NURS 4800 Exam 1 Questions With Complete
Solutions
patient rights
-right to treatment
-right to refuse treatment
-right to informed consent
-advance directives
-restraints and seclusion
Informed consent includes
-nature of problem/condition
-nature and purpose of tx
-risks and benefits
-altenative tx
-probability that tx will be successful
-risks of not consenting
Implied consent
example: nurse brings patient medication and
patient willingly receives it.
capacity and competency
capacity: person's ability to make an informed
decision
-competency: legal term related to degree of
mental soundness of an individual. patients are
competent until proven otherwise
,patient rights regarding psychiatric advance
directives
patients with previous episode of severe mental
illness have opportunity to express treatment
preferences when the individual is well
Rights regarding restraint and seclusion
-Orders and documentation
-In an emergency, a nurse may place a patient in
seclusion or restraint but obtains a written or
verbal order as soon as possible thereafter.
-Orders for restraint or seclusion are never written
as an as needed or as a standing order.
Exceptions to confidentiality
-Duty to warn and protect third parties
-Implications for psychiatric mental health nursing
-Child and elder abuse reporting statutes
Which answer choice includes a type of stigma
related to mental health conditions? (SELECT ALL
THAT APPLY)
A. Professional Stigma
B. Public Stigma
C. External Stigma
D. Label Creation
E. Label Avoidance
B, E
, What important event occured in 2013 related to
mental health and wellness?
Passage of the Affordable Care Act
Publication of the DSM-5
Mental health system became dangerously
fragmented
Medicaid approved funding for certified peer
specialists
Publication of the DSM-5
What was the effect of the Mental Health Parity Act
of 1996?
Funding for Certified Peer Specialists
Equal prescribing right for all mental health
providers
Funding for Medicaid expansion in all 50 states
Equal insurance coverage for all health conditions
Equal insurance coverage for all health conditions
Which actions are most consistent with a patient
with an Eastern worldview
A. States "I believe in the circle of life"
Solutions
patient rights
-right to treatment
-right to refuse treatment
-right to informed consent
-advance directives
-restraints and seclusion
Informed consent includes
-nature of problem/condition
-nature and purpose of tx
-risks and benefits
-altenative tx
-probability that tx will be successful
-risks of not consenting
Implied consent
example: nurse brings patient medication and
patient willingly receives it.
capacity and competency
capacity: person's ability to make an informed
decision
-competency: legal term related to degree of
mental soundness of an individual. patients are
competent until proven otherwise
,patient rights regarding psychiatric advance
directives
patients with previous episode of severe mental
illness have opportunity to express treatment
preferences when the individual is well
Rights regarding restraint and seclusion
-Orders and documentation
-In an emergency, a nurse may place a patient in
seclusion or restraint but obtains a written or
verbal order as soon as possible thereafter.
-Orders for restraint or seclusion are never written
as an as needed or as a standing order.
Exceptions to confidentiality
-Duty to warn and protect third parties
-Implications for psychiatric mental health nursing
-Child and elder abuse reporting statutes
Which answer choice includes a type of stigma
related to mental health conditions? (SELECT ALL
THAT APPLY)
A. Professional Stigma
B. Public Stigma
C. External Stigma
D. Label Creation
E. Label Avoidance
B, E
, What important event occured in 2013 related to
mental health and wellness?
Passage of the Affordable Care Act
Publication of the DSM-5
Mental health system became dangerously
fragmented
Medicaid approved funding for certified peer
specialists
Publication of the DSM-5
What was the effect of the Mental Health Parity Act
of 1996?
Funding for Certified Peer Specialists
Equal prescribing right for all mental health
providers
Funding for Medicaid expansion in all 50 states
Equal insurance coverage for all health conditions
Equal insurance coverage for all health conditions
Which actions are most consistent with a patient
with an Eastern worldview
A. States "I believe in the circle of life"
