NR305 Week 2 iHuman: Shane Peterson –
Complete Physical Assessment &
Management Plan Guide
Legal & Ethical Considerations - answer- Provider initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
Code of Ethics for Nurses - answer- Respect for the Individual
Commitment to the Healthcare Consumer
Advocacy for the Healthcare Consumer
Responsibility and Accountability for Practice
Duties to Self and Others
Contributions to Healthcare Environments
Advancement of the Nursing Profession
Collaboration to Meet Health Needs
Promotion of the Nursing Profession
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 - 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.
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.
Exception to informed consent
Informed consent required - answer- Exception to informed consent
Rationale: The client does not have the capacity to provide consent.
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.
, Exception to informed consent
Informed consent required - answer- Exception to informed consent
Rationale: Clients may choose to waive their right to informed consent.
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 - answer- Informed consent required
Rationale: Clients have a right to information about treatment options with associated
risks and benefits.
Circumstances that increase suicide risk: Individual Risk Factors - answer- Previous
suicide attempt
History of depression and other mental illnesses
Serious illness such as chronic pain
Criminal/legal problems
Job/financial problems or loss
Impulsive or aggressive tendencies
Substance use
Current or prior history of adverse childhood experiences
Sense of hopelessness
Violence victimization and/or perpetration
Circumstances that increase suicide risk: Relationship Risk Factors - answer- Bullying
Family/loved one's history of suicide
Loss of relationships
High conflict or violent relationships
Social isolation
Circumstances that increase suicide risk: Community Risk Factors - answer- Lack of
access to healthcare
Suicide cluster in the community
Stress of acculturation
Community violence
Historical trauma
Discrimination
Circumstances that increase suicide risk: Societal Risk Factors - answer- Stigma
associated with help-seeking and mental illness
Easy access to lethal means of suicide among people at risk
Unsafe media portrayals of suicide
Complete Physical Assessment &
Management Plan Guide
Legal & Ethical Considerations - answer- Provider initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
Code of Ethics for Nurses - answer- Respect for the Individual
Commitment to the Healthcare Consumer
Advocacy for the Healthcare Consumer
Responsibility and Accountability for Practice
Duties to Self and Others
Contributions to Healthcare Environments
Advancement of the Nursing Profession
Collaboration to Meet Health Needs
Promotion of the Nursing Profession
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 - 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.
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.
Exception to informed consent
Informed consent required - answer- Exception to informed consent
Rationale: The client does not have the capacity to provide consent.
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.
, Exception to informed consent
Informed consent required - answer- Exception to informed consent
Rationale: Clients may choose to waive their right to informed consent.
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 - answer- Informed consent required
Rationale: Clients have a right to information about treatment options with associated
risks and benefits.
Circumstances that increase suicide risk: Individual Risk Factors - answer- Previous
suicide attempt
History of depression and other mental illnesses
Serious illness such as chronic pain
Criminal/legal problems
Job/financial problems or loss
Impulsive or aggressive tendencies
Substance use
Current or prior history of adverse childhood experiences
Sense of hopelessness
Violence victimization and/or perpetration
Circumstances that increase suicide risk: Relationship Risk Factors - answer- Bullying
Family/loved one's history of suicide
Loss of relationships
High conflict or violent relationships
Social isolation
Circumstances that increase suicide risk: Community Risk Factors - answer- Lack of
access to healthcare
Suicide cluster in the community
Stress of acculturation
Community violence
Historical trauma
Discrimination
Circumstances that increase suicide risk: Societal Risk Factors - answer- Stigma
associated with help-seeking and mental illness
Easy access to lethal means of suicide among people at risk
Unsafe media portrayals of suicide
