Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 09: Legal and Ethical Aspects in Clinical Practice
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Tell me about any delusions you are experiencing.” |
| b. | “I understand you have had some difficulty today.” |
| c. | “Tell me why you need to threaten or hurt others around you.” |
| d. | “Threatening to hurt others will require that you be committed to the hospital.” |
ANS: B
The advocacy role of nurses to help patients to obtain, maintain, and fully make use of mental health benefits is critical. Assessment for commitment requires data collection from the patient. This statement is the most neutral of the options given and the most open ended; therefore it will be most likely to elicit a response. It is an unfounded assumption that the patient is delusional. “Why” questions will usually elicit rationalizations from the patient. Making a statement about the resulting hospitalization is not information gathering.
DIF: Cognitive Level: Application REF: Page 169
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychological Integrity
| a. | “How did this situation get so out of control?” |
| b. | “You all know that restraints are used only as a last resort.” |
| c. | “Can anyone tell me why restraints were used on this patient?” |
| d. | “Let’s review what exactly happened that led to the use of restrains.” |
ANS: D
To facilitate an open, honest review of the incident that will permit learning to take place, the charge nurse must not place the staff on the defensive. Reviewing the events leading up to the patient being restrained in a nonaccusatory manner shows an understanding of proper restraint use. The other options imply the nurse manager does not believe the situation was handled in an appropriate way.
DIF: Cognitive Level: Application REF: Page 173
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychological Integrity
| a. | Allows healthcare providers to manage the patient’s mental health care |
| b. | Decreases the possibility that the patient will be committed involuntarily |
| c. | Directly impacts the type of care the patient will receive as the disease progresses |
| d. | Assures that the patient will retain continued autonomy and independence of living |
ANS: B
The implementation of psychiatric advance directives significantly decreases involuntary commitments. Healthcare management and treatments are not affected by psychiatric advanced directives. The patient’s continued autonomy and independence is more related to the condition not the directives.
DIF: Cognitive Level: Application REF: Page 170
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychological Integrity
| a. | Sharing the threats he has made with his wife |
| b. | Requiring mandatory day hospital attendance |
| c. | Advising the patient that he needs continued outpatient services |
| d. | Informing the patient of the consequences of harming his wife |
ANS: A
The Tarasoff ruling established the necessity for a mental health professional treating a patient who threatens to harm another individual to warn the person against whom the threat is made. The remaining options are not directly related to affecting his wife’s safety.
DIF: Cognitive Level: Application REF: Page 172 TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychological Integrity
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