Chap. 1 review questions

Question 1

The purpose of the ANA’s Scope and Standards of Psychiatric-Mental Health Clinical Nursing Practice is to:
A - Define the role and actions for the NP
B - Establish the legal authority for the prescription of psychotropic meds
C - Define the legal statutes of the role of the PMHNP
D - Define the differences between the physician role and the NP role

Answer 1

A - Define the role and actions for the NP. (Scope and standards reflect the activities and accountabilities of the psych nurse, the “who, what, when, where, and how” of practice.)

Question 2

The trend in legal rulings on cases involving mental illness over the past 25 years has been to:
A - Encourage juries to find defendants not guilty by reason of insanity
B - Protect the individual’s freedoms or rights when he or she is committed to a mental hospital
C - Place increasing trust in mental health professionals to make good and ethical decisions
D - Decrease all the “red tape” associated with commitments so that commitments are faster and easier

Answer 2

B - Protect the individual’s freedoms or rights when he or she is committed to a mental hospital. (Identifies the trend of ensuring the protection of individual civil liberties for psych clients.)

Question 3

A community has an unusually high incidence of depression and drug use among the teenage population.   The public health nurses decide to address this problem, in part, by modifying the environment and strengthening the capacities of families to prevent the development of new cases of depression and drug use.  This is an example of:
A - Primary prevention
B - Secondary prevention
C - Tertiary prevention
D - Protective factorial prevention

Answer 3

A - Primary prevention. (This action focuses on interventions designed to reduce the incidence of new cases of disease.)

Question 4

Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours she states she wishes to leave because “this place can’t help me.” The best nursing action that reflects the legal right of this client is:
A - To discharge the client
B - Explain that the client cannot leave until you can complete further assessment
C - Allow the client to leave but have her sign forms stating she is leaving against medical advice
D - Immediately start the paperwork to commit the client and to allow you to treat her against her wishes

Answer 4

B - Explain that the client cannot leave until you can complete further assessment. (Almost every state allows for a brief period of detainment to assess a client for dangerousness to self or others before allowing the client to leave a hospital setting, even if the admission was voluntary.)