Foundations of Psychiatric-Mental
Health Nursing 9th Edition by
Margaret Jordan Halter Chapter
1-36 Complete Questions and
Answers A+.
A patient should be considered for involuntary commitment for psychiatric
care when he or she:
a.
is noncompliant with the treatment regimen.
b.
sold sells and distributes illegal drugs.
c.
threatens to harm self and others.
d.
fraudulently files for bankruptcy.
C
A nurse at the mental health center prepares to administer a scheduled
injection of haloperidol decanoate (Haldol depot injection) to a patient with
schizophrenia. As the nurse swabs the site, the patient shouts, "Stop, stop! I
don't want to take that medicine anymore. I hate the side effects." Select the
nurse's best initial action.
a.
,Stop the medication administration procedure and say to the patient, "Tell
me more about the side effects you've been having."
b.
Say to the patient, "Since I've already drawn the medication in the syringe,
I'm required to give it, but let's talk to the doctor about skipping next
month's dose."
c.
Proceed with the injection but explain to the patient that other medications
are available that may help reduce the unpleasant side effects.
d.
Notify other staff members to report to the room for a show of force and
proceed with the injection, using restraint if necessary.
A
Several nurses are concerned that agency policies related to restraint and
seclusion practices are inadequate. Which statement about the relationship
of substandard institutional policies and individual nursing practice should
guide nursing practice?
a.
The policies do not absolve an individual nurse of the responsibility to
practice according to the professional standards of nursing care.
b.
Agency policies are the legal standard by which a professional nurse must
act and therefore override other standards of care.
c.
In an institution with substandard policies, the nurse has a responsibility to
inform the supervisor and leave the premises.
d.
Interpretation of policies by the judicial system is rendered on an individual
basis and therefore cannot be predicted.
,A
A newly admitted patient who is acutely psychotic is a private patient of the
senior psychiatrist. To whom does the psychiatric nurse who is assigned to
this patient owe the duty of care?
a.
Health care provider
b.
Profession
c.
Hospital
d.
Patient
D
An example of a breach of a patient's right to privacy occurs when a nurse:
a.
asks a family to share information about a patient's prehospitalization
behavior.
b.
discusses the patient's history with other staff members during care
planning.
c.
documents the patient's daily behaviors during hospitalization.
d.
releases information to the patient's employer without consent.
, D
An example of a breach of a patient's right to privacy occurs when a nurse:
a.
asks a family to share information about a patient's prehospitalization
behavior.
b.
discusses the patient's history with other staff members during care
planning.
c.
documents the patient's daily behaviors during hospitalization.
d.
releases information to the patient's employer without consent.
D
An adolescent hospitalized after a violent physical outburst tells the nurse,
"I'm going to kill my father, but you can't tell anyone." Select the nurse's
best response.
a.
"You're right. Federal law requires me to keep that information private."
b.
"Those kinds of thoughts will make your hospitalization longer."
c.
"You really should share this thought with your psychiatrist."
d.
"I am obligated to share information with the treatment team."
D