is at risk when the client presents an imminent threat of danger to himself or others? a) Nonmaleficence b) Autonomy c) Justice d) Beneficence
a) Nonmaleficence
The nurse has used wrist and ankle restraints for a client who was extremely aggressive. What assessments should the nurse perform on a regular basis after restraining the client? Select all that apply. a) Peripheral circulation b) Skin condition c) Side effects of medication d) Emotional well-being e) Memory
a) Peripheral circulation b) Skin condition c) Side effects of medication d) Emotional well-being
Which of the following rights could the psychiatric client lose when admitted to a locked, inpatient psychiatric treatment facility? a) Right to schedule his or her own time b) Right to safety from harm c) Right to communicate with an attorney d) Right to send and receive mail without censorship
a) Right to schedule his or her own time
Susan, age 22 years, has voluntarily sought treatment for an eating disorder at a residential facility in an isolated rural location. Despite a promising start, she has been involved in recent conflicts with staff members and insists that she wants to leave the facility. Staff members have refused to facilitate her transportation from the facility and have stated that they will not return her money and identification that were held when she was admitted. Staff at the treatment facility may be guilty of false imprisonment because of what fact? a) Susan is legally competent. b) The facility is in an inaccessible location. c) Susan's diagnosis is not psychiatric in etiology. d) Susan's diagnosis is not terminal.
a) Susan is legally competent.
A nurse is explaining about assisted outpatient treatment to a client who is getting discharged from the hospital. What advise should the nurse give the client regarding the assisted outpatient treatment? Select all that apply. a) The client must take prescribed medications as per the dosing schedule. b) The client can decide whether to join the assisted outpatient treatment program. c) The client must attend specific group therapy programs. d) The clients must attend community healthcare lectures on the disorder. e) The client must attend the follow ups as per the schedule.
a) The client must take prescribed medications as per the dosing schedule. c) The client must attend specific group therapy programs. e) The client must attend the follow ups as per the schedule.
A nurse is caring for a client in the healthcare facility. The client doesn't show signs of suicidal ideation or pose harm to others. The client wishes to leave the facility and go home. What is the most appropriate response of the nurse? a) "You could leave. I would inform the health care provider." b) "You could sign a written request for discharge." c) "You inform the healthcare provider and leave the facility." d) "The healthcare provider should assess you again before allowing your request."
b) "You could sign a written request for discharge."
The psychiatric nurse is particularly concerned about securing informed consent for an invasive procedure from a ... a) 60-year-old female visiting from England who experienced a panic attack b) 45-year-old Asian male who is diagnosed with antisocial personality disorder c) 25-year-old Caucasian male who has just completed alcohol withdrawal therapy d) 21-year-old African American female with a history of both physical and sexual abuse
b) 45-year-old Asian male who is diagnosed with antisocial personality disorder
As a result of the increasing severity of her delusions and consequent unsafe behavior, a client has been admitted to a psychiatric facility and judged incompetent to make decisions. Who will now make decisions for the client? a) A hospital-appointed interdisciplinary committee b) A guardian appointed by the court c) The client's primary nurse d) The client's psychiatrist
b) A guardian appointed by the court
Ali has been admitted to the hospital involuntarily for the treatment of depression. Which of the following criteria provides legal justification for Ali's involuntary admission? a) Ali's family is unable to manage his care. b) Ali poses a threat to himself. c) Ali's primary care provider is a psychiatrist. d) Ali's treatment will require pharmacologic interventions.
b) Ali poses a threat to himself.
A client's plan of care includes revoking privileges for inappropriate behavior, based on a contract between the client and the nurse who wrote the plan. Another nurse decides to ignore this, because the client promises that she will adhere to the contract in the future. The second nurse's behavior may have violated which ethical principle? a) Beneficence b) Fidelity c) Autonomy d) Veracity
b) Fidelity
A client comes to the emergency department (ED) with severe depression and suicidal ideation. Staff members determine that the client does not have adequate insurance to cover inpatient psychiatric services at their facility, so they discharge the client with some prescriptions for medication. Which of the following principles is being ignored by discharging this client? a) Veracity b) Justice c) Autonomy d) None of the above
b) Justice
While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room. Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that she was prescribed in the hospital. This nurse may be guilty of what? a) Incompetence b) Malpractice c) Assault d) Failure of duty to warn
b) Malpractice
For a plaintiff to receive monetary damages by suing a professional nurse for malpractice, he or she must prove all except which of the following elements of nursing negligence? a) The nurse's performance fell below the standard of care. b) The act in which the nurse engaged resulted in physical injury to the client. c) The nurse professional had a duty of due care toward the plaintiff. d) The plaintiff consumer must prove his or her injuries.
b) The act in which the nurse engaged resulted in physical injury to the client.
A nurse is teaching about assisted outpatient treatment to the caregivers of the client in the psychiatric facility. What are the benefits of this treatment program? Select all that apply. a) The client would respond better to psychotropic drugs. b) The client's risk of self-harm would be reduced. c) The client would adapt better to the society. d) The client would be protected from criminal victimization of others. e) The client would require shorter inpatient stays.
b) The client's risk of self-harm would be reduced. d) The client would be protected from criminal victimization of others. e) The client would require shorter inpatient stays.
The nurse is caring for a client who has been physically restrained for aggressive behavior. The nurse tells the client's caregiver to remove the restraints temporarily from the limbs after every hour. What is the most appropriate reason for this? a) Removing the restraints will increase client activity. b) Removing the restraints would reduce the aggression in the client. c) Removing the restraints will facilitate blood supply. d) Removing the restraints will increase client comfort
c) Removing the restraints will facilitate blood supply.
When it is discovered that a nurse did not act reasonably when providing care that is compatible with the standard of nursing care, the remaining factor that would confirm that the nurse acted negligently is whether ... a) The client's actions played a part in the nurse's reaction b) The client's injury was serious c) The nurse was responsible for client injury d) The injury results in permanent disability
c) The nurse was responsible for client injury
While conducting an interview with a 14-year-old mental health client, he tells you that he has a plan to kill students at his school because they will not stop picking on him. He says, "I have everything I need all set up, including a gun." What would be your responsibility after hearing this statement? a) To break his confidentiality by telling your friends about your client's plan and getting advice b) To maintain the client's confidentiality and not share the information with anyone c) To break the client's confidentiality because he has threatened the lives of other people d) To maintain the client's confidentiality, but try to convince him that it is the wrong thing to do
c) To break the client's confidentiality because he has threatened the lives of other people
The nurse explains the benefits of seclusion to the caregivers of a client who is mentally ill. Which statements indicate the need for additional teaching? Select all that apply. a) Seclusion helps in protecting other people from the client." b) "Seclusion helps in protecting the privacy of the client." c) "Seclusion helps in reducing the number of stimuli." d) "Seclusion helps in avoiding use of psychotropic drugs." e) "Seclusion helps the client to be more active."
d) "Seclusion helps in avoiding use of psychotropic drugs." e) "Seclusion helps the client to be more active."
A client 22 years of age with schizophrenia is refusing his antipsychotic medication. He states, "I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it." The nurse explains to him, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation reflects a conflict between which two types of ethical principles? a) Paternalism and veracity b) Autonomy and justice c) Justice and nonmaleficence d) Autonomy and beneficence
d) Autonomy and beneficence
Which client behavior would prompt the nurse manager to discuss the duty to warn with staff members? a) Suicidal ideation. b) Extremely aggressive. c) Unwilling to take medications. d) Danger to others.
d) Danger to others.
A nurse is explaining the distinction between confidentiality and privacy. Which of the following would the nurse include as reflecting privacy? a) Knowledge of treatment costs and benefits b) Part of personal life not governed by society's laws c) Ethical duty for nondisclosure d) Involvement of two individuals
b) Part of personal life not governed by society's laws
A hospitalized client is delusional, yelling, "The world is coming to an end.We must all run to safety!" When the other clients complain that this client is loud and annoying, the nurse decides to put the client in seclusion. The client has mad no threatening gestures or statement to anyone. The nurse's action is an example of a) assault b) false imprisonment c) malpractice d) negligence
b) false imprisonment
Which of the following practices places a nurse at risk for being charged with malpractice? a) Always treating clients with compassion and respect b) Always attempting to provide the most economically sensitive client care c) Constantly working to improve communication skills d) Documenting all reasons for any deviation from the applicable standard of care
b) Always attempting to provide the most economically sensitive client care
The nurse understands the importance of protecting clients' rights of self-determinism. Self-determination is similar to which of the following ethical principles? a) Beneficence b) Autonomy c) Veracity d) Justice
b) Autonomy
The nurse is teaching the client about the importance of being compliant with his medication regimen. The client does not believe that it is important. The nurse is communicating which ethical principle? a) Justice b) Beneficence c) Veracity d) Paternalism
b) Beneficence
A new nursing student correctly identifies which of the following as most essential for guiding psychiatric-mental health nursing actions? a) Federal laws b) Code of Ethics for Nurses c) Personal beliefs d) State laws
b) Code of Ethics for Nurses
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 of the following concepts is the nursing student using? a) Autonomy b) Justice c) Beneficence d) Veracity
c) Beneficence
A client has just been explained the reason that he must undergo an MRI. When the nurse asks the client if he understands the explanation, he correctly describes what has been said to him. The client is said to be what? a) Logical b) Congruent c) Competent d) Autonomous
c) Competent
Principles that serve as codes of conduct about right and wrong behaviors to guide actions are known as what? a) Veracity b) Beneficence c) Ethics d) Fidelity
c) Ethics
The goal of seclusion is to a) Promote thoughtful reflection regarding behavior b) Punish the client for bad behavior c) Give the client the opportunity to gain self-control d) Allow the nurse to monitor for side effects of medications
c) Give the client the opportunity to gain self-control
A mental health nurse is caring for a client with an anxiety and substance use disorder. The family is requesting to see the client's records. The nurse understands that this would be a violation of which law? a) American Nurses' Association (ANA) b) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) c) Health Insurance Portability and Accountability Act (HIPAA) d) Occupational Safety and Health Administration (OSHA)
c) Health Insurance Portability and Accountability Act (HIPAA)
A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principle? a) Nonmaleficence b) Veracity c) Justice d) Paternalism
c) Justice
Which of the following clients most likely has the legal right to refuse treatment? a) Terrance, a 20-year-old man who has been admitted to the hospital for the treatment of depression after a suicide attempt b) Mrs. Crane, who committed an assault while she was experiencing delusions c) Mr. Modesto, who voluntarily entered a substance abuse treatment facility to address his addiction to alcohol d) Mrs. Lepke, a homeless woman with schizophrenia who was admitted to the hospital with dehydration after refusing to eat for several days
c) Mr. Modesto, who voluntarily entered a substance abuse treatment facility to address his addiction to alcohol
Which of the following would indicate a duty to warn a third party? a) A client with delusions states, "I'm going to get them before they get me." b) A hostile client says, "I hate all police." c) A client says he plans to blow up the federal government d) A client states, "If I can't have my girlfriend back, then no one can have her."
d) A client states, "If I can't have my girlfriend back, then no one can have her."
A psychiatric client informs the nurse that he is feeling better and does not want to take his antidepressive medication. This client is exhibiting which of the following when making this decision? a) Veracity b) Beneficence c) Justice d) Autonomy
d) Autonomy
Malpractice is proven when certain criteria have been met. Which of the following lists includes the correct criteria? a) Duty of care, professional performance, injury related to the nurse's action, and action foreseeably could have caused the injury b) Duty of care, professional performance, injury related to the nurse's action, failure to document injury, and proven injury c) Professional performance, injury related to the nurse's action, action foreseeably could have caused the injury, and proven injury d) Duty of care, professional performance, injury related to the nurse's action, action foreseeably could have caused the injury, and proven injury
d) Duty of care, professional performance, injury related to the nurse's action, action foreseeably could have caused the injury, and proven injury
The inappropriate use of restraints or seclusion is considered ... a) Assault b) Causation c) Battery d) False imprisonment
d) False imprisonment
A client in a psychiatric facility has ideations about killing his wife. This client requests to be discharged from the facility. Which represents the most appropriate action? The healthcare provider should: a) Allow the client to go home. b) Not accept the client's request. c) Ask the caregivers of the client for consent. d) File for a civil commitment to detain.
d) File for a civil commitment to detain.
Which court decision or act states that psychotherapists have a duty to exercise reasonable care in protecting the foreseeable victims of their clients' violent actions? a) The Mental Health Systems Act of 1980 b) The Patient Self-Determination Act c) Public Law 99-319, The Protection and Advocacy for Mentally Ill Individuals Act of 1986 d) Tarasoff v. Regents of the University of California
d) Tarasoff v. Regents of the University of California
Short-term use of restraints is permitted only in which of the following situations? a) The client wants to leave the hospital but there is no order to do so. b) The client is noncompliant with his treatment. c) The client is agitated and talkative. d) The client is imminently aggressive and a danger to himself or others.
d) The client is imminently aggressive and a danger to himself or others.
A client with a psychiatric illness has become extremely aggressive and the nurse decides that the client needs to be restrained. Which action would be considered human restraint? a) The nurse sedates the client with morphine. b) The nurse asks the client to calm down. c) The nurse ties the client's wrist using wrist restraints. d) The nurse and a group of paramedics hold the client.
d) The nurse and a group of paramedics hold the client.
An adolescent client has refused to wash or change his clothes for several days. He smells and looks filthy. Three male staff members approach him to escort him to the shower. The client resists and becomes combative when staff members insist. They place the client in seclusion and restraints and tell him that they will release him when he is calm and willing to shower. The client's rights have been ... a) Not violated, because a degree of cleanliness is important b) Violated, primarily because he shouldn't be forced to shower c) Not violated, because his combative behavior warranted seclusion and restraint to protect others d) Violated, primarily because of the inappropriate use of restraints
d) Violated, primarily because of the inappropriate use of restraints
The nurse gives the client quetiapine (Seroquel) in error when olanzapine (Zyprexa) was ordered. The client has no ill effects from the quetiapine. In addition to making a medication error, the nurse has committed which of the following? a) malpractice b) negligence c) tort (unintentional) d) none of the above
d) none of the above
Which of the following ethical principles becomes an issue in mental health when a segment of a population does not have access to health care? a) Justice b) Fidelity c) Veracity d) Nonmaleficence
a) Justice
A client receives a court order for commitment. Which of the following best exemplifies the concept of "least restrictive environment?" a) Involuntary commitment to an outpatient community mental health center b) Medication administration for sedation so the client cannot get out of bed c) Placing the client in a locked padded room in response to threats of self-harm d) Allowing the client to make the decision about whether treatment is necessary
a) Involuntary commitment to an outpatient community mental health center
The nurse is acting in accordance with the American Nurses Association principles when she does what? Select all that apply a) Notifies the physician when a prescribed medication is not managing the client's anxiety effectively b) Makes sure to take the client to the recreation room as promised c) Gets the client extra dessert when she reports that it is her birthday d) Shares with the client that discharge is not likely to occur this week e) Encourages the client to choose when she will call her family
a) Notifies the physician when a prescribed medication is not managing the client's anxiety effectively b) Makes sure to take the client to the recreation room as promised d) Shares with the client that discharge is not likely to occur this week e) Encourages the client to choose when she will call her family
A hospital client has attributed his long-standing struggle with depression to the fact that he was sexually abused by his father as a child and early adolescent. The client has admitted to the nurse that he intends to seek out his father and "do some justice." What is the nurse's primary responsibility in response to the patient's threat? a) Report the patient's threat to the appropriate authorities. b) Inform the patient that threats of violence will not be tolerated in the health care facility. c) Document that the patient is experiencing delusions. d) Note the statement mentally but maintain silence to protect the patient's confidentiality.
a) Report the patient's threat to the appropriate authorities.
The nurse is speaking to a client with severe mania who has been physically restrained. The nurse is explaining the instructions for removing the restraints. What instructions given by the nurse is appropriate? Select all that apply. a) "You should be willing to do the task I have given you." b) "You should not verbally threaten anybody." c) "You should be able to control yourself." d) "You should take medications prescribed by your doctor." e) "You should speak out your problems calmly."
b) "You should not verbally threaten anybody." c) "You should be able to control yourself." e) "You should speak out your problems calmly."
A physician who fails to obtain informed consent before performing a procedure is subject to liability for which of the following? a) False imprisonment b) Medical battery c) Battery d) Assault
b) Medical battery
A client asks if her medication has any possible negative side effects. The nurse considers the client highly suggestible, believes the medication will benefit the client, and, since the client has no history of cardiovascular disease, does not tell her of the potential for cardiac dysrhythmias. The nurse's actions involve a conflict between which two ethical principles? a) Veracity and beneficence b) Veracity and paternalism c) Veracity and justice d) Veracity and fidelity
b) Veracity and paternalism
From a legal standpoint, clients hospitalized as voluntary admissions differ from other types of admissions which of the following ways? a) They can leave the hospital whenever they want. b) They are not considered a danger to themselves or others. c) They are considered competent. d) They cannot refuse treatment.
c) They are considered competent.
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 he is feeling better. The nurse tells him that most likely he will have to remain on the medication for life to keep the condition under control. The nurse is practicing which of the following principles? a) Justice b) Autonomy c) Veracity d) Fidelity
c) Veracity
A psychiatric-mental health client has an advance care directive on his medical record. A clinician provides treatment that disregards the client's directive. The clinician would be liable for which of the following? a) Battery b) Assault c) False imprisonment d) Medical battery
d) Medical battery
Which ethical principle focuses on the duty to do no harm? a) Autonomy b) Justice c) Beneficence d) Nonmaleficence
d) Nonmaleficence
Which ethical principle focuses on the duty to do no harm? a) Justice b) Autonomy c) Beneficence d) Nonmaleficence
d) Nonmaleficence
The nurse is assessing whether a room is fit for seclusion of clients. What are the requirements of a seclusion room? Select all that apply. a) The room should have facility for direct visual monitoring. b) The room should have pens or pencils. c) The room should not have locked doors. d) The room should not have any sharp objects. e) The room should have a bed that is bolted to the floor.
a) The room should have facility for direct visual monitoring. d) The room should not have any sharp objects. e) The room should have a bed that is bolted to the floor.
When it is discovered that a nurse did not act reasonably when providing care that is compatible with the standard of nursing care, the remaining factor that would confirm that the nurse acted negligently is whether ... a) The injury results in permanent disability b) The nurse was responsible for client injury c) The client's injury was serious d) The client's actions played a part in the nurse's reaction
b) The nurse was responsible for client injury
