Question 1

A patient constantly disrupts activities on an inpatient unit. Which action would place the nurse at risk of being quality of assault?

Accepted Answer

A)  Threatening to rescind the patient's weekend pass 
B)  Placing the patient in seclusion 
C)  Refusing to medicate the patient as prescribed 
D)  Pushing the patient out of the day room 
A)  Threatening to rescind the patient's weekend pass 
B)  Placing the patient in seclusion 
C)  Refusing to medicate the patient as prescribed 
D)  Pushing the patient out of the day room

Question 2

A patient shouts, "I'm holding you responsible for mistreatment based on Rogers v. Orkin." The nurse should review past care related to what focus?

Accepted Answer

A)  Loss of privileges 
B)  Inability to make phone calls 
C)  Medication administration 
D)  Involuntary hospitalization 
A)  Loss of privileges 
B)  Inability to make phone calls 
C)  Medication administration 
D)  Involuntary hospitalization

Question 3

A cognitively impaired psychiatric patient has been a court appointed guardian. What the nurse is appropriate in seeking the opinion of the guardian regarding what matter?

Accepted Answer

A)  The patient's need for a winter coat 
B)  Accompanying the patient on an outing off of facility grounds 
C)  Addressing the patient's financial issues 
D)  TA change in needed treatment 
A)  The patient's need for a winter coat 
B)  Accompanying the patient on an outing off of facility grounds 
C)  Addressing the patient's financial issues 
D)  TA change in needed treatment

Question 4

Which nurse is at risk of being guilty of committing a legal tort?

Accepted Answer

A)  The primary nurse who does not complete the plan of care for a patient within 24 hours of the patient's admission. 
B)  An advanced-practice nurse who recommends that a patient who is dangerous to self and others be involuntarily hospitalized. 
C)  A nurse who suggests that a patient's admission status be changed from involuntary to voluntary after the patient's hallucinations subside. 
D)  A nurse who gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because the unit is short staffed. 
A)  The primary nurse who does not complete the plan of care for a patient within 24 hours of the patient's admission. 
B)  An advanced-practice nurse who recommends that a patient who is dangerous to self and others be involuntarily hospitalized. 
C)  A nurse who suggests that a patient's admission status be changed from involuntary to voluntary after the patient's hallucinations subside. 
D)  A nurse who gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because the unit is short staffed.

Question 5

Which interventions should the nurse apply to the care plan of a patient requiring involuntary secluded? (Select all that apply.)

Accepted Answer

A)  Seclusion instituted when all less restrictive interventions are ineffective in managing behavior 
B)  Written medical order to be obtained within 2 hours of implementation of intervention 
C)  Patient to be debriefed when seclusion is discontinued 
D)  Patient to be offered bathroom privileges hourly 
E)  Patient evaluation every 15 minutes 
A)  Seclusion instituted when all less restrictive interventions are ineffective in managing behavior 
B)  Written medical order to be obtained within 2 hours of implementation of intervention 
C)  Patient to be debriefed when seclusion is discontinued 
D)  Patient to be offered bathroom privileges hourly 
E)  Patient evaluation every 15 minutes

Question 6

A patient's insurance will not pay for continuing hospitalization at a private facility, so the family considers transferring the patient to a public psychiatric hospital. They express concern that the patient will "never get any treatment." Select the nurse's most helpful reply to their concern.

Accepted Answer

A)  "Under the law, treatment must be provided. Hospitalization without treatment violates patients' rights." 
B)  "That's a justifiable concern, because the right to treatment extends only to provision of food, shelter, and safety." 
C)  "Much will depend on other patients, because the right to treatment for a psychotic patient takes precedence over the right to treatment of a patient who is stable." 
D)  "All patients in public hospitals have the right to choose both a primary therapist and a primary nurse." 
A)  "Under the law, treatment must be provided. Hospitalization without treatment violates patients' rights." 
B)  "That's a justifiable concern, because the right to treatment extends only to provision of food, shelter, and safety." 
C)  "Much will depend on other patients, because the right to treatment for a psychotic patient takes precedence over the right to treatment of a patient who is stable." 
D)  "All patients in public hospitals have the right to choose both a primary therapist and a primary nurse."

Question 7

To help preserve patients' rights to freedom from restraint and seclusion, the most important interventions that the nurse can use are based on which intervention?

Accepted Answer

A)  Therapeutic management of the patient's needs 
B)  Reality-based communication to minimize cognitive disorientation 
C)  Confidentiality of all documentation associated with the patient 
D)  Effective use of ancillary personnel to monitor the patient 
A)  Therapeutic management of the patient's needs 
B)  Reality-based communication to minimize cognitive disorientation 
C)  Confidentiality of all documentation associated with the patient 
D)  Effective use of ancillary personnel to monitor the patient

Exam 3: Legal Issues

A patient constantly disrupts activities on an inpatient unit. Which action would place the nurse at risk of being quality of assault?

A patient shouts, "I'm holding you responsible for mistreatment based on Rogers v. Orkin." The nurse should review past care related to what focus?

A cognitively impaired psychiatric patient has been a court appointed guardian. What the nurse is appropriate in seeking the opinion of the guardian regarding what matter?

Which nurse is at risk of being guilty of committing a legal tort?

Which interventions should the nurse apply to the care plan of a patient requiring involuntary secluded? (Select all that apply.)

A patient's insurance will not pay for continuing hospitalization at a private facility, so the family considers transferring the patient to a public psychiatric hospital. They express concern that the patient will "never get any treatment." Select the nurse's most helpful reply to their concern.

To help preserve patients' rights to freedom from restraint and seclusion, the most important interventions that the nurse can use are based on which intervention?

Med, Meds, Milieu

Historical Issues

Psychobiologic Bases of Behavior

Cultural Issues

Spiritual Issues

Models for Working With Psychiatric Patients

Learning to Communicate Professionally

Working With an Individual Patient

Working With Groups of Patients

Working With the Family

Introduction to Psychotropic Drugs

Antiparkinsonian Drugs

Antipsychotic Drugs

Antidepressant Drugs

Antimanic Drugs

Antianxiety Drugs

Antidementia Drugs

Over-The-Counter Drugs

Introduction to Milieu Management

Variables Affecting the Therapeutic Environment: Violence and Suicide

Therapeutic Environment in Various Treatment Settings

Introduction to Psychopathology

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar Disorders

Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

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Survivors of Violence and Trauma

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