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NR548 Final Exam - Complete Study Guide with Verified Solutions

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Ace your NR548 psychiatric-mental health nursing final exam with this comprehensive study guide featuring verified solutions and clinical rationales. This complete resource covers telepsychiatry best practices, informed consent, HIPAA, release of information, duty to warn, developmental theories, special populations, and legal-ethical considerations. Essential for PMHNP students preparing for advanced practice and certification success.

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NR548 FINAL EXAM QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT

_________________ theory regarding human needs may
also inform the PMHNP's approach to psychiatric
interviewing. - correct answer- Abraham
Maslow's


______________________, or __________________, are
treated differently than other types of mental health
information and receive special protections under HIPAA
- correct answer- Psychotherapy notes, or
process notes


-HIPAA Privacy Rule requires that clients provide
authorization, using a HIPAA-compliant authorization
form, before the disclosure of the notes for any reason
-Providers are not required to provide their
psychotherapy notes to the client.

,A client who is alert and oriented declines the PMHNP's
treatment recommendation for an antipsychotic in a non-
emergent situation:


Informed consent required
Exception to informed consent - correct answer-
Informed consent required


Rationale: The client has the capacity to consent and the
situation is not emergent. The ethic of autonomy provides
for the client to refuse treatment options.


A client with depression is unhappy about the
performance of the anti-depressant that has been
prescribed and would like to discuss alternate treatment
options with the PMHNP.


Informed consent required
Exception to informed consent - correct answer-
Informed consent required

,Rationale: Clients have a right to information about
treatment options with associated risks and benefits.


A very anxious client is seeking treatment for anxiety
symptoms. When the PMHNP begins to explain the
treatment options, the client says she is too anxious to
hear them and asks that the PMHNP select the best
option.


Informed consent required
Exception to informed consent - correct answer-
Exception to informed consent


Rationale: clients may choose to waive their right to
informed consent.


Abraham Maslow's Hierarchy of Needs - correct
answer- motivational theory that examines people's
behavior as it relates to five categories of needs
-Needs arranged in a pyramid, most basic needs at the
foundation:

, • self-actualization (top of pyramid)
• esteem
• love/social needs
• safety
• physiological (bottom of pyramid)


An agitated, hallucinating client with a diagnosis of
schizophrenia and no designated decision-maker
threatens to shoot his neighbors. The client acts out
violently towards the security guard in the emergency
department. The PMHNP orders haloperidol and
lorazepam for the client.


Informed consent required
Exception to informed consent - correct answer-
Exception to informed consent


Rationale: The client does not have the capacity to
provide consent.

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