UPDATE 2026
Judgment - Answers The client's ability to interpret their environment and understand
the true nature of their situation.
Utilitarianism - Answers Decisions based on the greatest good for the greatest
number.
Deontology - Answers Decisions based on whether an action is morally right or
wrong, regardless of consequences.
Voluntary Admission Rights - Answers Clients can request discharge at any time
unless they are deemed a danger to themselves or others.
Involuntary Admission - Answers Reserved for those who are a danger to self or
others; clients can be detained for 48 to 72 hours on an emergency basis.
Client Rights (Involuntary) - Answers Clients retain all civil rights (informed
consent, right to refuse meds) except the right to leave the hospital.
Duty to Warn - Answers An exception to confidentiality where clinicians must notify
third parties if a client makes a specific threat of harm.
Autonomy - Answers The client's right to self-determination and independence.
Confidentiality - Answers Protected by HIPAA; nurses can neither confirm nor deny
a client's presence in a psychiatric unit.
Unintentional Torts - Answers Negligence and Malpractice.
Intentional Torts - Answers Assault (threat), Battery (harmful touching), and False
Imprisonment.
Professional Ethics & Standards - Answers Guided by the ANA Code of Ethics and
Psychiatric-Mental Health Nursing Scope and Standards of Practice.
Professional Guidelines (Purpose) - Answers To provide safe, competent, legal, and
ethical care.
Nurse-Patient Relationship - Answers A therapeutic interaction consisting of three
phases: Orientation, Working, and Termination.
Therapeutic Relationship - Answers Focuses exclusively on the needs, experiences,
and feelings of the client.
Therapeutic Communication (Anxiety) - Answers Use of short, simple, easy-to-
understand sentences in a low, calm, and soothing voice.
Non-therapeutic Communication - Answers Includes behaviors that diminish the
relationship, such as inappropriate boundaries, sympathy, or encouraging dependency.
Verbally Abusive Client - Answers Nurses should remain nonjudgmental and
recognize that noncompliance or aggression is often a symptom of the illness.
Psychosocial Assessment - Answers Provides a picture of the client's current
emotional state, mental capacity, and behavioral function to develop a plan of care.
Crisis Intervention (Acute Anxiety) - Answers In panic-level anxiety, safety is the
primary concern; lower anxiety to moderate or mild before proceeding.
Severe Anxiety Signs & Symptoms - Answers Trouble thinking/reasoning, increased
vital signs, and restlessness.
Panic Anxiety Signs & Symptoms - Answers Enlarged pupils and cognitive focus on
defense (fight, flight, or freeze).
OCD - Answers Recurrent obsessions (intrusive thoughts) and compulsions
(ritualistic behaviors) carried out to neutralize anxiety.
Phobias - Answers Intense, illogical, and persistent fears of specific objects or
situations.