Davis Advantage for Psychiatric Mental Health Nursing Chapter 5 Questions with Answers, A+

1. Which response by a nursing applicant during a hiring interview indicates that the applicant operates from an ethical egoism framework? 1. "I would want to be treated in a caring manner if I were mentally ill." 2. "This job will pay the bills, and the workload is light enough for me." 3. "I will be happy caring for the mentally ill. Lifting clients hurts my back." 4. "It is my duty in life to be a psychiatric-mental health nurse because it's the right thing to do." 2. This is correct. An ethical egoism framework promotes the idea that decisions are based on what is good for the individual and may not take the needs of others into account. 2. A nursing student asked the charge nurse on the psychiatric unit why she chose psychiatric-mental health nursing. The charge nurse replied, "Mentally ill clients need special care. If I were in that position, I'd want a caring nurse also." The charge nurse's choice reflects which ethical framework? 1. Kantianism 2. Christian ethics 3. Ethical egoism 4. Utilitarianism 2. This is correct. The charge nurse is operating from a Christian ethics framework. A basic principle in Christian ethics is to "do unto others as you would have them do unto you." 3. Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an agitated client. The nurse's coworker observes this action but does nothing for fear of repercussion. What is the ethical interpretation of the coworker's lack of involvement? 1. Taking no action is still considered an action by the coworker. 2. Taking no action is releasing the coworker from ethical responsibility. 3. Taking no action is advised when potential adverse consequences are foreseen. 4. Taking no action is acceptable, because the coworker is a bystander. 1. This is correct. The coworker's lack of involvement can be interpreted as an action taken. 4. Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric unit. The unit manager's policy is that clients can make a choice about whether to attend group therapy. Which ethical principle does the unit manager's policy preserve? 1. Justice 2. Autonomy 3. Veracity 4. Beneficence 2. This is correct. The unit manager's policy represents the ethical principle of autonomy, which presumes individuals are capable of making independent decisions for themselves. All health-care workers must respect such decisions 5. Which is an example of an intentional tort? 1. A nurse fails to assess a client with rigid muscles and an elevated temperature. 2. A nurse physically places a client in restraints without the client's consent. 3. A nurse makes a medication error and does not report the incident. 4. A nurse gives confidential client information to an unauthorized person. 2. This is correct. A tort is a violation of civil law in which an individual has been wronged, and this can be intentional or unintentional. By physically touching the client while applying restraints without consent, the nurse committed an intentional tort. Malpractice and negligence action are examples of unintentional torts. 6. An involuntarily committed client is verbally abusive to the staff and repeatedly threatens to sue. The client records the full names and phone numbers of the staff. Which nursing action is most appropriate to decrease the possibility of a lawsuit? 1. Verbally redirect the client and limit one-on-one interaction. 2. Involve the hospital's security division. 3. Inform the client that hospital policy prohibits documenting personal staff information. 4. Continue professional attempts to establish a positive working relationship 4. This is correct. The priority nursing action is to continue professional attempts to establish a positive working relationship with the client 7. Which statement should the nurse identify as correct regarding a client's right to refuse treatment? 1. Clients can refuse pharmacological but not psychological treatment. 2. Clients can refuse any type of psychiatric treatment at any time. 3. The only treatment a client can refuse is electroconvulsive therapy (ECT). 4. Professionals can override treatment refusal if the client is actively suicidal 4. This is correct. A client has the right to refuse any treatments unless he or she is determined to have suicidal or homicidal intent, as there is a serious risk of harm to self or others in that case. Health-care professionals can override treatment refusal to keep the client and/or others safe from harm.