RN Client and Mental Health Team Member Safety Assessment Exam Questions & Answers (Answers Explained!)

RN Client and Mental Health Team Member Safety Assessment Exam Questions & Answers (Answers Explained!)-A nurse is sitting with a client who is extremely anxious until they fall asleep. The nurse should identify that this is an example of which of the following ethical principles? a. Justice b. Autonomy c. Nonmaleficence d. Beneficence-Answer: d. Rationale: The nurse should identify that this is an example of beneficence. Beneficence involves acting in a manner that is "for the good" or in a way that benefits others. Justice involves caring for all clients equally and with the same level of fairness. Autonomy involves allowing the client to make decisions about their care. Nonmaleficence involves advocating for treatment modalities that result in the least amount of harm while achieving a beneficial outcome. A nurse on a pediatric mental health unit is discussing the importance of setting boundaries with another nurse. Which of the following statements by the nurse explains why setting boundaries is important? a. Setting boundaries will cause the children to try and leave the unit b. Children will automatically rebel against all boundaries set on the unit, so you must let them know the consequences c. Setting boundaries increases a child's sense of security through knowing the consequences of behaviors d. Children are not able to understand boundaries or consequences of their behavior-Answer: c. Rationale: Research indicates that setting boundaries increases a child's sense of security. Setting boundaries reduces any misunderstanding, establishes expected behaviors, and provides an understanding of consequences. Setting boundaries reduces any misunderstanding, establishes expected behaviors, and provides an understanding of consequences. This will assist the children to understand their goals for treatment and avoid the consequences of their behavior. All children do not automatically rebel when boundaries are set. Setting boundaries reduces any misunderstanding, establishes expected behaviors, and provides an understanding of consequences. This empowers children to avoid the consequences of their behavior. Care and treatment for children must be explained in a way that they understand. Best practice suggests that when a child understands boundaries and consequences of their behavior, they are more likely to avoid bad behaviors. A nurse is discussing burnout among nurses with a colleague. Which of the following is a strategy to reduce burnout? a. Self-scheduling work shifts b. Keeping to oneself at work c. Working extra shifts during staff shortages d. Skipping shared governance meetings-Answer: a. rationale: Self-scheduling work shifts allows nurses to have more control over work-life balance and helps reduce burnout. Strategies for reducing burnout include engagement in shared governance, effective communication, supportive teams, supportive leadership, and consistent self-care. Isolation and avoiding engagement with team members is a contributing factor to burnout. Working extra shifts during staff shortages has been linked to an increased risk for burnout. Shared governances allow nurses to have input on policies and staffing decisions, which has been identified as a strategy to reduce burnout. Therefore, skipping shared governance meetings is not a strategy to reduce burnout.