Chapter 6 Flashcards
Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept?
a. “It isn’t right to deny someone healthcare because they can’t pay for it.”
b. “I never discuss my patient’s refusal of treatment.”
c. “The hospital needs to buy more respirators so we always have one available.”
d. “Not all ICU patients have the right to unbiased attention from the staff.”
a. “It isn’t right to deny someone healthcare because they can’t pay for it.”
Which nursing intervention demonstrates the ethical principle of beneficence?
a. Refusing to administer a placebo to a patient.
b. Attending an in-service on the operation of the new IV infusion pumps
c. Providing frequent updates to the family of a patient currently in surgery
d. Respecting the right of the patient to make decisions about whether or not to have electroconvulsive therapy
c. Providing frequent updates to the family of a patient currently in surgery
How can a newly hired nurse best attain information concerning the state’s mental health laws and statutes?
a. Discuss the issue with the facility’s compliance officer
b. Conduct an internet search using the keywords “mental + health + statutes + (your state)”
c. Consult the American Nurses Association’s (ANA) Code of Ethics for Nurses
d. Review the facility’s latest edition of the policies manual
b. Conduct an internet search using the keywords “mental + health + statutes + (your state)
When considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission?
a. The patient poses no substantial threat to themselves or to others
b. The patient has the right to seek legal counsel
c. A request in writing is required before admission
d. A mental illness has been previously diagnosed
c. A request in writing is required before admission
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient
b. Leaving a patient with suicidal thoughts alone in the bathroom to shower
c. Promising to restrain a patient who stole from another patient on the unit
d. Reassuring a patient with paranoia that his antipsychotic medication was not tampered with
e. Placing a patient who has repeatedly threatened to assault staff in seclusion
a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient
b. Leaving a patient with suicidal thoughts alone in the bathroom to shower
c. Promising to restrain a patient who stole from another patient on the unit
A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse:
a. Has not violated confidentiality laws because he did not use the patient’s name.
b. Cannot be held liable for violating confidentiality laws because he was not the primary nurse for the patient.
c. Has violated confidentiality laws and can be held liable.
d. Cannot be held liable because postings on a social media site are excluded from confidentiality laws.
c. Has violated confidentiality laws and can be held liable.
In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway?
a. Professional association, customary care, facility policy
b. State board of nursing, facility policy, customary care
c. Facility policy, professional associations, state board of nursing
d. State board of nursing, professional association, facility policy
d. State board of nursing, professional association, facility policy
Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release?
a. “I will continue treatment in an outpatient treatment center.”
b. “My nurse practitioner has recommended group therapy.”
c. “I am finally free, no more therapy.”
d. “Attending therapy and taking my meds are a part of this conditional release.”
c. “I am finally free, no more therapy.”
Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent?
a. The mother of an unconscious patient saying okay to surgery
b. Care given to a heroin overdose victim
c. Immobilizing a patient who has refused to take medication
d. Signing general intake paperwork with specific parameters
b. Care given to a heroin overdose victim
Based on Maslow’s hierarchy of needs, physiological needs for a restrained patient include:
Select all that apply.
a. Private toileting, oral hydration
b. Checking the tightness of the restraints
c. Therapeutic communication
d. Maintaining a patent airway
a. Private toileting, oral hydration
b. Checking the tightness of the restraints
d. Maintaining a patent airway
