Galen NSG 3450 Mental Health
Exam Newest Exam Preparation
Newest With Complete Questions,
Exams of Nursing
Consider personal values of others involved in the ethical dilemma. Model for
making ethical decisions Problem Identification - ANSWER//the conflict
between two or more alternative actions Model for making ethical decisions
Plan - ANSWER//a. Explore the benefits and consequences of each
alternative. b. Consider principles of ethical theories c. Selective an alternative
Model for making ethical decisions Implementation - ANSWER//Act on the
decision made and communicate the decision to others Model for making
ethical decisions Evaluation - ANSWER//Evaluate outcomes Ethical issues -
ANSWER//patients have the right to refuse medication, the right to the least
restrictive treatment alternative, provide freedom as much as possible,
patients have these rights unless dangerous to themselves or others Legal
considerations - ANSWER//Nurse Practice Act defines the legal parameters of
the professional and practical nursing. Types of Law: - ANSWER//Statutory
Law and Common Law Statutory law - ANSWER//enacted by state Common
law - ANSWER//decisions from previous cases Civil Law - ANSWER//Protects
the private and property rights of the individuals and businesses Torts -
ANSWER//a violation of civil law in which an individual has been wronged.
Contracts - ANSWER//in a contract action, one party asserts that the other
party, in failing to fulfill an obligation, has breached the contract, and either
compensation or performance of the obligation is sought as remedy. Criminal
law - ANSWER//provides protection from conduct deemed injurious to the
public welfare Confidentiality and Rights to Privacy - ANSWER//HIPPA,
Doctrine of privileged communication, exception: a duty to warn Informed
Consent - ANSWER//preservation and protection of individual autonomy in
determining what will and will not happen to the person's body. False
imprisonment - ANSWER//without an order Involuntary admissions -
Emergency commitments - ANSWER//when individual manifests behavior that
is clearly and imminently dangerous to self or others Involuntary admissions -
The Mentally Ill person in Need of Treatment - ANSWER//those unable to
make informed decisions concerning treatment, likely to cause harm to self or
others, unable to fulfill basic personal needs necessary for health and safety
Involuntary outpatient commitment- - ANSWER//court-ordered mechanism
used to compel a person with mental illness to submit to treatment on an
outpatient basis. Gravely disabled client - ANSWER//a condition in which an
individual, as a result of mental illness is in danger of serious physical harm
resulting from inability to provide basic needs such as food, clothing, shelter,
medical care, and personal safety. Nursing Liability - Negligence -
ANSWER//failure to exercise the standard of care that a reasonably prudent
person would have exercised in a similar situation; any conduct that falls
below the legal standard established to protect others against unreasonable
risk of harm, except for conduct that is intentionally, wantonly, or willfully
,disregardful of others' rights. Breach of confidentiality lawsuit -
ANSWER//revealing aspects about a client's case, or even letting it be known
that the person has been hospitalized. Defamation of character lawsuit -
ANSWER//Libel-written, Slander-spoken Nursing Liability - Invasion of privacy
- ANSWER//client is searched without probable cause Nursing Liability -
Assault - ANSWER//fear or apprehension that person will be touched without
consent. Battery- unconsented touching of another person. Nursing Liability -
Battery - ANSWER//un-consented touching of another person. How to avoid
liability - ANSWER//respond to the client, educate, comply with standards of
care, adhere to the nursing process, document carefully, follow up as required,
develop and maintain a good interpersonal relationship with client and family
Therapeutic relationship - ANSWER//an interaction between 2 people (usually
a caregiver and a care receiver) in which input from both participants
contributes to a climate of healing, growth promotion, and illness prevention.
Peplau identified 6 sub roles within the role of the nurse - ANSWER//The
stranger, the resource person, the teacher, the leader, the surrogate, the
counselor Peplau's stranger sub role within the role of nursing - ANSWER//in
the beginning, nurse and client are strangers to each other: accept the client
as they are and treat the client as emotionally able and relate on this basis
until evidence shows other wise Peplau's resource person sub role within the
role of nursing - ANSWER//the nurse provides information related to the
client's healthcare. Has changed some b/c internet Peplau's teacher sub role
within the role of nursing - ANSWER//the nurse identifies learning needs and
provides information required by the client or family to improve the health
situation Peplau's leader sub role within the role of nursing -
ANSWER//democratic leadership allows the client to be an active participant
in planning his or her care Peplau's surrogate sub role within the role of
nursing - ANSWER//for the client, the nurse fulfills basic needs, which is
associated with mothering, the nurse-client relationship progresses along a
continuum. Each nurse has the responsibility for exercising her professional
skill in aiding the relationship to move forward on the continuum, so that
person to person relations compatible with chronological age levels can
develop" Peplau's counselor sub role within the role of nursing -
ANSWER//the nurse uses "interpersonal techniques" to help clients learn to
adapt to difficulties or changes in life experiences Peplau believed that the
emphasis in psychiatric nursing should be on what sub role? - ANSWER//The
counseling sub role Peplau and Sullivan, both interpersonal therapists,
emphasized the importance of what in the provision of emotional care? -
ANSWER//relationship development Therapeutic nurse - ANSWER//client
relationships only occur when both view the other as an unique human being,
both participants have needs met by the relationship, these relationships are
goal-oriented and directed at learning and growth promotion. Therapeutic use
of self - ANSWER//ability to use one's personality consciously and in full
awareness in an attempt to establish relatedness and to structure nursing
interventions. Nurses must have self-awareness, self-understanding, and a
philosophical belief about life, death, and the overall human condition. Beliefs
- ANSWER//ideas that one holds true. Beliefs may be - ANSWER//Rational,
Irrational, Faith, stereotype Rational beliefs - ANSWER//Objective evidence
exists to substantiate it truth Irrational beliefs - ANSWER//held true despite
existence of objective contradictory evidence. Delusions Faith beliefs -
, ANSWER//"blind belief", ideal that an individual holds as true for which no
objective evidence exists Steroetype beliefs - ANSWER//socially shared belief
that describes a concept in an oversimplified or undifferentiated matter
Attitudes - ANSWER//frame of reference around which an individual organizes
knowledge about his or her world, they have an emotional component
Attitudes may be - ANSWER//judgmental, selective, biased, and maybe
positive or negative. Values - ANSWER//standards, positive or negative, that
represent an individual's ideal conduct and ideal goals Examples of values -
ANSWER//security, happiness, freedom, equality, fame, power Values differ
from beliefs in that they are - ANSWER//action oriented or action producing.
Attitudes and beliefs become values only when - ANSWER//they have been
acted on Attitudes and belief's flow out of - ANSWER//one's set of values
Rapport - ANSWER//to create a sense of harmony based on knowledge and
appreciation of each individual's uniqueness. Trust - ANSWER//To feel
confident in the person's presence, reliability, integrity, veracity, and sincere
desire to provide assistance when requested. Respect - ANSWER//to show
unconditional positive regard Genuineness - ANSWER//the ability to be open,
honest, and real. There is congruence between what is felt and what is being
expressed Empathy - ANSWER//the ability to see beyond outward behavior
and to understand the situation from the client's point of view. Phases of a
Therapeutic Nurse-Client Relationship - ANSWER//Preinteraction Phase,
Orientation (Introductory) Phase, Working Phase Preinteraction Phase of
Therapeutic Nurse-Client Relationship - ANSWER//Obtain information about
the client from the chart, significant others or other health team members.
Examine one's own feelings, fears, and anxieties about working with a
particular client. Orientation Phase of Therapeutic Nurse-Client Relationship -
ANSWER//Creating an environment for establishment of trust and rapport.
Establishing a contract for intervention. Gather assessment data. Identify
client's strengths and weaknesses. Formulate nursing diagnosis. Set mutually
agreeable goals. Develop a realistic plan of action. Explore feelings of both
client and nurse. Working Phase of Therapeutic Nurse-Client Relationship -
ANSWER//Maintain trust and rapport. Promoting the client's insight and
perception of reality. Use problem solving model to work toward achievement
of established goals. Overcome resistant behaviors; Continuously evaluate
progress toward goal attainment. Boundaries to the Therapeutic Nurse-Client
Relationship - ANSWER//Material (physical property), Social (established w/in
a culture and define how one is to act in social situations, Personal (invade
physical space and emotional boundaries), Professional (self-disclosure, gift
giving, touch) Warning signs of a bad Therapeutic Nurse-Client Relationship -
ANSWER//favoring one client's care over another's, keeping secrets with
clients, changing dress style for working with a particular client, swapping
client assignments, giving special attention, spending free time with a client,
frequently thinking about the client when away from work, sharing personal
info, Communication - ANSWER//an interactive process of transmitting
information between two or more entities 4 kinds of distance -
ANSWER//Intimate, Personal, Social, Public Nonverbal communication
components - ANSWER//Physical appearance, body movement and posture,
touch, facial expressions, eye behavior, vocal cues or paralanguage
paralanguage - ANSWER//consists of pitch, tone, loudness Therapeutic
Communication techniques - silence - ANSWER//allows client to take control
Exam Newest Exam Preparation
Newest With Complete Questions,
Exams of Nursing
Consider personal values of others involved in the ethical dilemma. Model for
making ethical decisions Problem Identification - ANSWER//the conflict
between two or more alternative actions Model for making ethical decisions
Plan - ANSWER//a. Explore the benefits and consequences of each
alternative. b. Consider principles of ethical theories c. Selective an alternative
Model for making ethical decisions Implementation - ANSWER//Act on the
decision made and communicate the decision to others Model for making
ethical decisions Evaluation - ANSWER//Evaluate outcomes Ethical issues -
ANSWER//patients have the right to refuse medication, the right to the least
restrictive treatment alternative, provide freedom as much as possible,
patients have these rights unless dangerous to themselves or others Legal
considerations - ANSWER//Nurse Practice Act defines the legal parameters of
the professional and practical nursing. Types of Law: - ANSWER//Statutory
Law and Common Law Statutory law - ANSWER//enacted by state Common
law - ANSWER//decisions from previous cases Civil Law - ANSWER//Protects
the private and property rights of the individuals and businesses Torts -
ANSWER//a violation of civil law in which an individual has been wronged.
Contracts - ANSWER//in a contract action, one party asserts that the other
party, in failing to fulfill an obligation, has breached the contract, and either
compensation or performance of the obligation is sought as remedy. Criminal
law - ANSWER//provides protection from conduct deemed injurious to the
public welfare Confidentiality and Rights to Privacy - ANSWER//HIPPA,
Doctrine of privileged communication, exception: a duty to warn Informed
Consent - ANSWER//preservation and protection of individual autonomy in
determining what will and will not happen to the person's body. False
imprisonment - ANSWER//without an order Involuntary admissions -
Emergency commitments - ANSWER//when individual manifests behavior that
is clearly and imminently dangerous to self or others Involuntary admissions -
The Mentally Ill person in Need of Treatment - ANSWER//those unable to
make informed decisions concerning treatment, likely to cause harm to self or
others, unable to fulfill basic personal needs necessary for health and safety
Involuntary outpatient commitment- - ANSWER//court-ordered mechanism
used to compel a person with mental illness to submit to treatment on an
outpatient basis. Gravely disabled client - ANSWER//a condition in which an
individual, as a result of mental illness is in danger of serious physical harm
resulting from inability to provide basic needs such as food, clothing, shelter,
medical care, and personal safety. Nursing Liability - Negligence -
ANSWER//failure to exercise the standard of care that a reasonably prudent
person would have exercised in a similar situation; any conduct that falls
below the legal standard established to protect others against unreasonable
risk of harm, except for conduct that is intentionally, wantonly, or willfully
,disregardful of others' rights. Breach of confidentiality lawsuit -
ANSWER//revealing aspects about a client's case, or even letting it be known
that the person has been hospitalized. Defamation of character lawsuit -
ANSWER//Libel-written, Slander-spoken Nursing Liability - Invasion of privacy
- ANSWER//client is searched without probable cause Nursing Liability -
Assault - ANSWER//fear or apprehension that person will be touched without
consent. Battery- unconsented touching of another person. Nursing Liability -
Battery - ANSWER//un-consented touching of another person. How to avoid
liability - ANSWER//respond to the client, educate, comply with standards of
care, adhere to the nursing process, document carefully, follow up as required,
develop and maintain a good interpersonal relationship with client and family
Therapeutic relationship - ANSWER//an interaction between 2 people (usually
a caregiver and a care receiver) in which input from both participants
contributes to a climate of healing, growth promotion, and illness prevention.
Peplau identified 6 sub roles within the role of the nurse - ANSWER//The
stranger, the resource person, the teacher, the leader, the surrogate, the
counselor Peplau's stranger sub role within the role of nursing - ANSWER//in
the beginning, nurse and client are strangers to each other: accept the client
as they are and treat the client as emotionally able and relate on this basis
until evidence shows other wise Peplau's resource person sub role within the
role of nursing - ANSWER//the nurse provides information related to the
client's healthcare. Has changed some b/c internet Peplau's teacher sub role
within the role of nursing - ANSWER//the nurse identifies learning needs and
provides information required by the client or family to improve the health
situation Peplau's leader sub role within the role of nursing -
ANSWER//democratic leadership allows the client to be an active participant
in planning his or her care Peplau's surrogate sub role within the role of
nursing - ANSWER//for the client, the nurse fulfills basic needs, which is
associated with mothering, the nurse-client relationship progresses along a
continuum. Each nurse has the responsibility for exercising her professional
skill in aiding the relationship to move forward on the continuum, so that
person to person relations compatible with chronological age levels can
develop" Peplau's counselor sub role within the role of nursing -
ANSWER//the nurse uses "interpersonal techniques" to help clients learn to
adapt to difficulties or changes in life experiences Peplau believed that the
emphasis in psychiatric nursing should be on what sub role? - ANSWER//The
counseling sub role Peplau and Sullivan, both interpersonal therapists,
emphasized the importance of what in the provision of emotional care? -
ANSWER//relationship development Therapeutic nurse - ANSWER//client
relationships only occur when both view the other as an unique human being,
both participants have needs met by the relationship, these relationships are
goal-oriented and directed at learning and growth promotion. Therapeutic use
of self - ANSWER//ability to use one's personality consciously and in full
awareness in an attempt to establish relatedness and to structure nursing
interventions. Nurses must have self-awareness, self-understanding, and a
philosophical belief about life, death, and the overall human condition. Beliefs
- ANSWER//ideas that one holds true. Beliefs may be - ANSWER//Rational,
Irrational, Faith, stereotype Rational beliefs - ANSWER//Objective evidence
exists to substantiate it truth Irrational beliefs - ANSWER//held true despite
existence of objective contradictory evidence. Delusions Faith beliefs -
, ANSWER//"blind belief", ideal that an individual holds as true for which no
objective evidence exists Steroetype beliefs - ANSWER//socially shared belief
that describes a concept in an oversimplified or undifferentiated matter
Attitudes - ANSWER//frame of reference around which an individual organizes
knowledge about his or her world, they have an emotional component
Attitudes may be - ANSWER//judgmental, selective, biased, and maybe
positive or negative. Values - ANSWER//standards, positive or negative, that
represent an individual's ideal conduct and ideal goals Examples of values -
ANSWER//security, happiness, freedom, equality, fame, power Values differ
from beliefs in that they are - ANSWER//action oriented or action producing.
Attitudes and beliefs become values only when - ANSWER//they have been
acted on Attitudes and belief's flow out of - ANSWER//one's set of values
Rapport - ANSWER//to create a sense of harmony based on knowledge and
appreciation of each individual's uniqueness. Trust - ANSWER//To feel
confident in the person's presence, reliability, integrity, veracity, and sincere
desire to provide assistance when requested. Respect - ANSWER//to show
unconditional positive regard Genuineness - ANSWER//the ability to be open,
honest, and real. There is congruence between what is felt and what is being
expressed Empathy - ANSWER//the ability to see beyond outward behavior
and to understand the situation from the client's point of view. Phases of a
Therapeutic Nurse-Client Relationship - ANSWER//Preinteraction Phase,
Orientation (Introductory) Phase, Working Phase Preinteraction Phase of
Therapeutic Nurse-Client Relationship - ANSWER//Obtain information about
the client from the chart, significant others or other health team members.
Examine one's own feelings, fears, and anxieties about working with a
particular client. Orientation Phase of Therapeutic Nurse-Client Relationship -
ANSWER//Creating an environment for establishment of trust and rapport.
Establishing a contract for intervention. Gather assessment data. Identify
client's strengths and weaknesses. Formulate nursing diagnosis. Set mutually
agreeable goals. Develop a realistic plan of action. Explore feelings of both
client and nurse. Working Phase of Therapeutic Nurse-Client Relationship -
ANSWER//Maintain trust and rapport. Promoting the client's insight and
perception of reality. Use problem solving model to work toward achievement
of established goals. Overcome resistant behaviors; Continuously evaluate
progress toward goal attainment. Boundaries to the Therapeutic Nurse-Client
Relationship - ANSWER//Material (physical property), Social (established w/in
a culture and define how one is to act in social situations, Personal (invade
physical space and emotional boundaries), Professional (self-disclosure, gift
giving, touch) Warning signs of a bad Therapeutic Nurse-Client Relationship -
ANSWER//favoring one client's care over another's, keeping secrets with
clients, changing dress style for working with a particular client, swapping
client assignments, giving special attention, spending free time with a client,
frequently thinking about the client when away from work, sharing personal
info, Communication - ANSWER//an interactive process of transmitting
information between two or more entities 4 kinds of distance -
ANSWER//Intimate, Personal, Social, Public Nonverbal communication
components - ANSWER//Physical appearance, body movement and posture,
touch, facial expressions, eye behavior, vocal cues or paralanguage
paralanguage - ANSWER//consists of pitch, tone, loudness Therapeutic
Communication techniques - silence - ANSWER//allows client to take control
