NR668 CEA FINAL EXAM 184 CERTIFICATION
PAPER 2026 COMPREHENSIVE ANSWERS
CLINICAL REASONING PRACTICE RESOURCE
◉ Person A: "I can't believe you deal with these people every day.
Schizophrenics would drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much
like diabetes or other physical illnesses. Patients who have mental
illness deserve compassion and care."
what ethical principle.
Answer: Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of
those with PMH disorders by advocating to overcome negative
stigmas towards PMH diagnoses to ensure access to care.
◉ The client presents to the emergency department with
hallucinations and is threatening self-harm. The PMHNP signs an
involuntary admission order for emergent psychiatric care.
what ethical principle?.
Answer: Commitment to the Healthcare Consumer
,Rationale: The PMHNP demonstrates a commitment to the
healthcare consumer by balancing the client's human rights with
safety, including coercive measures when the client was unable to
maintain their own safety.
◉ The PMHNP is sharing sexually explicit memes with a client that
she saw earlier today in a group session.
what ethical principle?.
Answer: Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the
power differential in the therapeutic relationship and understands
that any sort of sexual activity or intimacies with current clients,
their close family members, guardians, or significant others is
unethical.
◉ The PMHNP has overbooked her sessions today, so she asks the
RN who works in her office to conduct one of her phone therapy
sessions today.
what ethical principle?.
Answer: Responsibility and Accountability for Practice
,Rationale: This is an unethical scenario. The PMHNP must
understand the scope of other team members' practice in order to
delegate appropriately. Conducting a counseling session is outside of
the RN's scope of practice.
◉ The PMHNP takes time for daily meditation to improve
mindfulness and ease stress.
what ethical principle?.
Answer: Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care,
managing stress, and maintaining supportive relationships to meet
personal needs outside of therapeutic relationships.
◉ A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
what ethical principle?.
Answer: 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.
◉ The PMHNP gives a presentation at a national conference on best
practices in depression treatment.
what ethical principle?.
Answer: Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing
through practice, education, administration, and knowledge
development.
◉ The PMHNP is a member of the ANA and NAMI and regularly
participates in workgroups that seek to expand access to care for
healthcare consumers with PMH disorders.
what ethical principle?.
Answer: Collaboration to meet health needs
PAPER 2026 COMPREHENSIVE ANSWERS
CLINICAL REASONING PRACTICE RESOURCE
◉ Person A: "I can't believe you deal with these people every day.
Schizophrenics would drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much
like diabetes or other physical illnesses. Patients who have mental
illness deserve compassion and care."
what ethical principle.
Answer: Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of
those with PMH disorders by advocating to overcome negative
stigmas towards PMH diagnoses to ensure access to care.
◉ The client presents to the emergency department with
hallucinations and is threatening self-harm. The PMHNP signs an
involuntary admission order for emergent psychiatric care.
what ethical principle?.
Answer: Commitment to the Healthcare Consumer
,Rationale: The PMHNP demonstrates a commitment to the
healthcare consumer by balancing the client's human rights with
safety, including coercive measures when the client was unable to
maintain their own safety.
◉ The PMHNP is sharing sexually explicit memes with a client that
she saw earlier today in a group session.
what ethical principle?.
Answer: Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the
power differential in the therapeutic relationship and understands
that any sort of sexual activity or intimacies with current clients,
their close family members, guardians, or significant others is
unethical.
◉ The PMHNP has overbooked her sessions today, so she asks the
RN who works in her office to conduct one of her phone therapy
sessions today.
what ethical principle?.
Answer: Responsibility and Accountability for Practice
,Rationale: This is an unethical scenario. The PMHNP must
understand the scope of other team members' practice in order to
delegate appropriately. Conducting a counseling session is outside of
the RN's scope of practice.
◉ The PMHNP takes time for daily meditation to improve
mindfulness and ease stress.
what ethical principle?.
Answer: Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care,
managing stress, and maintaining supportive relationships to meet
personal needs outside of therapeutic relationships.
◉ A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
what ethical principle?.
Answer: 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.
◉ The PMHNP gives a presentation at a national conference on best
practices in depression treatment.
what ethical principle?.
Answer: Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing
through practice, education, administration, and knowledge
development.
◉ The PMHNP is a member of the ANA and NAMI and regularly
participates in workgroups that seek to expand access to care for
healthcare consumers with PMH disorders.
what ethical principle?.
Answer: Collaboration to meet health needs
