Davis advantage for psychiatric mental health
nursing chapter 5 Questions and Correct Answers |
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1. A nursing student asked the charge nurse on the psychiatric unit why
she chose
psychiatric-mental health nursing. The charge nurse replied, "Mentally ill
clients need
special care. If I were in that position, I'd want a caring nurse also." The
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charge nurse's
choice reflects which ethical framework?
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1. Kantianism
2. Christian ethics
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3. Ethical egoism
4. Utilitarianism Ans: 2. This is correct. The charge nurse is operating
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from a Christian ethics framework. A
basic principle in Christian ethics is to "do unto others as you would have
them do
unto you."
2. Which response by a nursing applicant during a hiring interview
indicates that the
applicant operates from an ethical egoism framework?
1. "I would want to be treated in a caring manner if I were mentally ill."
2. "This job will pay the bills, and the workload is light enough for me."
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3. "I will be happy caring for the mentally ill. Lifting clients hurts my
back."
4. "It is my duty in life to be a psychiatric-mental health nurse because
it's the right
thing to do." Ans: 2. This is correct. An ethical egoism framework
promotes the idea that decisions are
based on what is good for the individual and may not take the needs of
others into
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account.
3. Without authorization, a nurse administers an extra dose of narcotic
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tranquilizer to an
agitated client. The nurse's coworker observes this action but does
nothing for fear of
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repercussion. What is the ethical interpretation of the coworker's lack of
involvement?
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1. Taking no action is still considered an action by the coworker.
2. Taking no action is releasing the coworker from ethical responsibility.
3. Taking no action is advised when potential adverse consequences are
foreseen.
4. Taking no action is acceptable, because the coworker is a bystander.
Ans: 1. This is correct. The coworker's lack of involvement can be
interpreted as an action
taken.
4. Group therapy is strongly encouraged, but not mandatory, on an
inpatient psychiatric
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unit. The unit manager's policy is that clients can make a choice about
whether to attend
group therapy. Which ethical principle does the unit manager's policy
preserve?
1. Justice
2. Autonomy
3. Veracity
4. Beneficence Ans: 2. This is correct. The unit manager's policy
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represents the ethical principle of
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autonomy, which presumes individuals are capable of making
independent decisions
for themselves. All health-care workers must respect such decisions
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5. Which is an example of an intentional tort?
1. A nurse fails to assess a client with rigid muscles and an elevated
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temperature.
2. A nurse physically places a client in restraints without the client's
consent.
3. A nurse makes a medication error and does not report the incident.
4. A nurse gives confidential client information to an unauthorized
person. Ans: 2. This is correct. A tort is a violation of civil law in which
an individual has been
wronged, and this can be intentional or unintentional. By physically
touching the
client while applying restraints without consent, the nurse committed an
intentional