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Mental health exam 2
Which action by a psychiatric nurse best applies the ethical principle of autonomy?
a. Exploring alternative solutions with the patient, who then makes a choice.
b. Suggesting that two patients who were fighting be restricted to the unit.
c. Intervening when a self-mutilating patient attempts to harm self.
d. Staying with a patient demonstrating a high level of anxiety. - ANS-a. Exploring
alternative solutions with the patient, who then makes a choice.
A nurse finds a psychiatric advance directive in the medical record of a patient currently
experiencing psychosis. The directive was executed during a period when the patient
was stable and competent. The nurse should
a. review the directive with the patient to ensure it is current.
b. ensure that the directive is respected in treatment planning.
c. consider the directive only if there is a cardiac or respiratory arrest.
d. encourage the patient to revise the directive in light of the current health problem. -
ANS-b. ensure that the directive is respected in treatment planning
Two hospitalized patients fight whenever they are together. During a team meeting, a
nurse asserts that safety is of paramount importance, so treatment plans should call for
both patients to be secluded to keep them from injuring each other. This assertion
a. reinforces the autonomy of the two patients.
b. violates the civil rights of both patients.
c. represents the intentional tort of battery.
d. correctly places emphasis on safety. - ANS-b. violates the civil rights of both patients.
In a team meeting a nurse says, "I'm concerned about whether we are behaving
ethically by using restraint to prevent one patient from self-mutilation, while the care
plan for another self-mutilating patient requires one-on-one supervision." Which ethical
principle most clearly applies to this situation?
a. Beneficence
b. Autonomy
c. Fidelity
d. Justice - ANS-d. Justice
Select the example of a tort.
a. The plan of care for a patient is not completed within 24 hours of the patient's
admission.
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b. A nurse gives a prn dose of an antipsychotic drug to an agitated patient because the
unit is short-staffed.
c. An advanced practice nurse recommends hospitalization for a patient who is
dangerous to self and others.
d. A patient's admission status changed from involuntary to voluntary after the patient's
hallucinations subside. - ANS-b. A nurse gives a prn dose of an antipsychotic drug to an
agitated patient because the unit is short-staffed.
What is the legal significance of a nurse's action when a patient verbally refuses
medication and the nurse gives the medication over the patient's objection? The nurse
a. has been negligent.
b. committed malpractice.
c. fulfilled the standard of care.
d. can be charged with battery. - ANS-d. can be charged with battery.
Which nursing intervention demonstrates false imprisonment?
a. A confused and combative patient says, "I'm getting out of here, and no one can stop
me." The nurse restrains this patient without a health care provider's order and then
promptly obtains an order.
b. A patient has been irritating and attention seeking much of the day. A nurse escorts
the patient down the hall saying, "Stay in your room, or you'll be put in seclusion."
c. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric
unit. The nurse rushes after the patient and convinces the patient to return to the unit.
d. An involuntarily hospitalized patient with homicidal ideation attempts to leave the
facility. A nurse calls the security team and uses established protocols to prevent the
patient from leaving. - ANS-b. A patient has been irritating and attention seeking much
of the day. A nurse escorts the patient down the hall saying, "Stay in your room, or you'll
be put in seclusion."
Which patient meets criteria for involuntary hospitalization for psychiatric treatment?
The patient who
a. is noncompliant with the treatment regimen.
b. fraudulently files for bankruptcy.
c. sold and distributed illegal drugs.
d. threatens to harm self and others. - ANS-d. threatens to harm self and others.
A nurse prepares to administer a scheduled intramuscular injection of an antipsychotic
medication to an outpatient diagnosed with schizophrenia. As the nurse swabs the site,
the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side
effects." Select the nurse's best action.
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a. Assemble other staff for a show of force and proceed with the injection, using
restraint if necessary.
b. Stop the medication administration procedure and say to the patient, "Tell me more
about the side effects you've been having."
c. Proceed with the injection but explain to the patient that there are medications that
will help reduce the unpleasant side effects.
d. Say to the patient, "Since I've already drawn the medication in the syringe, I'm
required to give it, but let's talk to the doctor about delaying next month's dose." -
ANS-b. Stop the medication administration procedure and say to the patient, "Tell me
more about the side effects you've been having."
A nurse is concerned that an agency's policies are inadequate. Which understanding
about the relationship between substandard institutional policies and individual nursing
practice should guide nursing practice?
a. Agency policies do not exempt an individual nurse of responsibility to practice
according to professional standards of nursing care.
b. Agency policies are the legal standard by which a professional nurse must act and
therefore override other standards of care.
c. Faced with substandard policies, a nurse has a responsibility to inform the supervisor
and discontinue patient care immediately.
d. Interpretation of policies by the judicial system is rendered on an individual basis and
therefore cannot be predicted. - ANS-a. Agency policies do not exempt an individual
nurse of responsibility to practice according to professional standards of nursing care.
A newly admitted acutely psychotic patient is a private patient of the medical director
and a private-pay patient. To whom does the psychiatric nurse assigned to the patient
owe the duty of care?
a. Medical director
b. Hospital
c. Profession
d. Patient - ANS-d. Patient
Which action by a nurse constitutes a breach of a patient's right to privacy?
a. Documenting the patient's daily behavior during hospitalization
b. Releasing information to the patient's employer without consent
c. Discussing the patient's history with other staff during care planning
d. Asking family to share information about a patient's pre-hospitalization behavior -
ANS-b. Releasing information to the patient's employer without consent
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Mental health exam 2
Which action by a psychiatric nurse best applies the ethical principle of autonomy?
a. Exploring alternative solutions with the patient, who then makes a choice.
b. Suggesting that two patients who were fighting be restricted to the unit.
c. Intervening when a self-mutilating patient attempts to harm self.
d. Staying with a patient demonstrating a high level of anxiety. - ANS-a. Exploring
alternative solutions with the patient, who then makes a choice.
A nurse finds a psychiatric advance directive in the medical record of a patient currently
experiencing psychosis. The directive was executed during a period when the patient
was stable and competent. The nurse should
a. review the directive with the patient to ensure it is current.
b. ensure that the directive is respected in treatment planning.
c. consider the directive only if there is a cardiac or respiratory arrest.
d. encourage the patient to revise the directive in light of the current health problem. -
ANS-b. ensure that the directive is respected in treatment planning
Two hospitalized patients fight whenever they are together. During a team meeting, a
nurse asserts that safety is of paramount importance, so treatment plans should call for
both patients to be secluded to keep them from injuring each other. This assertion
a. reinforces the autonomy of the two patients.
b. violates the civil rights of both patients.
c. represents the intentional tort of battery.
d. correctly places emphasis on safety. - ANS-b. violates the civil rights of both patients.
In a team meeting a nurse says, "I'm concerned about whether we are behaving
ethically by using restraint to prevent one patient from self-mutilation, while the care
plan for another self-mutilating patient requires one-on-one supervision." Which ethical
principle most clearly applies to this situation?
a. Beneficence
b. Autonomy
c. Fidelity
d. Justice - ANS-d. Justice
Select the example of a tort.
a. The plan of care for a patient is not completed within 24 hours of the patient's
admission.
am
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b. A nurse gives a prn dose of an antipsychotic drug to an agitated patient because the
unit is short-staffed.
c. An advanced practice nurse recommends hospitalization for a patient who is
dangerous to self and others.
d. A patient's admission status changed from involuntary to voluntary after the patient's
hallucinations subside. - ANS-b. A nurse gives a prn dose of an antipsychotic drug to an
agitated patient because the unit is short-staffed.
What is the legal significance of a nurse's action when a patient verbally refuses
medication and the nurse gives the medication over the patient's objection? The nurse
a. has been negligent.
b. committed malpractice.
c. fulfilled the standard of care.
d. can be charged with battery. - ANS-d. can be charged with battery.
Which nursing intervention demonstrates false imprisonment?
a. A confused and combative patient says, "I'm getting out of here, and no one can stop
me." The nurse restrains this patient without a health care provider's order and then
promptly obtains an order.
b. A patient has been irritating and attention seeking much of the day. A nurse escorts
the patient down the hall saying, "Stay in your room, or you'll be put in seclusion."
c. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric
unit. The nurse rushes after the patient and convinces the patient to return to the unit.
d. An involuntarily hospitalized patient with homicidal ideation attempts to leave the
facility. A nurse calls the security team and uses established protocols to prevent the
patient from leaving. - ANS-b. A patient has been irritating and attention seeking much
of the day. A nurse escorts the patient down the hall saying, "Stay in your room, or you'll
be put in seclusion."
Which patient meets criteria for involuntary hospitalization for psychiatric treatment?
The patient who
a. is noncompliant with the treatment regimen.
b. fraudulently files for bankruptcy.
c. sold and distributed illegal drugs.
d. threatens to harm self and others. - ANS-d. threatens to harm self and others.
A nurse prepares to administer a scheduled intramuscular injection of an antipsychotic
medication to an outpatient diagnosed with schizophrenia. As the nurse swabs the site,
the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side
effects." Select the nurse's best action.
am
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2.pdfMental
Mental health healthexam
exam2.pdf!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!#######################Mental
2.pdf!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!######################################
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a. Assemble other staff for a show of force and proceed with the injection, using
restraint if necessary.
b. Stop the medication administration procedure and say to the patient, "Tell me more
about the side effects you've been having."
c. Proceed with the injection but explain to the patient that there are medications that
will help reduce the unpleasant side effects.
d. Say to the patient, "Since I've already drawn the medication in the syringe, I'm
required to give it, but let's talk to the doctor about delaying next month's dose." -
ANS-b. Stop the medication administration procedure and say to the patient, "Tell me
more about the side effects you've been having."
A nurse is concerned that an agency's policies are inadequate. Which understanding
about the relationship between substandard institutional policies and individual nursing
practice should guide nursing practice?
a. Agency policies do not exempt an individual nurse of responsibility to practice
according to professional standards of nursing care.
b. Agency policies are the legal standard by which a professional nurse must act and
therefore override other standards of care.
c. Faced with substandard policies, a nurse has a responsibility to inform the supervisor
and discontinue patient care immediately.
d. Interpretation of policies by the judicial system is rendered on an individual basis and
therefore cannot be predicted. - ANS-a. Agency policies do not exempt an individual
nurse of responsibility to practice according to professional standards of nursing care.
A newly admitted acutely psychotic patient is a private patient of the medical director
and a private-pay patient. To whom does the psychiatric nurse assigned to the patient
owe the duty of care?
a. Medical director
b. Hospital
c. Profession
d. Patient - ANS-d. Patient
Which action by a nurse constitutes a breach of a patient's right to privacy?
a. Documenting the patient's daily behavior during hospitalization
b. Releasing information to the patient's employer without consent
c. Discussing the patient's history with other staff during care planning
d. Asking family to share information about a patient's pre-hospitalization behavior -
ANS-b. Releasing information to the patient's employer without consent
am
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