Psychiatric - Most Likely Candidate for Involuntary Commitment

1. Which client would a nurse determine to be the most likely candidate for involuntary commitment? a. An elderly client who is screaming obscenities in the street and disturbing neighbors i. A client who is screaming obscenities is more likely to be judged as a danger to oneself or to others 2. When assessing if a procedural risk to a client is justified, the ethical principle underlying the dilemma is known as what? a. Nonmaleficence i. Nonmaleficence is the principle of creating no harm, it refers to preventing or minimizing harm to an individual 3. When is it discovered that a nurse did not act reasonably when providing care in accordance with the standards of professional practice which factor would confirm the nurse has been negligent? a. The nurse was responsible for client injury i. After it is determined that the nurse did not act responsibly in providing care in accordance with established standards of care, the remaining issue is to confirm that in just occurred as a result of the nurse’s actions 4. Which ethical principle is in jeopardy when segments of the mentally ill population do not have access to care? a. Justice i. Justice becomes an issue in mental health when a segment of population does not have access to health care 5. Which client behavior would prompt the nurse manager to discuss the duty to warm with staff members? a. Danger to others i. Duty to warn refers to the responsibility of the nurse or the health care provider to warm identifiable third parties of threats made by clients 6. The depressed client is deciding which type of treatment would be beneficial. The nurse would document that the client is utilizing which ethical principle in this situation? a. Autonomy 7. A psychiatric-mental health nurse is reviewing the delivery of care for clients diagnosed with mental illnesses. The nurse’s goal is to increase meaningful and effective care. Which aspect of clinical judgement is the nurse utilizing? a. Reflection i. Clinical judgement consists of critical thinking and reflection 8. A client informs the nurse that the client is feeling better and does not want to take antidepressant medication. This client is exhibiting which ethical principle when making this decision? a. Autonomy i. The client is practicing autonomy and the principle that each client has the fundamental right of self determination 9. A client diagnosed with anxiety is being assessed by the nurse utilizing the biopsychosocial model. Which question made by the nurse would indicate the social domain is being assessed =? a. Who is in your support network? 10. A psychiatric-mental health nurse is practicing at the advanced level. Which function would this nurse be able to perform based on the nurse’s advanced level of preparation? a. Psychotherapy 11. A physician would like to include a client with schizophrenia in a research study testing a new medication. The nurse’s obligation is to do what? a. Assess the client’s legal capacity when that client is asked to give consent 12. What is the therapeutic goal of seclusion a. Give the client the opportunity to gain self-control i. The goal of seclusion is to give the client an opportunity to regain physical and emotional self-control 13. The nurse is teaching a client about the importance of adhering to a medication regimen. The client does not believe that it is important. The nurse is communicating when ethical principle. a. Beneficence 14. A nurse is caring for a group of clients with different histories, behaviors, and personalities. Which ethical principle does the nurse identify that applies to distributing mental health services equally among clients? a. Justice 15. Providing milieu therapy is an example of the use of which ethical principle? a. Beneficence 16. A client was admitted for electroconvulsive therapy (ECT). The physician performing the procedure failed to obtain informed consent before the ECT was administered. The physician could be charged with what? a. Battery 17. Which court decision or act states that psychotherapists have a duty to exercise reasonable care in protecting the foreseeable victims of their clients' violent actions? a. Tarasoff v. Regents of the University of California 18. The nurse is caring for a client after having various diagnostic tests. The client discusses a proxy being in attendance for the health care provider's diagnosis. The nurse requests a copy for the file, and allows the proxy to be in attendance with what type of document? a. Durable power of attorney