nurs 451 test 1 Questions And
Answers
neutrality, checking perceptions, questioning (open-ended), structuring, pinpointing, linking,
giving feedback, confronting, summarizing, processing
suicide - correct answer not a psychiatric disorder, but rather, it is the manifestation of inner
pain, hopelessness, and helplessness suffered by persons experiencing suicidal ideation
suicidal ideation - correct answer when an individual's suffering led them to have thoughts
leading to an attempt
comorbidity - correct answer psychiatric disorders accompany 90% of completed suicides
where does suicide occur more frequently among - correct answer major depression, bipolar
disorder, schizophrenia, and alcohol and substance abuse disorders
warning signs of suicide - correct answer ideation, substance abuse, purposelessness, anxiety,
trapped, hopelessness, withdrawn, anger, recklessness, mood changes
protective factors of suicide - correct answer sense of responsibility to family, pregnancy,
religious beliefs, satisfaction with life, positive social support, access to health care, effective
coping skills, effective problem solving skills, intact reality testing
assessment of suicide - correct answer observe and listen, ask specifically about thoughts of SI,
ask about a plan, assess the lethality, assess the accessibility, assess the patient's intent,
contract for safety
,how often do we assess suicidal ideation - correct answer every 8 hours and as needed
overt statements - correct answer " I can't take this anymore", "life isn't worth living anymore",
"I wish I were dead"
covert statements - correct answer "it's okay, now. Soon everything will be fine", "things will
never work out", "I won't be a problem much longer"
Contract for safety - correct answer is when the patient gives their word that they will contact
the nurse or other health care provider if the thoughts of hurting themselves become stronger
safe environment - correct answer plastic utensils, no private room (door open at all times),
jump proof/hang proof doors and break away shower rods, electrical cords at a minimum, all
doors locked, take potentially harmful gifts, no belts, shoelaces, metal nail files, tweezers,
razors, toiletries, all items brought by visitors must be searched
possible reactions by a nurse when assessing SI - correct answer anxiety, irritation, avoidance,
denial
resources for guidelines in ethical dilemmas - correct answer nurse practice acts, hospital and
organizational policies, patient bill of rights, code of ethics for nurses with interpretive
statements of the American nurses association, standards of care from the scope and standards
of psychiatric mental health nursing practice
beneficence - correct answer nurses duty to promote good
autonomy - correct answer person's right to self-determination with freedom over oneself and
one's affairs
justice - correct answer treating others fairly and equally
, fidelity - correct answer being dedicated to patients and faithful in performance of duty
nonmaleficence - correct answer an obligation to do no wrong
veracity - correct answer one's duty to be truthful, transparent and forthcoming
paternalism - correct answer do good in patients' or society's best interest when patient
incapable of making decisions
criminal laws - correct answer enforced to protect public from undesirable or dangerous
conduct
civil laws - correct answer protect and regulate individual and property rights; those wronged
may attempt to enforce their rights by filing on action in court for money damages
unintentional tort - correct answer negligence and malpractice
intentional tort - correct answer assault, battery, and false imprisonment
potential sources of liability - correct answer failure to assess risk of suicide, failure to properly
monitor, failure to communicate, document observations, failure to detect drug toxicity, failure
to protect patient from other patients, failure to provide safe environment
patient safety - correct answer duty of nurses to prevent patient harm
boundaries - correct answer failure to maintain boundaries jeopardizes patients' recovery,
nurses' integrity
Answers
neutrality, checking perceptions, questioning (open-ended), structuring, pinpointing, linking,
giving feedback, confronting, summarizing, processing
suicide - correct answer not a psychiatric disorder, but rather, it is the manifestation of inner
pain, hopelessness, and helplessness suffered by persons experiencing suicidal ideation
suicidal ideation - correct answer when an individual's suffering led them to have thoughts
leading to an attempt
comorbidity - correct answer psychiatric disorders accompany 90% of completed suicides
where does suicide occur more frequently among - correct answer major depression, bipolar
disorder, schizophrenia, and alcohol and substance abuse disorders
warning signs of suicide - correct answer ideation, substance abuse, purposelessness, anxiety,
trapped, hopelessness, withdrawn, anger, recklessness, mood changes
protective factors of suicide - correct answer sense of responsibility to family, pregnancy,
religious beliefs, satisfaction with life, positive social support, access to health care, effective
coping skills, effective problem solving skills, intact reality testing
assessment of suicide - correct answer observe and listen, ask specifically about thoughts of SI,
ask about a plan, assess the lethality, assess the accessibility, assess the patient's intent,
contract for safety
,how often do we assess suicidal ideation - correct answer every 8 hours and as needed
overt statements - correct answer " I can't take this anymore", "life isn't worth living anymore",
"I wish I were dead"
covert statements - correct answer "it's okay, now. Soon everything will be fine", "things will
never work out", "I won't be a problem much longer"
Contract for safety - correct answer is when the patient gives their word that they will contact
the nurse or other health care provider if the thoughts of hurting themselves become stronger
safe environment - correct answer plastic utensils, no private room (door open at all times),
jump proof/hang proof doors and break away shower rods, electrical cords at a minimum, all
doors locked, take potentially harmful gifts, no belts, shoelaces, metal nail files, tweezers,
razors, toiletries, all items brought by visitors must be searched
possible reactions by a nurse when assessing SI - correct answer anxiety, irritation, avoidance,
denial
resources for guidelines in ethical dilemmas - correct answer nurse practice acts, hospital and
organizational policies, patient bill of rights, code of ethics for nurses with interpretive
statements of the American nurses association, standards of care from the scope and standards
of psychiatric mental health nursing practice
beneficence - correct answer nurses duty to promote good
autonomy - correct answer person's right to self-determination with freedom over oneself and
one's affairs
justice - correct answer treating others fairly and equally
, fidelity - correct answer being dedicated to patients and faithful in performance of duty
nonmaleficence - correct answer an obligation to do no wrong
veracity - correct answer one's duty to be truthful, transparent and forthcoming
paternalism - correct answer do good in patients' or society's best interest when patient
incapable of making decisions
criminal laws - correct answer enforced to protect public from undesirable or dangerous
conduct
civil laws - correct answer protect and regulate individual and property rights; those wronged
may attempt to enforce their rights by filing on action in court for money damages
unintentional tort - correct answer negligence and malpractice
intentional tort - correct answer assault, battery, and false imprisonment
potential sources of liability - correct answer failure to assess risk of suicide, failure to properly
monitor, failure to communicate, document observations, failure to detect drug toxicity, failure
to protect patient from other patients, failure to provide safe environment
patient safety - correct answer duty of nurses to prevent patient harm
boundaries - correct answer failure to maintain boundaries jeopardizes patients' recovery,
nurses' integrity
