Legal
As a last resort, an agitated, physically aggressive patient is placed in four-point restraints. The patient yells, “I’ll sue you for assault and battery.” The unit manager determines that the nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others.
C. The client is voluntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment.
What is the client is voluntarily committed and poses a danger to others on the unit.
Correct Answer: A
As a threat to others, the client can be restrained despite objections and voluntary commitment.
1.An operating room nurse asks a psychiatric nurse, “How can you work with the mentally ill day in and day out?” The psychiatric nurse replies, “It’s just the right thing to do.” The psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism
What is Kantianism?
Correct Answer: A
Kantianism focuses on the morality of actions. Actions are judged as right or wrong based on ethical principles. The nurse’s response indicates a Kantian perspective.
Some cultures thought an individual with mental illness has been dispossessed of his or her soul and wellness could only be achieved if the soul was returned.
What are primitive thoughts?
A client hates her mother because of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation?
A. “I don’t like to talk about my relationship with my mother.”
B. “My mother hates me.”
C. “I have a very wonderful mother whom I love very much.”
D. “My mom always loved my sister more than she loved me.”
What is "I have a very wonderful mother whom I love very much."?
Correct Answer: C
Table 2–2 Ego Defense Mechanisms
The client hides her negative unacceptable feelings by the exaggerated expression of positive feelings. This is an example of the defense mechanism of reaction formation.
3.A nurse gave a patient 5 mg of haloperidol (Haldol) for agitation. The patient’s chart was clearly stamped “Allergic HALDOL.” The client suffered anaphylactic shock and died. How would the nurse’s actions be labeled?
A. Intentional tort
B. Negligence
C. Battery
D. Assault
What is Negligence
Correct Answer: B
The nursing action was an unreasonable and careless act. The nurse was negligent and could be held liable for the patient’s death.
This behavior reflects the way a person interprets basic respect for others, including autonomy, freedom, justice, honesty, and confidentiality.
What is Moral Behavior
During this age of time the association of mental illness with witchcraft and the supernatural continued to prevail in Europe.
What is during the middle ages?
A widow of 23 years has not removed any of her husband’s possessions, including the slippers beside their bed. Which pathological grief response is being exhibited by this client?
A. Prolonged grief response
B. Delayed grief response
C. Distorted grief response
D. Inhibited grief response
What is prolonged grief response?
Correct Answer: A
The prolonged grief response is characterized by intense preoccupation with memories of the lost person years after the loss has occurred.
What type of laws have been enacted by a legislative body, such as state legislature or the US congress?
What are Statutory Laws
This principle proposes that what is right is what is best for the individual making the decisions and that actions are based on what is advantageous to the decider.
What is ethical egoism
This individual is often called the father of American Psychiatry...
Who is Benjamin Rush?
This type of grief is characterized by an intense preoccupation with memories of the lost entity for many years after the loss has occurred.
What is prolonged grief?
These laws are derived from decisions that have been made in previous cases and evolve from court decisions resolving various issues.
What are common laws
The Acronym for making ethical decisions
What is APPIE
This act passed by government provided funds for the education of psychiatrists, psychologists, social workers, and psychiatric nurses.
What is the National Mental Health Act of 1946?
These are are psychiatric disturbances characterized by excessive anxiety that is expressed directly or altered through defense mechanisms.
What are neuroses?