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📋 DOCUMENT OVERVIEW 38 Qs
This document, "NR605 Week 2," covers key topics in psychiatric-mental health nursing, including legal
and ethical considerations, code of ethics for nurses, informed consent, safety plans, and confidentiality
laws. Each question includes the correct answer and rationale, offering a comprehensive review of these
concepts. Students can use this document to study, review, and understand these critical topics,
facilitating their preparation for exams and application in clinical practice.
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EXAM QUESTIONS
QUESTION 1
Legal & Ethical Considerations
CORRECT ANSWER
Provider initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
QUESTION 2
Code of Ethics for Nurses
CORRECT ANSWER
Respect for the Individual
Commitment to the Healthcare Consumer
Advocacy for the Healthcare Consumer
Responsibility and Accountability for Practice
Duties to Self and Others
Contributions to Healthcare Environments
Advancement of the Nursing Profession
Collaboration to Meet Health Needs
Promotion of the Nursing Profession
QUESTION 3
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, A client who is alert and oriented declines the PMHNP's treatment recommendation for an
antipsychotic in a non-emergent situation.
Informed consent required
Exception to informed consent
CORRECT ANSWER
Informed consent required
Rationale: The client has the capacity to consent and the situation is not emergent. The ethic of autonomy
provides for the client to refuse treatment options.
QUESTION 4
An agitated, hallucinating client with a diagnosis of schizophrenia and no designated decision-maker
threatens to shoot his neighbors. The client acts out violently towards the security guard in the
emergency department. The PMHNP orders haloperidol and lorazepam for the client.
Exception to informed consent
Informed consent required
CORRECT ANSWER
Exception to informed consent
Rationale: The client does not have the capacity to provide consent.
QUESTION 5
A very anxious client is seeking treatment for anxiety symptoms. When the PMHNP begins to explain
the treatment options, the client says she is too anxious to hear them and asks that the PMHNP select
the best option.
Exception to informed consent
Informed consent required
CORRECT ANSWER
Exception to informed consent
Rationale: Clients may choose to waive their right to informed consent.
QUESTION 6
A client with depression is unhappy about the performance of the anti-depressant that has been
prescribed and would like to discuss alternate treatment options with the PMHNP.
Informed consent required
Exception to informed consent
CORRECT ANSWER
Informed consent required
Rationale: Clients have a right to information about treatment options with associated risks and benefits.
QUESTION 7
Circumstances that increase suicide risk: Individual Risk Factors
CORRECT ANSWER
Previous suicide attempt
History of depression and other mental illnesses
Serious illness such as chronic pain
Criminal/legal problems
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