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Psychiatric Mental Health Nursing 8th Edition Mohr - Test Bank

Psychiatric Mental Health Nursing 8th Edition Mohr – Test Bank

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Psychiatric Mental Health Nursing 8th Edition Mohr – Test Bank

Chapter: Chapter 05: Legal and Ethical Aspects

Multiple Choice

1.  A psychiatric–mental health nurse has been consistently aware of the need to adhere to standards of practice during interactions with clients and their families. What is a standard of nursing practice?

A)  The body of text in the state nurse practice act

B)  A document outlining minimum expectations for safe nursing practice

C)  Unwritten but traditional practices that constitute safe nursing care

D)  Part of the federal nurse practice act

Ans:  B

Chapter:  05

Client Needs:  A-1

Cognitive Level:  Knowledge

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  06

Page and Header:  76, Nurse Practice Acts and the Expanding Role of Nursing

Feedback:  Standards of nursing practice are written documents that outline minimum expectations for safe nursing care. They are used to guide and evaluate nursing care, and courts look to them for guidance when malpractice cases are deliberated.

2.  Nursing students are reviewing the nurse practice act in the state where they reside. A state’s nurse practice act has which of the following functions?

A)  Makes recommendations for how nurses should practice

B)  Defines the scope and limit of nursing practice

C)  Defines specific situations that constitute malpractice

D)  Follows federal laws about nursing practice

Ans:  B

Chapter:  05

Client Needs:  A-1

Cognitive Level:  Knowledge

Difficulty:  Moderate

Integrated Process:  Nursing process

Objective:  02

Page and Header:  76, Nurse Practice Acts and the Expanding Role of Nursing

Feedback:  The nurse practice act in each state defines nursing, describes its scope, and identifies its limits within that state.

3.  A psychiatric–mental health nurse has been named in a malpractice suit in which certain criteria have to be demonstrated by the client’s legal team. Which of the following lists includes the correct criteria?

A)  Duty of care, professional performance, injury related to the nurse’s action, action foreseeably could have caused the injury, and proven injury

B)  Duty of care, professional performance, injury related to the nurse’s action, failure to document injury, and proven injury

C)  Professional performance, injury related to the nurse’s action, action foreseeably could have caused the injury, and proven injury

D)  Duty of care, professional performance, injury related to the nurse’s action, and action foreseeably could have caused the injury

Ans:  A

Chapter:  05

Client Needs:  A-1

Cognitive Level:  Comprehension

Difficulty:  Difficult

Integrated Process:  Nursing Process

Objective:  03

Page and Header:  77, Malpractice

Feedback:  Malpractice includes the following elements of nursing negligence: The nurse professional had a duty of due care toward the plaintiff; the nurse professional’s performance fell below the standard of care and was, therefore, a breach of that duty; as a result of the failure to meet the standard of care, the plaintiff consumer was injured, and the nurse’s action was the proximate cause of the injury; and the plaintiff consumer must prove his or her injuries.

4.  A class of nursing students are learning how to protect themselves from liability for malpractice. How can the students best do this once they begin providing care for clients?

A)  Know and follow the statutory and professional standards.

B)  Avoid documenting incriminating information.

C)  Carry individual malpractice insurance.

D)  Request legal consultation from their employers.

Ans:  A

Chapter:  05

Client Needs:  A-1

Cognitive Level:  Knowledge

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  03

Page and Header:  77, Malpractice

Feedback:  To decrease their chances of liability for malpractice, psychiatric nurses must ensure that their professional practice is within the bounds of statutory and professional standards. Documentation should be thorough and malpractice insurance does not necessarily prevent liability.

5.  A physician would like to include a client with schizophrenia in a research study testing a new medication. What is the nurse’s primary obligation in this situation?

A)  Ensure the client knows what he or she is agreeing to when providing consent.

B)  Help the client with revoking consent once the study has started.

C)  Obtain informed consent when the primary provider cannot be present.

D)  Persuade the client to consent, because the new drug has shown promising results.

Ans:  A

Chapter:  05

Client Needs:  A-1

Cognitive Level:  Knowledge

Difficulty:  Moderate

Integrated Process:  Documentation

Objective:  03

Page and Header:  78, Informed Consent

Feedback:  The nurse serves as the client’s advocate, the team’s colleague, and the facility’s excellent employee by continually evaluating the client’s ability to give informed consent and his or her willingness to participate and continue with a treatment modality. Unless serving as the primary provider, the nurse is not responsible for obtaining informed consent: that is the role of the primary provider or researcher.

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