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25 terms

ch 9 243 Nclex questions

STUDY
PLAY
A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization?

A. the client retains all of his or her rights
B. the client has a right to leave if not a danger to self or others
C.the client can sign a written request for discharge
D. the client cannot be released without medical advice
the client cannot be released without medical advice

-When a client is involuntarily admitted to the hospital, the client cannot be released without medical advice. The clinet does retain all of his rights, can sign a written request for discharge, and has a right to leave if not a danger to self or others
Which ethical principle is at risk when the client presents an imminent threat of danger to himself or others?
Nonmaleficence

-Nonmaleficence is the requirement to do no harm to others either intentionally or unintentionally.
-Beneficence refers to one's duty to benefit or promote good for others.
-Autonomy involves the right of the client to make his or her own decisions.
-Justice refers to fairness
Touching a client without consent is an example of which of the following?
Battery

-Battery involves harmful or unwanted contact with the client.
-Assault involves any action that causes a person to fear being touched in a way that is offensive, insulting, or physically injurious without consent or authority
-False imprisonment is defined as the unjustified detention of a client, such as inappropriate use if restraint or seclusion.
-Causation occurs when a breach of duty was the direct cause of loss, damage, or injury.
which of the following is an inappropriate intervention for the client in seclusion?

A. documented assessment by the nurse every 30min
B. Face-to-face evaluation by a licensed independent practioner w/i 1 hour of seclusion
C. close supervision of the client
D. A physician's order every 4 hours
documented assessment by the nurse every 30 min

-Documented assessment should take place by the nurse every 1-2 hours with close supervision of the client
what occurs when there is a situation in which ethical principles conflict or when there is not one clear course of action in a given situation?
ethical dilemma
the appointment of a conservator would be inappropriate in which situation?

A. an individual exhibiting bizarre behavior
B. an individual who is incompetent
C. an individual who is gravely disabled
D. an individual whi is unable to provide basic needs for himself
an individual exhibiting bizarre behavior

-People who are gravely disabled; are found to be incompetent; cannot provide food, clothing, and shelter for themselves even when resources exsist; and cannot act in their own best interests may require an appointment of a conservator
what is the most important nursing intervention to complete when restraining an aggressive client
check correct application of the restraints
The clients right to self-determination and independence is guided by which ethical principle?
Autonomy

-Autonomy involves the right of the client to make his or her own decisions.
-Justice refers to fairness
-Nonmaleficence is the requirment to do no harm to others either intentionally or unintentionally.
-Benficence refers to one's duty to benefit or promote good for others
All but which of the following states have abolished the insantiy defense?

A. Utah
B. Montana
C. Idaho
D. Iowa
Iowa

-Iowa has not abolished the insanity defense. Idaho, Montana, and Utah have abolished this defense
which ethical principle focuses on the duty to do no harm?
nonmaleficence
Malpractice must be proven by four elements. All of the following must be proven except?

A. Duty
B. Causation
C.Injury
D. Intent
Intent

Malpractice must be proven by duty, breach of duty, injury or damage, and causation
A person can be detained for which amount of time on an emergency basis until a hearing can be conducted to decide commitment?
2 to 3 days

-A person can be detained in a psychiatric facility for 48 to 72 hours on an emergency basis until a he rating an be conducted to determins whether he or she should be commiteed to a faciltity for treatment for a specified period
The nurse is threatening to give the client an injection in order to restrain the clinet for inappropriate behavior. This is an example of...
assault

-assault involves any aciton that causes a person to fear being touched in a way that is offensive, insulting, or physically injurious without consent or authority
when discussing a clients mental health condition with someone other than the health care team, the nurse must be aware of which of the following?

-assault
-breach of confidentiality
-neglect
-battery
Breach of confidentiality

-the protection and privacy of personal health information is regulated by the federal government through the HIPPA.
which element of malpractice occurs whtn the nurse does not act as a reasonable, prudent person whould have acted in a similar circumstance?
breach of duty
short-term use of restraints is permitted only in which of the following situations?
the client is imminently aggressive and a danger to himself or others
the goal of seclusion is
give the client the opportunity to gain self-control
which eithical principle involves the right of the client to make his or her own decisions?
autonomy
the nurse must be truthful and honest when caring for mental health clients. In this instance, the nurse is utilizing which ethical principle?
veracity

-Veracity is the duty to be honest or truthful.
the Tarasoff decision involves an exception to the clients right to confidentialtiy as being
a duty to warn
The insanity defense is used in approximately how many criminal cases?
1%
all of the following are civil rights afforded to all people recieving mental health care except which of the following?

-right to send and recieve sealed mail
-right to refuse treatment
-right to have or refuse visitors
-right to leave the hospital when involuntarily committed
right to leave the hospital when involuntarily committed
the nurse is detaining the client from leaving the hospital by refusing to allow him to take his personal items. This is an example of
false imprisonment
the inappropriate use of restraints or seclusion is
false imprisonment
which of the following occurs when staff members physically control the client and move him or her to a seclusion room
human restraint