NUR 668 QUESTIONS AND ANSWERS
Code of Ethics for Nurses (ethical principles) - Answers -1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
Person A: "I can't believe you deal with these people every day. Schizophrenics would
drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like diabetes or
other physical illnesses. Patients who have mental illness deserve compassion and
care."
what ethical principle? - Answers -Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of those with PMH
disorders by advocating to overcome negative stigmas towards PMH diagnoses to
ensure access to care.
The client presents to the emergency department with hallucinations and is threatening
self-harm. The PMHNP signs an involuntary admission order for emergent psychiatric
care.
what ethical principle? - Answers -Commitment to the Healthcare Consumer
Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by
balancing the client's human rights with safety, including coercive measures when the
client was unable to maintain their own safety.
The PMHNP is sharing sexually explicit memes with a client that she saw earlier today
in a group session.
what ethical principle? - Answers -Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential
in the therapeutic relationship and understands that any sort of sexual activity or
intimacies with current clients, their close family members, guardians, or significant
others is unethical.
,The PMHNP has overbooked her sessions today, so she asks the RN who works in her
office to conduct one of her phone therapy sessions today.
what ethical principle? - Answers -Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of
other team members' practice in order to delegate appropriately. Conducting a
counseling session is outside of the RN's scope of practice.
The PMHNP takes time for daily meditation to improve mindfulness and ease stress.
what ethical principle? - Answers -Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and
maintaining supportive relationships to meet personal needs outside of therapeutic
relationships.
A PMHNP discovers her colleague is diverting scheduled medications to self-medicate
anxiety. The PMHNP reports the concerns to the colleagues supervisor.
what ethical principle? - Answers -Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the
workplace reporting peer observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or violate public trust, including
substance abuse.
The PMHNP gives a presentation at a national conference on best practices in
depression treatment.
what ethical principle? - Answers -Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice,
education, administration, and knowledge development.
The PMHNP is a member of the ANA and NAMI and regularly participates in
workgroups that seek to expand access to care for healthcare consumers with PMH
disorders.
what ethical principle? - Answers -Collaboration to meet health needs
Rationale: The PMHNP promotes community, national, and international efforts to meet
health needs through collaboration with other healthcare professionals to promote
prevention, treatment, and recovery.
, A PMHNP speaks at a school board meeting about the need develop policies to expand
mental health services for underserved students.
what ethical principle? - Answers -Promotion of the Nursing Profession
Rationale: The PMHNP participates in policy development and implementation that
recognizes PMH disorders as treatable and ensures that nursing care is delivered with
respect to human needs and values without prejudice.
Standards of Practice & Standards of Professional Performance for Psychiatric Mental
Health Nursing - Answers --Standard 1: Assessment
-Standard 2: Diagnosis
-Standard 3: Outcomes Identification
-Standard 4: Planning
-Standard 5: Implementation
-Standard 6: Evaluation
-Standard 7: Ethics
-Standard 8: Cultural Humility
-Standard 9: Communication
-Standard 10: Professional Collaboration
-Standard 11: Leadership
-Standard 12: Education
-Standard 13: Evidence-Based Practice and Research
-Standard 14: Quality of Practice
-Standard 15: Professional Practice Evaluation
-Standard 16: Resource Utilization
-Standard 17: Environmental Health
characteristics of focused assessment - Answers --Addresses focused concerns or
symptoms
-Used for established clients during routine or urgent care visits
-Health history & physical exams are focused on the problem
-Includes:
• brief history of the present illness
• only the system r/t the problem in the ROS
characteristics of comprehensive assessment - Answers --Used for new clients
-Provides personalized info about the client
-Strengthens the clinician-client relationship
-Provides a baseline for future assessments
-Provides an opportunity for health promotion, education, and counseling
-Includes:
• extended HPI
• at least two areas of PMH, family hx, & social hx
• at least 10 systems in the ROS
Code of Ethics for Nurses (ethical principles) - Answers -1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
Person A: "I can't believe you deal with these people every day. Schizophrenics would
drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like diabetes or
other physical illnesses. Patients who have mental illness deserve compassion and
care."
what ethical principle? - Answers -Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of those with PMH
disorders by advocating to overcome negative stigmas towards PMH diagnoses to
ensure access to care.
The client presents to the emergency department with hallucinations and is threatening
self-harm. The PMHNP signs an involuntary admission order for emergent psychiatric
care.
what ethical principle? - Answers -Commitment to the Healthcare Consumer
Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by
balancing the client's human rights with safety, including coercive measures when the
client was unable to maintain their own safety.
The PMHNP is sharing sexually explicit memes with a client that she saw earlier today
in a group session.
what ethical principle? - Answers -Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential
in the therapeutic relationship and understands that any sort of sexual activity or
intimacies with current clients, their close family members, guardians, or significant
others is unethical.
,The PMHNP has overbooked her sessions today, so she asks the RN who works in her
office to conduct one of her phone therapy sessions today.
what ethical principle? - Answers -Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of
other team members' practice in order to delegate appropriately. Conducting a
counseling session is outside of the RN's scope of practice.
The PMHNP takes time for daily meditation to improve mindfulness and ease stress.
what ethical principle? - Answers -Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and
maintaining supportive relationships to meet personal needs outside of therapeutic
relationships.
A PMHNP discovers her colleague is diverting scheduled medications to self-medicate
anxiety. The PMHNP reports the concerns to the colleagues supervisor.
what ethical principle? - Answers -Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the
workplace reporting peer observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or violate public trust, including
substance abuse.
The PMHNP gives a presentation at a national conference on best practices in
depression treatment.
what ethical principle? - Answers -Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice,
education, administration, and knowledge development.
The PMHNP is a member of the ANA and NAMI and regularly participates in
workgroups that seek to expand access to care for healthcare consumers with PMH
disorders.
what ethical principle? - Answers -Collaboration to meet health needs
Rationale: The PMHNP promotes community, national, and international efforts to meet
health needs through collaboration with other healthcare professionals to promote
prevention, treatment, and recovery.
, A PMHNP speaks at a school board meeting about the need develop policies to expand
mental health services for underserved students.
what ethical principle? - Answers -Promotion of the Nursing Profession
Rationale: The PMHNP participates in policy development and implementation that
recognizes PMH disorders as treatable and ensures that nursing care is delivered with
respect to human needs and values without prejudice.
Standards of Practice & Standards of Professional Performance for Psychiatric Mental
Health Nursing - Answers --Standard 1: Assessment
-Standard 2: Diagnosis
-Standard 3: Outcomes Identification
-Standard 4: Planning
-Standard 5: Implementation
-Standard 6: Evaluation
-Standard 7: Ethics
-Standard 8: Cultural Humility
-Standard 9: Communication
-Standard 10: Professional Collaboration
-Standard 11: Leadership
-Standard 12: Education
-Standard 13: Evidence-Based Practice and Research
-Standard 14: Quality of Practice
-Standard 15: Professional Practice Evaluation
-Standard 16: Resource Utilization
-Standard 17: Environmental Health
characteristics of focused assessment - Answers --Addresses focused concerns or
symptoms
-Used for established clients during routine or urgent care visits
-Health history & physical exams are focused on the problem
-Includes:
• brief history of the present illness
• only the system r/t the problem in the ROS
characteristics of comprehensive assessment - Answers --Used for new clients
-Provides personalized info about the client
-Strengthens the clinician-client relationship
-Provides a baseline for future assessments
-Provides an opportunity for health promotion, education, and counseling
-Includes:
• extended HPI
• at least two areas of PMH, family hx, & social hx
• at least 10 systems in the ROS
