NR607 Week 1 Questions With Complete Solutions
_____________________ for care and treatment is a
fundamental ethical and legal principle Correct Answers
Informed consent
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the client
via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Correct Answers Telehealth
Rationale: Telehealth services utilize telecommunication
technology to deliver treatment to clients.
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
,-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession Correct Answers
Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address problems
faced by colleagues that impact client safety or violate public
trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
,-Promotion of the Nursing Profession Correct Answers
Promotion of the Nursing Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable and
ensures that nursing care is delivered with respect to human
needs and values without prejudice.
Acute inpatient care Correct Answers short-term treatment to
provide care for acutely ill clients who are unable to meet basic
needs due to a mental health condition or are at risk of harming
themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Approximately ____% of clients with serious mental illness are
committed involuntarily each year after a psychiatric hold
Correct Answers 0.1%
Ashlei is a 19-year-old who presents to the clinic with severe
anxiety symptoms. As the PMHNP begins reviewing treatment
options, Ashlei interrupts and states, "Hearing about these
medications increases my anxiety. Please prescribe what you
think is best for me, and I will take it."
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent Correct Answers
initiate treatment without informed consent
, Rationale: Clients may choose to waive their right to informed
consent. The PMHNP should clearly document the client's
waiver.
Bart is a 39-year-old client with no known medical or
psychiatric history who was brought to the emergency
department by the police after assaulting two people in a parking
lot. He states that the people he attacked were demons sent to
hurt him, and he was acting in self-defense when he attacked
them. Bart endorses that he has been receiving messages from
God for the past few days and, although he has tried to ignore
the communication, he was forced to follow the commands in
the messages. He states that he continues to receive messages;
he becomes agitated when a phlebotomist enters the room and
strikes at her, stating, "look! There's another demon! Why don't
you believe me?"
Does Bart require an emergency psychiatric hold?
yes
no
varies according to state legislation Correct Answers yes
Rationale: Bart meets the criteria for an emergency psychiatric
hold. He presents a danger to others.
Clients _____________________________ may require
temporary seclusion or restraint until their condition is
stabilized. Correct Answers at risk of imminent harm to
themselves or others
_____________________ for care and treatment is a
fundamental ethical and legal principle Correct Answers
Informed consent
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the client
via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Correct Answers Telehealth
Rationale: Telehealth services utilize telecommunication
technology to deliver treatment to clients.
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
,-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession Correct Answers
Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address problems
faced by colleagues that impact client safety or violate public
trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
,-Promotion of the Nursing Profession Correct Answers
Promotion of the Nursing Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable and
ensures that nursing care is delivered with respect to human
needs and values without prejudice.
Acute inpatient care Correct Answers short-term treatment to
provide care for acutely ill clients who are unable to meet basic
needs due to a mental health condition or are at risk of harming
themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Approximately ____% of clients with serious mental illness are
committed involuntarily each year after a psychiatric hold
Correct Answers 0.1%
Ashlei is a 19-year-old who presents to the clinic with severe
anxiety symptoms. As the PMHNP begins reviewing treatment
options, Ashlei interrupts and states, "Hearing about these
medications increases my anxiety. Please prescribe what you
think is best for me, and I will take it."
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent Correct Answers
initiate treatment without informed consent
, Rationale: Clients may choose to waive their right to informed
consent. The PMHNP should clearly document the client's
waiver.
Bart is a 39-year-old client with no known medical or
psychiatric history who was brought to the emergency
department by the police after assaulting two people in a parking
lot. He states that the people he attacked were demons sent to
hurt him, and he was acting in self-defense when he attacked
them. Bart endorses that he has been receiving messages from
God for the past few days and, although he has tried to ignore
the communication, he was forced to follow the commands in
the messages. He states that he continues to receive messages;
he becomes agitated when a phlebotomist enters the room and
strikes at her, stating, "look! There's another demon! Why don't
you believe me?"
Does Bart require an emergency psychiatric hold?
yes
no
varies according to state legislation Correct Answers yes
Rationale: Bart meets the criteria for an emergency psychiatric
hold. He presents a danger to others.
Clients _____________________________ may require
temporary seclusion or restraint until their condition is
stabilized. Correct Answers at risk of imminent harm to
themselves or others
