Ethical & Legal
These must be considered when determining the legal duties of a nurse.
What is State Nursing Practice Act?
When determining the legal duties of a nurse, several sources of information may be consulted to ensure that the nurse's actions comply with legal and professional standards. Among these is the State Nurse Practice Act. This is specifically designed by each state to govern nursing practice within its jurisdiction.
This risk must be considered when giving prozac to a 21 year old patient.
What is risk for suicidal thoughts?
Clinical studies have shown that young people under 25 are at higher risk for these adverse effects during the initial treatment phase or when doses are changed.
This is demonstrated when a nurse acknowledges a patient's delusions by telling the patient his feelings are understandable.
What is acceptance?
This involve acknowledging the patient's experiences and feelings without necessarily agreeing with their perceptions or delusions. This is a vital aspect of therapeutic communication which aims to create a safe and non-judgmental environment for the patient.
A survivor of rape presents to your unit and is crying, pacing, and cursing at her attacker. Name this type of behavioral defense.
What is an expressed response pattern?
Feelings are visibly expressed through crying, tension, sobbing, smiling, or restlessness.
This medication would be given for GAD generalized anxiety disorder.
What is buspirone (Buspar)
Buspar is not a benzo and does not have dependency concerns.
This is the best response when a patient is concerned that information given to the nurse remains confidential.
What is the importance of sharing with the team, depending on the nature of the information?
Patients must know that there are limits to the information shared.
These foods should be avoided when taking an MAOI.
What are foods such as pepperoni, red wine, ripened bananas, aged cheeses?
These foods are high in tyramine and could cause a hypertensive crisis.
This statement explains trauma and stressor-related disorders as it applies to gender.
What is research shows that PTSD is more common in women than men?
A nurse questions a patient about bruises. The patient says "my husband had a bad week. He's so nice now and even bought me a necklace" Name this phase in the cycle of battering.
What is the honeymoon phase?
The batterer becomes loving, kind, and may make promises to the victim.
A nursing instructor is discussing cirrhosis of the liver. These instructions would be given to the group of nursing students.
What is:
this condition results from a rise in ammonia, leading to impaired mental functioning;
neomycin and lactulose are given to reduce ammonia;
this condition is caused by the inability to convert ammonia to urea.
The nurse threatening a patient with restraint would be considered this type of act.
What is assault?
What is the patient is not suffering from a functional impairment, indicating no mental illness?
An individual who has just experienced a high stress event such as a school shooting should be monitored for this.
What is substance use?
This maladaptive form of coping could occur in PTSD.
A patient with an eating disorder experiences nightmares, panic attacks, and insomnia and states "my father has recently moved back to the area." What may the nurse suspect?
What is a possible history of childhood abuse?
This important adverse effect could result from antipsychotics, specifically Clozaril. i
What is agranulocytosis?
A nurse who respects a patient's choice to refuse to participate in morning goals group is respecting which ethical principle?
What is autonomy?
This defense mechanism involves redirecting anger from one person to another.
What is displacement?
Displacement is a defense mechanism where a person redirects a negative emotion from its original source to a less threatening source. Patients may direct their negative emotions regarding themselves, to their healthcare providers through angry responses, etc even though the HCP did nothing wrong.
A patient who is in an abusive relationship fears for her life. One nurse asks "Why doesn't she just leave him" The nurse's colleague should respond with this response.
What is "These patients are paralyzed by a combination of threats and a sense of powerlessness"
Women often stay in abusive relationships for children, financial, or fear of retaliation.
Name two nursing diagnoses for an adult survivor of incest.
What is low-self esteem and powerlessness?
The nurse would expect this behavior with obsessive compulsive personality disorder.
What is efficient, organized, rigid behavior, unbending about rules and behavior of self and others?
False. While patients typically have the right to make decisions about their medical treatment, including the refusal of medications, there are specific circumstances where this can be overriden. For example, if a patient is deemed a danger to themselves or others, medical staff might need to administer medication against their wishes to prevent harm.
A patient is diagnosed with cancer four months after death of a spouse. This validates which branch of medicine?
What is psychoneuroimmunology?
(Studies the effects of social and psychosocial factors on the functioning of the immune system)
A nursing student asks their instructor why a rapist uses a weapon during the act of rape. This is the correct response.
What is rapists use weapons to terrorize and subdue the victim?
Rape is the expression of power and dominance by means of sexual violence.
This gender and age group experience the highest per capita rates of intimate violence.
What are women aged 25 to 34?
A patient with NCD has escalating behaviors such as screaming and flailing of the arms. The nurse should do this.
What is administer a prn anxiety medication?