NURS 451 Test 1 (Foundational Concepts Ethical & Legal) Questions With Correct Answers!!

______ Therapy is considered the primary treatment for those with mental illness - Medication Preventing the mentally ill from reproducing Carrie Buck was first in VA to be sterilized - Eugenics State of well being in which individual is able to realize his/her potential, cope with stressors, work productively & fruitfully, and make a contribution to the community. - Mental Health Medical condition where individual experiences disruption in thinking, feeling, mood, ability to relate to others, and normal daily functioning. - Mental Illness #1 cause of disability in US and Canada for ages 15-44 - Mental illness True/False: 45% of those with mental illness meet the criteria for 2 or more disorders - True discipline that encompasses diagnosis and treatment of individuals with mental illnesses - Psychiatry True/False: All registered nurses must become skilled in providing mental health care. - True Used to diagnose psychiatric disorders - DSM-5 True/False: Mental illness is a PHYSICAL illness - TrueMost important nursing intervention - Communication This domain involves - Attitudes & World view - EMPOWERS (Enjoy life, Manage wellness, Pain/pleasure, Outlook, Worthwhile, Elect to love, Responsible for own behavior, Success takes action) - Psychological domain This domain involves - Basic needs of adequate nutrition/hydration, relaxation/sleep, exercise - Considerable alteration in the immune, endocrine, neurological and neurochemical systems - ENERGIES (Exercise, Nutrition, Each body system in balance, Rest, Good health practices, Information processing, Endocrine/immune, Sensory function) - Biological Domain This domain involves - All aspects of the environment - Interpersonal relationships - SERVICES (School/work, Enjoy nature, Resources/residence, Value life skills, Interpersonal relations, Communication skills, Economics, Support) - Sociological domain This domain involves - Customs, beliefs, values, institutions, and language among those who share commonalities of race, religion, ethnicity - CULTURES (Customs/actions, Understand speech and communication, Language, Thoughts and beliefs, Understand values, Race and religion, Ethnicity, Social groupings) - Cultural Domain This domain involves - Spiritual nature striving for intellectual, moral, spiritual enjoyments - Forgiveness- PEACEFUL (Positive attitude, Embrace truth, Accept forgiveness, Clarify values, Express gratitude, Friendship with self and others, Understanding heart, Learn to develop insight) - Spiritual Domain Providing _________ : - Becoming more comfortable being with the patient - Being with and attending to the patient - Promoting human engagement and interchange in a way that is meaningful to the patient - Presence True/false Doing for a patient is more important than being with the patient - False Discrimination or social rejection of individuals diagnosed with mental illness Leads to anger, avoidance, fear - Stigma Patients may not ________ to recovery due to: - Financial considerations - Side effects of medications - Stigma - Denial of illness - Difficult access to treatment - Adhere Factors affecting _________ to patient recovery: - Environmental factors (housing, etc.) - Transportation - Work hours - Financial, geographical, cultural hindrances - Insufficient health insurance - Access- A feeling that something an individual wants has a good chance of happening. - Appeals to higher power (if patient believes). - Is positive & uplifting. - Hope Within Ethics of Care: A process through which people feel with one another. They are able to sense the feelings of another because they have evoked in themselves the attitude of the other person to whom they are relating. - Empathy Nurses should avoid self _________ meaning Try to focus on the patient, not yourself! Re shift the question to the patient - Disclosure An attempt to understand the basic nature of a patient's statement - Ex. I'm confused about what is upsetting you, could you go over that again, please?" - Clarifying The principle of attempting to do things that benefit others or promote good of others - Ex. Help client who cannot decide for themselves or are incapacitated/incompetent - Ex. Protecting client from self harm - Beneficence The right to make one's own decisions and respect for the rights of others to make their own decisions - We should help clients/families make their own choices - Provide patients with info they need and support their choice, even if you do not agree - Autonomy Treating others fairly and equally - Ex. Should we give poor schizophrenics cheaper medication with lots of side effects or the newer medication we give to those who can afford it? - Justice Maintaining loyalty & commitment to your clients and being faithful to your promises, duties, & obligations. Establishes trust relationship; means do not make promises you cannot keep. - FidelityAn obligation to do no wrong - Motives should be in direction of helpfulness; requires self-awareness - Nonmaleficence One's duty to always tell the truth, transparent, and forthcoming. - Do not lie to clients to "humor" them - Veracity Do good in patients' or society's best interest when patient is incapable of making decisions - Paternalism Ex: "The greatest good for the greatest number" - Utilitarianism Adherence to unchanging, self-evident moral duty Ex: "It's the right thing to do." - Deontology _________ Law Involves: Tort Law with negligence, malpractice, assault, battery, & false imprisonment - Civil Sources of _________: Failure to assess risk of suicide Failure to properly monitor Improper treatment False Imprisonment Failure to communicate, document observations Failure to detect drug toxicity Failure to protect patient from other patients Failure to provide safe environment Failure to obtain informed consent Failure to report abuse - Liability