NPN125 CH 9 EXAM STUDY SET
CLIENTS WHO ARE INVOLUNTARY COMMITMENT/HOSPITALIZATION LOSE THE RIGHT
- ANSWER OF FREEDOM
CLIENTS WHO ARE A DANGER TO THEMSELVES OR OTHERS/ATTEMPTED SUICIDE
RISK BEING - ANSWER COMMITTED TO A FACILITY AGAINST THEIR WILL UNTIL THEY
NO LONGER POSE A DANGER TO THEMSELVES OR OTHERS.
A PERSON CAN BE DETAINED IN A PSYCH FACILITY ON AN EMERGENCY BASIS FOR -
ANSWER 48-72 HOURS UNTIL A HEARING CAN DETERMINE FURTHER TREATMENT
(NOT INCLUDING WEEKEND OR HOLIDAY)
LEGALLY ASSISTED/ MANDATED OUTPATIENT/CONDITIONAL RELEASE/OUTPATIENT
COMMITMENT - ANSWER client required to go to treatment/appt/followup/programs on
an involuntary basis after the release from hospital
BENEFITS: shorter inpatient hospital stays, reduced mortality rate, cost effective,
protection of clients from criminal victimization by others
(GIVEN SEVERAL CHANCES TO COMPLY VOLUNTARILY BEFORE COURT ORDERS
THIS)
CONSERVATOR - ANSWER An individual, usually designated by a court to manage the
financial assets of an incapacitated person.
legal guardian - ANSWER court appointed person who assumed responsibilities for the
client such as giving informed consent, writing checks, entering contracts like a
mortgage or marriage
people who are gravely disabled, found to be incompetent, cannot provide food clothing
or shelter for themselves even when resources exist, and can not act in their own best
interest may require a - ANSWER conservator or legal guardian
Since guardians speak for the client, the nurse must obtain - ANSWER
consent/permission from the guardian of the client
Clients have the right to treatment in the ____________ ____________ environment
appropriate to meet their needs - ANSWER least restrictive
restraint - ANSWER the direct application of physical force to a person, without his or
her permission, to restrict his or her freedom of movement
human restraint - ANSWER occurs when staff members physically control the client and
move him or her to a seclusion room
mechanical restraint - ANSWER Devices, usually ankle or wrist restraints, that are
fastened to the bed frame to curtail the client's physical aggression, such as kicking,
, hitting, or hair pulling
chemical restraint - ANSWER any drug that is used for discipline or convenience and not
required to treat medical symptoms
seclusion - ANSWER the involuntary confinement of a person in a specially constructed,
locked room equipped with a security window or camera for direct visual monitoring
(seclusion decreases stimuli, protects others, prevents property destruction, provides
privacy for client)
short term use of restraint or seclusion is permitted only when the client is - ANSWER
aggressive/dangerous to self or others AND all other means of calming the client have
been unsuccessful
For adult clients, use of restraint & seclusion requires - ANSWER -Face-to-face
evaluation by HCP within 1hr & Q8HR after.
-Renewed MD order Q4HR
For children, use of restraints and seclusion require - ANSWER -Renewed MD order
Q2HR
-Face-to-face evaluation by HCP within 1hr & Q4HR
For adults AND children, use of restraints and seclusion require - ANSWER - Nurse
assess for injury and provides treatment PRN
- One-on-one monitoring continuously for the WHOLE RESTRAINT period OR for the 1ST
HR if SECLUDED
-Nurse monitors and documents (Q1-2HR) skin conditions, blood circulation in hands
and feet, emotional well being, readiness to D/C seclusion or restraint
-Monitor closely for side effects of meds that may have been given in large dose in
emergency
- Offer food/fluid/toilet per facility policy/procedure
-Debriefing session within 24hr of release of restraint or seclusion
Confidentiality - HIPPA - Patient Privacy - ANSWER CIVIL FINES AND CRIMINAL PRISON
SENTENCE PENALTIES EXIST FOR VIOLATION OF PATIENT PRIVACY
One exception to the clients rights to confidentiality - ANSWER DUTY TO WARN
duty to warn questions - ANSWER is the client dangerous to others?
is the danger the result of a serious mental illness?
is the danger serious?
CLIENTS WHO ARE INVOLUNTARY COMMITMENT/HOSPITALIZATION LOSE THE RIGHT
- ANSWER OF FREEDOM
CLIENTS WHO ARE A DANGER TO THEMSELVES OR OTHERS/ATTEMPTED SUICIDE
RISK BEING - ANSWER COMMITTED TO A FACILITY AGAINST THEIR WILL UNTIL THEY
NO LONGER POSE A DANGER TO THEMSELVES OR OTHERS.
A PERSON CAN BE DETAINED IN A PSYCH FACILITY ON AN EMERGENCY BASIS FOR -
ANSWER 48-72 HOURS UNTIL A HEARING CAN DETERMINE FURTHER TREATMENT
(NOT INCLUDING WEEKEND OR HOLIDAY)
LEGALLY ASSISTED/ MANDATED OUTPATIENT/CONDITIONAL RELEASE/OUTPATIENT
COMMITMENT - ANSWER client required to go to treatment/appt/followup/programs on
an involuntary basis after the release from hospital
BENEFITS: shorter inpatient hospital stays, reduced mortality rate, cost effective,
protection of clients from criminal victimization by others
(GIVEN SEVERAL CHANCES TO COMPLY VOLUNTARILY BEFORE COURT ORDERS
THIS)
CONSERVATOR - ANSWER An individual, usually designated by a court to manage the
financial assets of an incapacitated person.
legal guardian - ANSWER court appointed person who assumed responsibilities for the
client such as giving informed consent, writing checks, entering contracts like a
mortgage or marriage
people who are gravely disabled, found to be incompetent, cannot provide food clothing
or shelter for themselves even when resources exist, and can not act in their own best
interest may require a - ANSWER conservator or legal guardian
Since guardians speak for the client, the nurse must obtain - ANSWER
consent/permission from the guardian of the client
Clients have the right to treatment in the ____________ ____________ environment
appropriate to meet their needs - ANSWER least restrictive
restraint - ANSWER the direct application of physical force to a person, without his or
her permission, to restrict his or her freedom of movement
human restraint - ANSWER occurs when staff members physically control the client and
move him or her to a seclusion room
mechanical restraint - ANSWER Devices, usually ankle or wrist restraints, that are
fastened to the bed frame to curtail the client's physical aggression, such as kicking,
, hitting, or hair pulling
chemical restraint - ANSWER any drug that is used for discipline or convenience and not
required to treat medical symptoms
seclusion - ANSWER the involuntary confinement of a person in a specially constructed,
locked room equipped with a security window or camera for direct visual monitoring
(seclusion decreases stimuli, protects others, prevents property destruction, provides
privacy for client)
short term use of restraint or seclusion is permitted only when the client is - ANSWER
aggressive/dangerous to self or others AND all other means of calming the client have
been unsuccessful
For adult clients, use of restraint & seclusion requires - ANSWER -Face-to-face
evaluation by HCP within 1hr & Q8HR after.
-Renewed MD order Q4HR
For children, use of restraints and seclusion require - ANSWER -Renewed MD order
Q2HR
-Face-to-face evaluation by HCP within 1hr & Q4HR
For adults AND children, use of restraints and seclusion require - ANSWER - Nurse
assess for injury and provides treatment PRN
- One-on-one monitoring continuously for the WHOLE RESTRAINT period OR for the 1ST
HR if SECLUDED
-Nurse monitors and documents (Q1-2HR) skin conditions, blood circulation in hands
and feet, emotional well being, readiness to D/C seclusion or restraint
-Monitor closely for side effects of meds that may have been given in large dose in
emergency
- Offer food/fluid/toilet per facility policy/procedure
-Debriefing session within 24hr of release of restraint or seclusion
Confidentiality - HIPPA - Patient Privacy - ANSWER CIVIL FINES AND CRIMINAL PRISON
SENTENCE PENALTIES EXIST FOR VIOLATION OF PATIENT PRIVACY
One exception to the clients rights to confidentiality - ANSWER DUTY TO WARN
duty to warn questions - ANSWER is the client dangerous to others?
is the danger the result of a serious mental illness?
is the danger serious?
