Mental Health Chapter 6 Flashcards


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1

What is provided in the Code of Ethics for Nurses of the American Nurses Association (ANA)?

A. Information about what to do when confronted with an ethical dilema

B. Pathways to follow for each of the ethical principles

C. A guideline for nurses regarding ethical conduct

D. A description of case studies featuring ethical dilemmas

C. A guideline for nurses regarding ethical conduct

2

Mandatory use of seat belts is an example of which ethical principle?

A. Justice

B. Paternalism

C. Fidelity

D. Veracity

B. Paternalism

3

A client with schizophrenia will not take medication because the client is gaining weight. This client is exercising which ethical principle?

A. Nonmaleficence

B. Autonomy

C. Paternalism

D. Justice

B. Autonomy

4

A psychiatric-mental health registered nurse is demonstrating adherence to the standards of practice by engaging in which action?

A. Triage

B. Psychopharmacologic interventions

C. Clinical supervision

D. Psycotherapy

A. Triage

5

Which are functions of assertive community treatment? Select all that apply.

A. Promotes continuity of outpatient care

B. Increases the likelihood of relapse

C. Decreases availability of services

D. Increases the stability of people with serious mental illness

E. Reduces inpatient service use

A, D, E

6

Which of the following provides a foundation for clinical decision-making?

A. Justice

B. Nursing Process

C. Paternalism

D. Legal precedence

B. Nursing process

7

A new nursing student correctly identifies which as most essential for guiding psychiatric-mental health nursing actions?

A. State laws

B. Code of Ethics for Nurses

C. Federal laws

D. Personal beliefs

B. Code of Ethics for Nurses

8

A nurse tells a client that the nurse will bring the client pain medicine in 5 minutes after checking on another client. The nurse returns in 5 minutes and administers the medication as planned. The nurse is practicing which principle by returning as promised?

A. Autonomy

B. Paternalism

C. Fidelity

D. Nonmaleficence

C. Fidelity

9

A nurse working in psychiatric-mental health who is a licensed registered nurse but also educationally prepared at the master's level and certified as a specialist is also known as which of the following?

A. PhD

B. APN

C. DNS

D. DNP

B. APN

10

An experienced nurse working in mental health uses the holisitc and well-supported biopsychosocial model. The nurse correctly identifies which of the following as domains of this model? Select all that apply.

A. Biologic

B. Family

C. Psychological

D. Religious

E. Social

A, C, E

11

A nursing instructor is teaching about the three domains of the biopsychosocial model. When discussing the social domain, the instructor recognizes a need for further education when a student states which of the following?

A. "Social factors usually cause psychiatric disorders"

B. "Family support can improve treatment outcomes"

C. "The social domain includes theories that account for the influence of social forces"

D. "Community forces can help shape a patient's response to treatment"

A. "Social factors usually cause psychiatric disorders"

12

A nurse working in a remote area needs a psychiatrist to assist in diagnosing a client. The nurse schedules an interview between a psychiatrist and the client. The psychiatrist will observe and interview the client using videoconferencing software. This is a specific example of which of the following?

A. Telemedicine

B. Remote care

C. Continuity of care

D. Clinical reasoning

A. Telemedicine

13

Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. The nurse became increasingly busy during the shift but has now taken some time to assist the client in this way. What ethical principle has the nurse best exemplified?

A. Nonmaleficence

B. Veracity

C. Beneficence

D. Fidelity

D. Fidelity

14

How can the nurse best address a client's needs in the biologic domain?

A. Ensuring the client receives adequate nutrition

B. Teaching the client metacognitive skills

C. Facilitating a referral to a chaplain

D. Enlisting the support of the client's family memebrs

A. Ensuring that the client receives adequate nutrition

15

The interdisciplinary team is discussing the best approach to planning the care for a client with complex psychiatric-mental health needs. When determining which tasks can be performed by the psychiatric-mental health registered nurse (PMH-RN) and which must be performed by the psychiatric-mental health advanced practice registered nurse (PMH-APRN), the team should prioritize guidelines from what source?

A. The American Nurses Association Standards of Practice

B. The World Health Organization Guidelines for Nursing Practice

C. The recognized norms in the jurisdiction where the team is working

D. The policies and procedures manual of the institution

A. The American Nurses Association Standards of Practice

16

A psychiatric mental health facility is undergoing a change from paper-based health records to electronic records. What action should the nurse prioritize in order to ensure client rights are protected?

A. Educating clients and families about the potential benefits of the new system

B. Teaching clients that they may lose the right to view their health records under the new system

C. Being vigilant to identify any potential threats to client confidentiality

D. Ensuring clients know that they have the right to opt out of the proposed system

C. Being vigilant to identify any potential threats to client confidentiality

17

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. Intake screening

B. Psychotherapy

C. Counseling

D. Health promotion

B. Psychotherapy

18

Which situations depict a nurse employing the principles of fidelity while providing care? Select all that apply.

A. The nurse provides infromation the client needs to make a decision

B. The client asks questions about surgery and the nurse answers the questions completely

C. The client asks "If I take this medication, will the cancer go away?" The nurse tells the truth

D. The nurse tells the client, "I will return to give you pain medication in 1 hour." The nurse returns in 1 hour

D. The nurse tells the client, "I will return to give you pain medication in 1 hour." The nurse returns in 1 hour

19

A class of student nurses are discussing trends in mental health care. A student states, "There should be equal access to mental health care and resources for clients who live in rural areas, those without health insurance, and for the poor." Which statement by the nurse would bestreflect the correct ethical principle?

A. "Justice refers to treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs"

B. "Autonomy is all about thinking for yourself and acting on your own desires"

C. "Fidelity is the quality of faithfulness or loyalty"

D. "Nonmaleficence means inflicting the least harm possible to reach a beneficial outcome"

A. "Justice refers to treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs"

20

A client with schizophrenia is refusing antipsychotic medication. The client states, "I don’t like the way it makes me feel, I feel like I’m under water when I take it." The nurse explains, "schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. Your symptoms will get better if you take the medication." This conversation reflects conflict between which ethical principles?

A. Autonomy and justice

B. Fidelity and veracity

C. Autonomy and beneficence

D. Justice and nonmaleficence

C. Autonomy and beneficence