TESTED QUESTIONS WITH RATIONALE
◉ A client is concerned that information given to the nurse remains
confidential. Which is the nurse's best response?
A. "Your information is confidential. It will be kept just between you
and I."
B. "I will share the information with staff members only with your
approval."
C. "If the information impacts your care, I will need to share it with
the treatment team."
D. "You can make the decision whether your physician needs this
information or not.". Answer: ANS: C. "If the information impacts
your care, I will need to share it with the treatment team."
Basic to the psychiatric client's hospitalization is his or her right to
confidentiality and privacy. When admitted to an inpatient
psychiatric facility, a client gives implied consent for information to
be shared with health-care workers specifically involved in the
client's care.
◉ The nursing staff is discussing the concept of competency. Which
information about competency should a nurse recognize as true?
,A. Competency is determined with a client's compliance with
treatment.
B. Refusal of medication can initiate an incompetency hearing
leading to forced medications.
C. A competent client has the ability to make reasonable judgments
and decisions.
D. Competency is a medical determination made by the client's
physician.. Answer: ANS: C. A competent client has the ability to
make reasonable judgments and decisions.
A competent individual's cognition is not impaired to an extent that
would interfere with decision making.
◉ A nursing instructor is presenting content on the provisions of the
nurse practice act as it relates to their state. Which student
statement indicates a need for further instruction?
A. "The nurse practice act provides a list of definitions of important
terms including the definition of nursing."
B. "The nurse practice act lists education requirements for licensure
and reciprocity."
C. "The nurse practice act contains detailed statements that describe
the scope of practice for registered nurses (RNs)."
,D. "The nurse practice act lists the general authority and powers of
the state board of nursing.". Answer: ANS: C. "The nurse practice act
contains detailed statements that describe the scope of practice for
registered nurses (RNs)."
The nurse practice act contains broad, not detailed, statements that
describe the scope of practice for various levels of nursing (APN, RN,
LPN), not just for the RN. This student statement indicates a need for
further instruction.
◉ Which is an accurate description of a common law?
A. A common law would be invoked to deal with a nurse who,
without justification, threatens a client with restraints.
B. A common law would be invoked to deal with a nurse who
touches a client without the client's consent.
C. A common law would be invoked to deal with a hospital employee
who steals drugs, hospital equipment, or both.
D. A common law would be invoked to deal with a nurse's refusal to
provide care for a specific client.. Answer: ANS: D. A common law
would be invoked to deal with a nurse's refusal to provide care for a
specific client.
Common laws apply to a body of principles that evolve from court
decisions resolving various controversies. Common law may vary
, from state to state. Assault (threats) and battery (touch) are
governed by civil law. Stealing is governed by criminal law.
◉ The experience of being physically restrained can be traumatic.
Which nursing intervention would best help the client deal with this
experience?
A. Administering a tranquilizing medication before applying the
restraints
B. Talking to the client at brief but regular intervals while the client
is restrained
C. Decreasing stimuli by leaving the client alone most of the time
D. Checking on the client infrequently, in order to meet
documentation requirements. Answer: ANS: B. Talking to the client
at brief but regular intervals while the client is restrained
Restraints are never to be used as punishment or for the
convenience of the staff. Connecting with the client by maintaining
communication during the period of restraint will help the client
recognize this intervention as a therapeutic treatment versus a
punishment.
◉ There is one bed available on an inpatient psychiatric unit. For
which client should a nurse advocate emergency commitment?