Test Bank Neeb's Mental Health Nursing (5e by Gorman and Anwar)

Test Bank Neeb's Mental Health Nursing (5e by Gorman and Anwar)Contents Chapter 01: History of Mental Health Nursing ............................................................................................................................................. 1 Chapter 02: Basics of Communications ........................................................................................................................................................ 7 Chapter 03: Ethics and Law ............................................................................................................................................................................. 15 Chapter 04: Developmental Psychology Throughout the Life Span ............................................................................................... 25 Chapter 05: Sociocultural Influences on Mental Health ...................................................................................................................... 38 Chapter 06: Nursing Process in Mental Health ....................................................................................................................................... 43 Chapter 07: Coping and Defense Mechanisms ........................................................................................................................................ 55 Chapter 08: Mental Health Treatments ....................................................................................................................................................... 67 Chapter 09: Complementary and Alternative Treatment Modalities .............................................................................................. 84 Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders .................................................................................... 88 Chapter 11: Depressive Disorders .................................................................................................................................................................. 99 Chapter 12: Bipolar Disorders ........................................................................................................................................................................ 113 Chapter 13: Suicide ............................................................................................................................................................................................. 121 Chapter 14: Personality Disorders ............................................................................................................................................................... 129 Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders .......................................................................................... 138 Chapter 16: Neurocognitive Disorders: Delirium and Dementia ...................................................................................................... 160 Chapter 17: Substance Use and Addictive Disorders ........................................................................................................................... 170 Chapter 18: Eating Disorders ......................................................................................................................................................................... 182 Chapter 19: Childhood and Adolescent Mental Health Issues .......................................................................................................... 192 Chapter 20: Postpartum Issues in Mental Health ................................................................................................................................. 198 Chapter 21: Aging Population ........................................................................................................................................................................ 201 Chapter 22: Victims of Abuse and Violence ............................................................................................................................................ 204 Chapter 01: History of Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The act of developing a clean environment is a factor in providing effective health care as demonstrated by: A. Nightingale. B. C. D. Benner. Swanson. King. 2. What is the name of the publication written by Florence Nightingale? 1 | P a g eA. B. C. D. Nursing Sanitation Notes Nursing 101 Notes on Nursing Nursing Notes 3. A long-term goal for in-patient mental health treatment is generally to: A. B. C. D. Return the patient to the community. Locate a facility for long term care. Be arrested and placed in prison. Be completely cured of the disorder. 4. The mentally ill were once housed in mental institutions known as: A. B. C. D. Hospitals. Long-term care facilities. Asylums. Free-standing treatment centers. 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient? A. B. C. D. Hildegard Peplau Hattie Bessent Mary Mahoney Linda Richards Completion Complete each statement. 6. Phenothiazines were discovered in what year? . 7. The first psychiatric program of study was established by which nursing leader? 2 | P a g e8. Who was the nurse theorist who was the first American-trained nurse credited with teaching how to provide care for people with mental illness? 9. The greatest advance in the early years of mental health care was the introduction of . 10. The legislation that provided funding for improving the care of the mentally ill is known as the National Mental Health Act of what year? . 11. Which nursing organization established the first certification of psychiatric nursing? 12. One of the goals of the American Nurses Association (ANA) is to promote care in the United States. 13. 14. A schoolteacher by the name of has always been called the founder of nursing. established asylums and a psychiatric hospital for the mentally ill. 15. Special facilities designed to care for the mentally ill in the past were known as 16. The first psychotropic drug category was known as . 17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules are known as the Practice Act. 18. The first major federal law to address mental illness was called the Act. Multiple Response Identify one or more choices that best complete the statement or answer the question. 19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (select all that apply): A. Cost of the facilities. B. C. D. The increased use of phenothiazines. Staff cost. Establishment of Outpatient clinics. Chapter 1: History of Mental Health Nursing Answer Section MULTIPLE CHOICE 3 | P a g e . of nursing1. ANS: A Florence Nightingales commitments to improved outcomes at a military hospital were directly related to introducing sanitation methods. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Community Health | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Safety and Infection Control 2. ANS: C Florence Nightingale wrote the book Notes on Nursing, which specified the importance of a clean environment. PTS: 1 KEY: Integrated Processes: Teaching/Learning| Content Area: Nursing Trends| Cognitive Level: Knowledge| Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention 3. ANS: A To eventually return the patient to the community by creating a good support system and appropriate medication if needed is generally the long-term goal. PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Content Area: Mental Health | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Management of Care: Coordinated Care 4. ANS: C Asylums were known as a refuge for the mentally ill as well as the poor in the past. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Environment 5. ANS: A Dr. Peplau brought together theories from psychiatry and merged them with theories for nursing and communication. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care COMPLETION 6. ANS: 1955 Phenothiazine is a group of psychotropics that have a calming effect on patients with psychotic through 4 | P a g eprocesses. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected Actions/Outcomes 7. ANS: Effie Jane Taylor In 1913 the first psychiatric program for nurses was established. Ms. Taylor also believed in patient-centered care. PTS: 1 KEY: Integrated Processes: Teaching/Learning 8. ANS: Linda Richards Linda Richards wanted to upgrade the nursing education field and the Boston city hospital training school for nurses to teach the specialty of caring for the mentally ill. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts 9. ANS: phenothiazines This medication controlled psychotic symptoms and led to reductions in the population in mental health institutions. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies 10. ANS: 1946 Money was provided by this legislation for research and training for the improvement of care for patients with mental health issues. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Treatment | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts 11. ANS: 5 | P a g eANA The American Nurses Association (ANA) developed the certification criteria for psychiatric nurses. The ANA has developed standards for professional nursing. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Coordinated Care 12. ANS: standardization The ANA has developed standards for a number of different specialties. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Management: Management of care: establishing priorities 13. ANS: Florence Nightingale Florence Nightingale observed that a clean environment improved the health of the soldiers in the Crimean War. As a result, deaths from infection decreased. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Safety and Infection Control 14. ANS: Dorothea Dix Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and prisoners. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Advocacy 15. ANS: asylums In the early days of health care asylums were special facilities designed for care of the needy including prisoners and the mentally ill. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts 6 | P a g e16. ANS: phenothiazines Phenothiazine medications were introduced in the 1950s. These drugs had a calming and tranquilizing effect and treated psychotic thought processes. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected Actions/Outcomes 17. ANS: Nurse The Nurse Practice Act of each state is based on federal guidelines. Each state has its own Nurse Practice Act. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Legal Rights and Responsibilities 18. ANS: Hill-Burton The Hill-Burton Act of 1946 provided much needed funding for psychiatric care in the United States. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care MULTIPLE RESPONSE 19. ANS: A, B, C, D All of the above led to the deinstitutionalization of mental health facilities. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Synthesis | Client Need: Safe and Effective Care Environment: Advocacy Chapter 02: Basics of Communications Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which question by the nurse would gain the most information from a patient experiencing a marital crisis? A. Do you hate your spouse? 7 | P a g eB. C. D. Do you get along with your in-laws? Do you talk out your problems with your spouse? What is it like at home with your spouse? 2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses concern over her daughters behavior. Your best response to this woman is: A. What is it that concerns you the most, Mrs. R.? B. C. D. Well, you know, that is part of the illness. Here is a book on schizophrenia. This will help you. Are you afraid your daughter will always be like this? 3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would be: A. How about watching a football game? B. C. D. Tell me how you are feeling today. What do you have to be upset about now? Ignore the client. 4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them. What therapeutic communication would help this patient? A. Ask for what you need B. C. D. Silence Using general leads Giving information 5. To practice effectively in mental health, the nurse should be able to: A. 8 | P a g e Solve his or her own personal problems without assistance from others.B. C. D. Comfortably point out the patient shortcomings and provide advice about how to improve. Bring patients and coworkers into compliance with societal rules and norms. Demonstrate therapeutic communication. Completion Complete each statement. 6. The nurse plans to have a therapeutic communication with the client. To begin that therapeutic communication the nurse must first establish with the client. 7. Communication has three parts: the sender, the message, and the 8. When appropriate, the nurse can use no talking. This can communicate support. . as part of an interaction when there is 9. A theory of communication that emphasizes the three ways to communicatehearing, seeing, and touchingis called 10. Expressive, receptive, and global are types of . 11. Advising, asking closed-ended questions, and changing the subject are examples of therapeutic communication. Multiple Response Identify one or more choices that best complete the statement or answer the question. 12. A nurse is working with a patient and attempts to communicate effectively with him or her. Techniques the nurse can use to help communication include (select all that apply): A. Clarifying terms. B. C. D. E. Remaining silent. Asking open-ended questions. Offering false reassurance Discouraging the person from expressing feelings that are unacceptable. 13. The nurse may find that patients from other countries use different terminology than the nurse born in the United States. The difference in terminology may seem harmless to us but offensive to the foreign patient. Differences noted between different cultures are (select all that apply): A. B. 9 | P a g e Eye contact. Slang terms. toC. D. Hand gestures. Gender references. 14. The three components of communication are (select all that apply): A. B. C. D. Impairment. Message. Sender. Receiver. 15. Nurses understand that when caring for patients with mental illnesses, a nurses communication is (select all that apply): A. An active process that includes participating and listening and speaking. B. C. D. E. F. A complex activity. Exchanging information. Verbal and nonverbal. A one way path from nurse to patient. Advising. 16. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on the side of the bed in deep thought. The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse advises the patient, If I were you, I would find another doctor. How does this statement by the nurse block communication (select all that apply)? A. It tells the patient that his concerns are not valid. B. C. D. 10 | P a g e It gives the idea that the nurses values are the correct ones. It puts words in the patients mouth. It hurts the nurses credibility if the solution doesnt help the patient.E. F. It discourages yes or no answers. It inhibits the patient from telling you what his concerns are. 17. The following types of patients require adaptive communication techniques (select all that apply): A. B. C. D. E. F. A patient who is blind. A patient who has dysphasia. A patient who is schizophrenic. A patient who is elderly. A patient with dysphagia. A patient who has language differences from the staff. 18. Which of the following are characteristics of assertive communication (select all that apply)? A. B. C. D. E. F. Statements begin with the word you. Statements deal with thoughts and feelings. It is a form of blaming. It puts responsibility for the interaction on the other person. It is a technique of personal empowerment. It is self-responsible. Chapter 2: Basics of Communications Answer Section MULTIPLE CHOICE 1. ANS: D Encourages expression of feelings rather than a yes/no answer. Use of open-ended questions facilitates more open communication. PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic 11 | P a g ecommunication 2. ANS: A The correct response is open ended to seek out more specifically why she is upset. Responses B and C shut down communication. Response D is making an assumption of why she is upset. PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Psychotic disorders: Therapeutic nursing process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication 3. ANS: B To keep open communication with the patient, the nurse should ask open-ended questions. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Mental Health: Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity: Stress Management 4. ANS: D Giving information can increase rapport, reduce patient anxiety, and suggest patient collaboration. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication/Health Promotion and Maintenance: Principles of Teaching/Learning 5. ANS: A Good communication skills are essential for working in mental health. Good communication skills center around being able to promote open communication with such techniques as good listening, use of open-ended questions, and appropriate use of silence to be therapeutic. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Nursing Process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication COMPLETION 6. ANS: rapport Rapport implies there is mutual understanding and trust. The communication can be both verbal and nonverbal PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity: Therapeutic Communication 12 | P a g e7. ANS: receiver Communication is not just about getting your message out, it also includes how the message is received. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 8. ANS: silence Silence allows the nurse and the patient time to collect their thoughts. It is a therapeutic technique of communication and demonstrates support and acceptance. PTS: 1 KEY: Integrated Processes: Caring/Communication and documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication 9. ANS: neurolinguistic programming Neurolinguistic programming (NLP) was developed by Milton Erickson, John Grinder, and Richard Bandler. NLP can be used in conjunction with hypnosis and other treatment modalities giving insight into how one views the world. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 10. ANS: aphasia Patients with speech difficulties or challenges have an aphasic disorder. Expressive is difficulty in verbal expression, receptive is difficulty with interpretation of written or verbal communication, and global is a combination of receptive and expressive. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 11. ANS: blocks or barriers 13 | P a g eThese blocks to communication interfere with patient-nurse interaction to inhibit good communication. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication MULTIPLE RESPONSE 12. ANS: A, B, C Effective communication between the nurse and the patient includes approaches that give the patient opportunities to express himself or herself. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication 13. ANS: A, B, C, D Verbal and nonverbal communication doesnt always have the same meaning in other cultures. The same communication can be understood by another culture as offensive. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication 14. ANS: B, C, D Communication with others requires these three components. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 15. ANS: A, B, C, D Communication is important when determining the patients needs. It is not a passive process but an active, two-way activity between patient and nurse. Generally the nurses role is not to advise patients but to listen and support. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application 16. ANS: B, C, D, F Communication with patients should be purposeful and unbiased. Giving advice when the patient has not fully expressed his concerns inhibits and distracts the patient from what he is trying to communicate. PTS: 1 14 | P a g eKEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Communication | Cognitive Level: Evaluation 17. ANS: A, B, F Although communication can be challenging, there may be temporary or permanent techniques to assist with communication. Patients with challenges to sight, sound, and speech require adaptive techniques. Those who speak a different language than the provider also need adaptive techniques. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Comprehension 18. ANS: B, E, F Assertive communication begins with the word I. Other characteristics include speaking up for oneself in a respectful manner, verbalizing ones thoughts and feelings, and being honest. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication Chapter 03: Ethics and Law Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the medication against his will, the nurse is: A. Violating the patients rights. B. C. D. Achieving a treatment goal to get the medication in the patient any way possible. Supporting the familys demand that he take the medication. Following orders from the charge nurse. 2. A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists? The nurses response is: A. B. C. 15 | P a g e The HIPAA law prevents me from disclosing any information about any patient. All I can say is she is seeing Dr. Leone. Rachael is seeing Dr. Leone because she is concerned about feeling extremely happysometimes and about feeling extremely depressed other times. D. Rachael was only there to renew her medication. 3. You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response? A. B. C. D. You are in America now. You can go back to your regular time for praying when you are discharged. How can I accommodate you with your prayer time? Would you like to learn another prayer? 4. The nursing student uses the clients full name on the assigned care plan during her recent clinical rotation. What is the instructors priority intervention? A. Express the importance of factual documentation and that it should include the patients name. B. C. Remind the student of the importance of maintaining patient confidentiality. Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue. D. Explain to the student because the patient was committed involuntary, confidentiality is not an issue. 5. While shopping in the local supermarket, a mental health nurse encounters an individual who recently was a patient on her unit. Which is the proper response by the nurse? A. Stop the person and ask how they are doing since discharge. B. C. D. The closer you get to the patient, look in another direction. Speak to the patient, but not by name. If eye contact is made and the patient responds, then you should respond back. 6. The telephone rings at the nurses station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patients rights and confidentiality? A. I cannot confirm or deny that Ms. Honey was admitted here. 16 | P a g eB. C. D. Ms. Honey is in group therapy at present. Hold on, Ill go see if she is in her room. Are you a family member? Ms. Honey can only receive calls from family members. Completion Complete each statement. 7. In the group therapy session, the nurse speaks up to remind a patient of a recent improvement in his coping. The nurses action is an example of . 8. Another term to describe the ethical principle of veracity is 9. The name of a law that provides immunity to a citizen who offers medical aid is . 10. The patient is upset because her doctor has not been to see her today. The nurse tells the patient the doctor will be in by 3 p.m., even though the nurse does not know this to be true. This nurse has violated the ethical principle of . 11. The basic concepts and fundamental moral principles that govern conduct are known as . 12. Another term for accepting responsibility is . 13. relates to space, time, and waiting and is influenced by culture. 14. The National Federation of Licensed Nurse organization adopted the standards of practice that include ethics for the LPN/LVN. 15. The American Nurse Association has written guidelines for minimum 16. The Nurse Practice of nursing. 17. of care. indicates the acceptable scope of nursing practice for the different levels addresses the security and privacy involved with medical records and how that information is identified and passed between care providers. 18. The is the leading national accreditation body of health care organizations. 19. Immunity for citizens who stop to assist someone in need of medical help is protected by the Good Act. 20. This document protects patients who are receiving care in a facility: Patient Bill of 21. Abuse should be reported by . 22. Nurses are expected to be respectful of the beliefs of their patients and coworkers and not to force 17 | P a g e . .their personal beliefs on others at work. This is a demonstration of the trait of be nurse. 23. The , which is required to Commission is the leading accrediting body of health care organizations. Multiple Response Identify one or more choices that best complete the statement or answer the question. 24. Patients Bill of Rights includes the right(s) to (select all that apply): A. B. C. D. E. Open mail and make personal phone calls. Have privacy and visitors. Treat staff in a disrespectful manner. Be identified as a client. Choose ones own nurse. 25. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information. Which of the following are true about HIPAA (select all that apply)? A. B. Only applies to electronic chart, not the paper one Provides national standards relating to the electronic transmission and communication of medical information between patients, providers, employers, and insurers C. D. E. F. Allows less control on the part of the patient as to what part of health information is disclosed Gives the patient immediate access to his/her medical record at any time it is requested Eliminates the need for patients to sign informed consents HIPAA was implemented in 2003 26. The goals and objectives of the Joint Commission (JC) include (select all that apply): A. B. C. 18 | P a g e Committing to quality on a daily basis within the entire facility. Reducing risk of undesirable patient outcomes. Encouraging continuous improvement.D. E. Reducing health care costs. Promoting nursing education through scholarships and financial aid. 27. The LPNs/LVNs will use the Nurse Practice Act as a guide in their practice. The Nurse Practice Act (select all that apply): A. Is a federal document that all states must follow. B. C. D. E. Is established by each state to define the scope of nursing practice in that state. Protects nurses from lawsuits for violating rules about patients confidentiality. Established fair compensation and benefits for nurses. Dictates the acceptable scope of practice for the different levels of nursing. Chapter 3: Ethics and Law Answer Section MULTIPLE CHOICE 1. ANS: A The Patient Bill of Rights provides the patients right to refuse medications and treatments. The nurse has a responsibility to advocate for the patients and assure them of their rights. In addition, patients have the right to be educated about medications and treatment, which allows them to make an informed decision. PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Client Rights 2. ANS: A HIPAA (Health Insurance Portability and Accountability Act) states what can be disclosed about a patient and emphasizes patient privacy. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information 3. ANS: C It is within the nurses scope of practice to advocate for the patient. The nurse is the voice for the patient when needed. The nurse defends the patients rights to their beliefs and values. PTS: 1 19 | P a g eKEY: Integrated Processes: Nursing Process: Planning | Content Area: Cultural Diversity | Cognitive Level: Analysis | Client Need: Psychosocial Integrity: Religious and Spiritual Influences on Health 4. ANS: B All patient information is confidential, and only initials should be used during the student clinical rotation. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Confidentiality | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security 5. ANS: D Confidentiality is maintained, whether in a facility or out in public. If the patient initiates contact, then responding back is appropriate. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security 6. ANS: A Patient information is confidential this includes even acknowledging the presence of that person in the facility. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Legal | Cognitive Level: Synthesis | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security COMPLETION 7. ANS: patient advocacy The nurse understands that patients learn from their peers and can help others. The nurse is providing information in the group to help this patient acknowledge a recent success. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Synthesis | Client Need: Safe and Effective Care Environment: Management of Care: Advocacy 8. ANS: honesty Veracity is telling the truth. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Ethical Practice 20 | P a g e9. ANS: Good Samaritan law The basis for all Good Samaritan laws is that a third party cannot be charged with negligence unless help is given recklessly or that person makes the situation significantly worse, according to the guidelines for that particular state. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Legal Rights and Responsibilities 10. ANS: honesty, or veracity The professional choice is to tell the truth. Even though giving false information to the patient reassured the patient, it is not ethical. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Nursing Ethics | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Ethical Practice 11. ANS: ethics Ethics provide a framework of action to address conflicting principles. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment