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A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios
should the nurse use to demonstrate biased treatment?
1. A client is not permitted to attend the group therapy activity due to wanting to harm another peer in
the group.
2. A client is not permitted to attend the group therapy activity because they practice the Buddhist faith.
3. A client is not permitted to attend the group therapy activity due to having a family therapy session
during the same time.
4. A client is not permitted to attend the group therapy activity due to having thoughts of harming
themselves with "anything they can find." - (answer)2. A client is not permitted to attend the group
therapy activity because they practice the Buddhist faith.
Bias is when treatment of a client is verified in the form of stereotyping, prejudice, or discrimination.
Therefore, this scenario demonstrates biased treatment.
A nurse is caring for a newly admitted client who states they are concerned about their privacy and
rights while on the psychiatric unit. The nurse should explain to the client that they have which of the
following rights?
a. The right to refuse treatment
b. The right for their information to be shared with their family at any time
c. The right for their clinical notes to be shared with anyone at the facility
d. The right for providers to solely decide their treatment options - (answer)a. The right to refuse
treatment
The right to self-determination allows a client to refuse treatment, including medications. Medication
refusals for mental illness are often due to side effects of the stigma of taking such a medication.
A nurse is presenting information on mental health services over the last 50 years to a group of newly
licensed nurses. in 1946, the National Mental Health Act was signed into law which resulted in which of
the following?
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a. The establishment of the mental health court to determines soundness or fitness to stand trial
b. The development of mental health centers throughout community settings
c. The creation of the National Institute for Mental Health
d. The coverage of mental health services for children and youth - (answer)c. The creation of the
National Institute for Mental Health
The National Mental Health Act created the National Institute of Mental Health. The need for psychiatric
services has increased over the years, specifically following World War II. The National Mental Health
Act was signed in 1946 by President Harry Truman. This called for a National Institute of Mental Health,
and the first meeting of the council took place that same year. The National Institute of Mental Health is
a federal agency that researches mental illness and was a pioneer in assisting in the transformation of
treatment and understanding of mental illnesses.
A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding?
a. "If a client threatens to harm another person, health care providers have a responsibility to inform
that person."
b. "If a client threatens to harm themselves, there is a responsibility to report that client to their family."
c. "If a client threatens to harm themselves, there is a responsibility to tell their medical provider."
d. "If a client threatens to harm another person, there is a responsibility to inform the other person's
family." - (answer)a. "If a client threatens to harm another person, health care providers have a
responsibility to inform that person."
A health care provider has a "duty to warn" when there is a threat from a client to another person to
cause harm to them.
A nurse is preparing an in-service for nursing staff on the concept of holistic nursing. Which of the
following components should the nurse include in the teaching?
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1. Holistic nursing considers the client's emotional health
2. Holistic nursing care is limited to spiritual health practices
3. Practicing holistic nursing requires certification beyond nursing licensure
4. Assessment of holistic client practices is limited to outpatient settings - (answer)1. Holistic nursing
considers the client's emotional health
Holistic nursing care considers the client's physical, emotional, social, spiritual, and intellectual health.
A nurse is discussing ethical principles with another nurse. Which of the following should the nurse
include as an examples of the principle of nonmaleficence?
a. A nurse evaluates the clint's desire for autonomy while considering the personal safety of other
clients on the unit
b. A nurse encourages the client to determine which therapeutic activity they would like to participate in
c. A nurse plans to spend equal amounts of time with each client assigned to their care
d. A nurse makes a referral to speech therapy for a client who is experiencing dysphagia - (answer)a. A
nurse evaluates the clint's desire for autonomy while considering the personal safety of other clients on
the unit
The principle of nonmaleficence involves doing no harm. By weighing the risks and benefits of the
client's desire for autonomy while considering the safety of the other clients on the unit, the nurse is
practicing nonmaleficence.
A nurse is discussing the DSM-5 TR with a newly licensed practical nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the DSM-5?
a. "I would use the DSM-5 TR to diagnose clients who have mental health disorders."
b. "The DSM-5 TR assists in planning nursing interventions for clients who have a mental health
disorder."
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c. "I would use the DSM-5 TR as a guide instructing what specific criteria or questions should be asked
for a suspected mental health diagnosis."
d. "The DSM-5 TR tells how to treat a patient who has a mental health diagnosis." - (answer)b. "The
DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder."
Nurses often use the DSM-5 TR diagnostic information to assist with planning, implementing, and
evaluating client care. This information can guide nursing interventions for specific needs.
A nurse is working in a neighborhood where the population is culturally diverse. Which of the following
actions should the nurse take to ensure the delivery of culturally competent care?
a. Reflect on their own culture
b. Read a book about the countries of the residents' ancestry
c. Talk to the residents of the neighborhood about their culture
d. Provide care that meets the resident's needs - (answer)c. Talk to the residents of the neighborhood
about their culture
Cultural competence involves gaining knowledge about another individual's culture. Speaking to the
residents of the neighborhood can assist the nurse in gaining this knowledge.
A nurse is preparing a poster presentation on the priorities of Healthy People 2030. Which of the
following priority goals should the nurse include?
a. The practice of trephination for the treatment of mental illness
b. Prevention practices related to cyber-bullying
c. Increasing institutionalization of clients who have severe mental health disorders
d. Limit screening of mental illness to those individuals who display manifestations - (answer)b.
Prevention practices related to cyber-bullying