Nurse 1210 Exam 1
Autonomy - answer Respecting the rights of others to make their own decisions
Beneficence - answer the duty to promote good
No maleficence - answer Doing no harm to patient
justice - answer Distribute resources or care equally
fidelity - answer Maintaining loyalty and commitment; doing no wrong to a patient
veracity - answer One’s duty to always communicate truthfully
Voluntary admission - answer sought by patient or guardian
involuntary commitment - answer without patient's consent
-Mentally ill
-Danger to self or others
-Gravely disabled
I-n need of treatment & illness prevents voluntary help seeking
how long is involuntary commitment for? - answer24-96 hour
Which individual may need involuntary hospitalization?
A.A person with alcoholism who has been sober for 6 months but begins drinking again
B.An individual with schizophrenia who stops taking prescribed antipsychotic drugs
C.An individual with bipolar disorder, manic phase, who has not eaten in 4 days
D.Someone who repeatedly phones a national TV broadcasting service with news tips -
answerC
JS continues to argue with staff. He is not aggressive, but refuses all treatment. Legal
and clients' rights are suspended when a client is hospitalized involuntarily.
A.True
B.False
C.Depends on the state
D.Depends on the physician assessment - answerB
chemical restraints - answermedications or doses of medication that are not being used
for the patient's condition. Chemical interventions are usually less restrictive than
physical or mechanical interventions
, Nurses should consider the following before using seclusion and restraint - answer•
Verbally intervening (e.g., asking the patient for cooperation)
• Reducing stimulation
• Actively listening
• Providing diversion
• Offering as needed (PRN) medications
Confidentiality - answeran ethical responsibility of healthcare professionals that prohibits
the disclosure of privileged information without the patient's consent
Duty to warn and protect third parties: usually includes the following - answer•
Assessing and predicting the patient's danger of violence toward another
• Identifying the specific persons being threatened
• Taking appropriate action to protect the identified victims
tort - answer•any wrongful act, intentional or accidental, that results in an injury to
another
intentional tort - answer•willful or intentional acts that violate another person's rights or
property
•Assault
•Battery
•False imprisonment
•Invasion of privacy
•Defamation of character (slander or libel)
unintentional tort - answer•unintended acts against another that produce injury or harm
•Negligence
Malpractice
Five Elements to Prove Negligence - answer•Duty
•Breach of duty
•Cause in fact
•Proximate cause
•Damages
tactics to avoid - answer•Arguing, minimizing, or challenging the patient
•Giving false reassurance
•Interpreting or speculating
•Probing into sensitive areas the patient doesn't want to discuss
•Trying to "sell" the patient on accepting treatment
•Joining in attacks patients launch on others
•Participation in criticizing other staff members
kinesic communication - answercommunicating through the movement of head, eyes,
arms, hands, legs, or torso
Autonomy - answer Respecting the rights of others to make their own decisions
Beneficence - answer the duty to promote good
No maleficence - answer Doing no harm to patient
justice - answer Distribute resources or care equally
fidelity - answer Maintaining loyalty and commitment; doing no wrong to a patient
veracity - answer One’s duty to always communicate truthfully
Voluntary admission - answer sought by patient or guardian
involuntary commitment - answer without patient's consent
-Mentally ill
-Danger to self or others
-Gravely disabled
I-n need of treatment & illness prevents voluntary help seeking
how long is involuntary commitment for? - answer24-96 hour
Which individual may need involuntary hospitalization?
A.A person with alcoholism who has been sober for 6 months but begins drinking again
B.An individual with schizophrenia who stops taking prescribed antipsychotic drugs
C.An individual with bipolar disorder, manic phase, who has not eaten in 4 days
D.Someone who repeatedly phones a national TV broadcasting service with news tips -
answerC
JS continues to argue with staff. He is not aggressive, but refuses all treatment. Legal
and clients' rights are suspended when a client is hospitalized involuntarily.
A.True
B.False
C.Depends on the state
D.Depends on the physician assessment - answerB
chemical restraints - answermedications or doses of medication that are not being used
for the patient's condition. Chemical interventions are usually less restrictive than
physical or mechanical interventions
, Nurses should consider the following before using seclusion and restraint - answer•
Verbally intervening (e.g., asking the patient for cooperation)
• Reducing stimulation
• Actively listening
• Providing diversion
• Offering as needed (PRN) medications
Confidentiality - answeran ethical responsibility of healthcare professionals that prohibits
the disclosure of privileged information without the patient's consent
Duty to warn and protect third parties: usually includes the following - answer•
Assessing and predicting the patient's danger of violence toward another
• Identifying the specific persons being threatened
• Taking appropriate action to protect the identified victims
tort - answer•any wrongful act, intentional or accidental, that results in an injury to
another
intentional tort - answer•willful or intentional acts that violate another person's rights or
property
•Assault
•Battery
•False imprisonment
•Invasion of privacy
•Defamation of character (slander or libel)
unintentional tort - answer•unintended acts against another that produce injury or harm
•Negligence
Malpractice
Five Elements to Prove Negligence - answer•Duty
•Breach of duty
•Cause in fact
•Proximate cause
•Damages
tactics to avoid - answer•Arguing, minimizing, or challenging the patient
•Giving false reassurance
•Interpreting or speculating
•Probing into sensitive areas the patient doesn't want to discuss
•Trying to "sell" the patient on accepting treatment
•Joining in attacks patients launch on others
•Participation in criticizing other staff members
kinesic communication - answercommunicating through the movement of head, eyes,
arms, hands, legs, or torso
