Chapter 3 Ethical and Legal Issues Flashcards
1
Q
Define ethics.
A
branch of philosophy that deals with systematic approaches to distinguishing right from wrong behavior
2
Q
Define bioethics.
A
refers to concepts within the scope of medicine, nursing, and allied health
3
Q
Define moral behavior.
A
conduct that results from serious critical thinking about how individuals should treat others; reflects the way a person interprets basic respect for other persons, like respect for autonomy, freedom, justice, honesty, and confidentiality
4
Q
Define values.
A
personal beliefs about what is important and desirable
5
Q
Define values clarification.
A
process of self exploration through which individuals identify and rank their own personal values
6
Q
Define right.
A
valid, legally recognized claim encompassing both freedom from government interference or discriminatory treatment and entitlement to a benefit or service
7
Q
Define absolute right.
A
no restrictions on individual’s entitlement
8
Q
Define legal right.
A
society has agreed and formalized into law
9
Q
Define utilitarianism.
A
“greatest-happiness principle”; looks at end results of decision; the action that should be taken is whichever results in the most good/happiness for the most people
10
Q
Define Kantianism.
A
directly opposed to utilitarianism; the principle or motivation of the action is what matters; actions are bound by a sense of duty; decisions are made to respect moral law
“I made this choice because it’s morally right and my duty to do so”
11
Q
Define Christian Ethics.
A
treating others with the same respect and dignity with which we should be treated
12
Q
Define natural law theory.
A
based on St. Thomas Aquinas writings; decisions of right and wrong are self evident and determined by human nature; as rational humans, we inherently know the difference between good and evil
13
Q
Define ethical egoism.
A
what is right and good is what is best for the individual making the decision; only considers the individual making the decision and what is the most advantageous to them
14
Q
Define ethical dilemma.
A
situation that requires individual to make a choice between two equally unfavorable alternatives
15
Q
Define autonomy.
A
arises from Kantianism; people are independent moral agents whose right to determine their own destinies should always be respected
16
Q
Define beneficence.
A
one’s duty to benefit or promote the good of others
17
Q
Define nonmaleficence.
A
requirement that healthcare providers do no harm to their clients, intentionally or unintentionally; abstaining from negative acts toward another; acting carefully to avoid harm
18
Q
Define justice.
A
based on the notion of a hypothetical social contract between free, equal, and rational persons; duty to treat all individuals equally and fairly
19
Q
Define veracity.
A
one’s duty to always be truthful
20
Q
What model/steps should be used to make ethical decisions?
A
Assessment: gather objective and subjective data; consider personal values and values of others involved
Problem Identification: identify the conflict between two or more alternative actions
Planning: weight benefits and consequences of alternative actions; consider ethical theories; select action
Implementation: act on decision made and communicate decision to others
Evaluation: evaluate outcomes
21
Q
What rights do patients have specifically in psychiatric mental health nursing?
A
right to treatment
right to refuse treatment (including meds)
right to least restrictive treatment alternative
22
Q
What are the Nurse Practice Acts?
A
defines the legal parameters of professional and practical nursing
23
Q
What are the types of laws that pertain to nurses?
A
statutory law: enacted by a legislative body; ex. nurse practice acts
common laws: derived from decisions from previous cases; ex. different states dealing with nurse’s refusal to provide care for a specific client
24
Q
Define civil law and subcategories of civil law.
A
protects private and property rights of individuals and businesses; includes torts and contracts
25
Define tort.
violation of civil law in which an individual has been wronged
26
Define contracts.
one party asserts that the other party failed to fulfill an obligation and demands compensation or performance of the obligation
27
Define criminal law.
provides protection from conduct deemed injurious to public welfare.
28
What are exceptions to HIPAA?
duty to warn, suspected child or elder abuse
29
What are exceptions/conditions when informed consent does not need to be obtained?
client is mentally incompetent to make a decision and treatment is necessary to preserve life or avoid serious harm
when refusing treatment endangers the life or health of another
in an emergency when a client is in no condition to exercise judgement
when client is a child (consent from parent or surrogate)
in case of therapeutic privilege (information may hinder or complicate necessary treatment, cause severe psychological harm, or be so upsetting that it prevents a rational decision by the client)
30
What is the nurse's role in ensuring informed consent?
ensuring three elements of informed consent are addressed:
knowledge (adequate information to make a decision)
competency (cognition is not impaired and doesn't interfere with decision making)
free will (consent was given voluntarily without pressure or coercion from others)
31
What are some standards made by the Joint Commission on seclusion and restraint?
- minimize use of restraint and seclusion, but when used, use safely
- discontinue seclusion or restraint at earliest possible time regardless of when the order expires
- orders for restraint or seclusion must be renewed every 4 hours for adults 18 or older, every 2 hours for ages 9 to 17, every hour for children younger than 9
- assess patient in restraints or seclusion every 15 minutes
32
Define false imprisonment.
deliberate and unauthorized confinement of a person within fixed limits by the use of verbal or physical means
33
What are some reasons for involuntary commitments?
danger to self or others
gravely disabled (can't provide for basic personal needs due to mental illness, needs like food, clothing, shelter, medical care, safety)
need of treatment
34
Define negligence.
failure to exercise the care toward others that a reasonable or prudent person would do in the circumstances
35
Define malpractice.
act or continuing conduct of a professional that doesn't meet the standard of competence and results in provable damages to the patient
36
What are types of lawsuits that occur in psychiatric nursing?
breach of confidentiality
defamation of character (libel, slander)
invasion of privacy
assault and battery
false imprisonment
37
Define defamation of character.
information is shared that is detrimental to the client's reputation
includes libel (written) and slander (verbal)
38
Define invasion of privacy.
client is searched without probable cause
39
Define assault.
act that results in person's genuine fear and apprehension that they will be touched without consent.
40
Define battery.
unconsented touching of another person
41
An operating room nurse asks a psychiatric nurse, “How can you work with the mentally ill day in and day out?” The psychiatric nurse replies, “It’s just the right thing to do.” The psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism
A. Kantianism
42
As a last resort, an agitated, physically aggressive client is placed in four-point restraints. The client yells, “I’ll sue you for assault and battery.” The unit manager determines that the nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others.
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment.
A. The client is voluntarily committed and poses a danger to others on the unit.
43
As a last resort, an agitated, physically aggressive client is placed in four-point restraints. The client yells, “I’ll sue you for assault and battery.” The unit manager determines that the nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others.
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment.
A. The client is voluntarily committed and poses a danger to others on the unit.
44
A nurse gave a client 5 mg of haloperidol (Haldol) for agitation. The client’s chart was clearly stamped “Allergic HALDOL.” The client suffered anaphylactic shock
and died. How would the nurse’s actions be labeled?
A. Intentional tort
B. Negligence
C. Battery
D. Assault
B. Negligence
45
The nurse decides to go against family wishes and tell the patient of his terminal status because that is what she would want if she were the patient. Which of the following ethical theories is considered in this decision?
a. Kantianism
b. Christian ethics
c. Natural law theories
d. Ethical egoism
B. Christian Ethics
46
The nurse decides to respect family wishes and not tell the patient of his terminal status because that would bring the most happiness to the most people. Which of the following ethical theories is considered in this decision?
a. Utilitarianism
b. Kantianism
c. Christian ethics
d. Ethical egoism
A. Utilitarianism
47
The nurse decides to tell the patient of his terminal status because she believes it is her duty to do so. Which of the following ethical theories is considered in this decision?
a. Natural law theories
b. Ethical egoism
c. Kantianism
d. Utilitarianism
c. kantianism
48
The nurse assists the physician with electroconvulsive therapy on his patient who has refused to give consent. With which of the following legal actions might the nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality
b. battery
49
A competent, voluntary client has stated that he wants to leave the hospital. The nurse hides his clothes in an effort to keep him from leaving. With which of the following legal actions might the nurse be charged because of this nursing action?
a. Assault
b. Battery
c. False imprisonment
d. Breach of confidentiality
c. false imprisonment
50
Joe is very restless and is pacing a lot. The nurse says to Joe, “If you don’t sit down in the chair and be still, I’m going to put you in restraints!” With which of the following legal actions might the nurse be charged because of this nursing action?
a. Defamation of character
b. Battery
c. Breach of confidentiality
d. Assault
D. assault
51
An individual may be considered gravely disabled for which of the following reasons? (Select all that apply.)
a. A person, because of mental illness, cannot fulfill basic needs.
b. A mentally ill person is in danger of physical harm based on inability to care for self.
c. A mentally ill person lacks the resources to provide the necessities of life.
d. A mentally ill person is unable to make use of available resources to meet daily living requirements.
A, B, D
52
Which of the following statements is correct regarding the use of restraints? (Select all that apply.)
a. Restraints may never be initiated without a physician’s order.
b. Orders for restraints must be reissued by a physician every 2 hours for children and adolescents.
c. Clients in restraints must be observed and assessed every hour for issues regarding circulation, nutrition, respiration, hydration, and elimination.
d. An in-person evaluation must be conducted within 1 hour of initiating restraints.
b, d
53
Guidelines relating to “duty to warn” state that a therapist should consider taking action to warn a third party when his or her client does which of the following? (Select all that apply.)
a. Threatens violence toward another individual
b. Identifies a specific intended victim
c. Is having command hallucinations
d. Reveals paranoid delusions about another individual
a, b
54
Attempting to calm an angry client by using “talk therapy” is an example of which of the following clients’ rights?
a. The right to privacy
b. The right to refuse medication
c. The right to the least restrictive treatment alternative
d. The right to confidentiality
c.
55
The nurse finds that a client with schizophrenia is aggressive and has attempted suicide. On inquiry, the nurse learns that the client also harmed the caregiver while the caregiver tried to rescue the client. Which ethical principle should the nurse break in this situation?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
B. Autonomy
56
A client has been diagnosed with a life-threatening condition. The nurse discloses the client's health information to the client's family members. Which information does the nurse document in the client's record following disclosure? Select all that apply.
A. Date of disclosure
B. Reason for disclosure
C. Specific information disclosed
D. Contact number of professional who disclosed the information
E. Address of person to whom information was disclosed
A, B, C
57
The student nurse is assigned to care for a client with severe mental illness who has a designated legal representative. Which action of the student nurse violates the Health Insurance Portability and Accountability Act (HIPAA)?
A. Discussing the client's health information at the reception desk
B. Maintaining confidentiality of the client's health information
C. Providing notice of privacy policies to the client's representative
D. Discussing the client's health information with the client's representative in a private area
A. Discussing the client's health information at the reception desk
58
Following an accident, the health-care provider schedules surgery for an 8-year-old child. Which intervention should the nurse implement prior to surgery?
A. Obtain consent from a health-care colleague
B. Obtain consent from the child's guardian
C. Obtain consent from the client
D. Obtain consent from the client's 16-year-old sibling
B. Obtain consent from the child's guardian
59
The health-care provider is caring for a psychotic client in need of a renal transplant. Unfortunately, the client has no family or friends who can serve as health-care proxy. Which action is appropriate for the health-care provider to take?
A. Avoid scheduling the client's renal transplant
B. Proceed with the renal transplant as planned
C. Request the court to appoint a guardian for the client before surgery takes place
D. Obtain informed consent from the hospital administrator for the client's renal transplant
C. Request the court to appoint a guardian for the client before surgery takes place
60
The primary health-care provider suggests that the nurse provide verbal therapy rather than restraining therapy to a client with cognitive impairment. Which right of the client is protected in this situation?
A. The right to privacy
B. The right to freedom
C. The right to confidentiality
D. The right to the least-restrictive treatment
D. The right to the least-restrictive treatment
61
The nurse does not administer medication or provide food to a client at correct time intervals. Which behavior is depicted by the nurse in this case?
A. Assault
B. Seclusion
C. Negligence
D. Breach of confidentiality
C. Negligence
62
Which client requires the renewal of restraint orders every 2 hours unless state law is more restrictive?
A. A client who is 8 years old
B. A client who is 13 years old
C. A client who is 20 years old
D. A client who is 35 years old
B. A client who is 13 years old
63
The nurse is caring for a depressed client in a health-care setting. Which action should the nurse implement to avoid accidental false imprisonment of the client?
A. Only touch the client when absolutely necessary
B. Reduce actions that might frighten the client during treating
C. Reduce use of restraints with the client
D. Only administer medication as prescribed.
C. Reduce use of restraints with the client
64
The family members of a client diagnosed with a life-threatening disease tell the nurse, "Don't tell the client about his disease, because he gets depressed." The nurse responded, "I am going to tell the client about his condition because it is my moral duty." Which ethical principle did the nurse follow?
A. Ethical egoism
B. Kantianism
C. Utilitarianism
D. Natural law theory
B. Kantianism
65
During ethical decision making, the nurse effectively follows and communicates the decision made. Which step of a model for making ethical decisions does the nurse exemplify?
A. Planning
B. Assessment
C. Evaluating
D. Implementation
D. Implementation
66
Which ethical theory involves a mental conflict between moral values?
A. Kantianism
B. Ethical egoism
C. Ethical dilemma
D. Natural law theory
C. Ethical dilemma
67
Which client is capable of making independent decisions about his or her own medical treatment?
A. An elderly client in the end stage of life
B. An 8-year-old client diagnosed with diabetes
C. A teenaged client diagnosed with severe obsessive-compulsive disorder
D. An elderly client suffering from severe Alzheimer's disease
A. An elderly client in the end stage of life
68
Which interventions should the nurse implement to prevent malpractice while caring for a client with psychiatric illness? Select all that apply.
A. Responding to the client
B. Careful documentation of the client's response
C. Educating the client about his or her condition
D. Discussing the client's condition with other nurses
E. Performing routine body searches in mentally ill clients
A, B, C
69
While documenting a client's response, the nurse writes false information in the client's record that results in defamation of the client's character. What charge could the nurse face in a lawsuit resulting from this situation?
A. Libel
B. Slander
C. Assault
D. Battery
A. Libel
70
A nursing instructor tells a group of nursing students, "You have to treat clients with the same respect and dignity with which you would expect to be treated." Which ethical theory is the nursing instructor teaching the students?
A. Kantianism
B. Ethical egoism
C. Christian ethics
D. Natural law theory
C. Christian ethics
71
Which ethical principle can be overridden by the nurse when clients have been deemed to be at risk of harming themselves or others?
A. Justice
B. Veracity
C. Autonomy
D. Beneficence
C. Autonomy
72
While treating a client who is critically ill, the primary health-care provider tells the client's family members, "The treatment is very painful and the chances of survival are limited. I would suggest you take the client home." Which ethical principle can be inferred from the primary health-care provider's statements?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
D. Nonmaleficence
73
The nurse is teaching a newly recruited nurse about unlawful acts. Which action described by the nurse would be categorized as intentional tort?
A. Failing to fulfill an obligation to others
B. Stealing hospital supplies and drugs
C. Showing negligence during a medical treatment
D. Touching a client without his or her consent
D. Touching a client without his or her consent
74
When can the nurse disclose a client's information to others without obtaining consent from the client?
A. If the client is mentally ill
B. If the client is younger than 10 years old
C. If the client is in a life-threatening situation
D. If the client is in the end stage of life
C. If the client is in a life-threatening situation
75
A client suffering from a psychiatric disorder tells the nurse, "I am going to kill my girlfriend. She cheated on me." Which nursing interventions are valid in this situation? Select all that apply.
A. Documenting the situation in a written format
B. Conveying the information to the primary health-care provider
C. Restraining the client's movement
D. Protecting the client's privacy by not disclosing the information to others
E. Discussing the client's situation with other members of the health-care team
A, B, E
76
In which situation may the nurse be charged with assault and battery?
A. The nurse touched the client without his or her consent.
B. The nurse disrespected the decision of a mentally ill client.
C. The nurse disclosed the client's information during an emergency situation.
D. The nurse performed a life-sustaining treatment that the client refused.
D. The nurse performed a life-sustaining treatment that the client refused.
77
Which ethical principle indicates that a nurse should always be truthful in his or her profession?
A. Justice
B. Veracity
C. Autonomy
D. Beneficence
B. Veracity
78
While making an ethical decision, the nurse thinks, "It is my moral duty to convey the truth to the client even if it is not beneficial." Which phase of ethical decision making is indicated by the nurse's thought process?
A. Planning
B. Evaluation
C. Assessment
D. Problem identification
A. Planning
79
A nursing instructor is teaching a group of student nurses about the methods used to determine right or wrong behavior during nursing practice. Which concept is the nursing instructor trying to teach the students?
A. Rights
B. Values
C. Bioethics
D. Ethics
C. Bioethics
80
The nurse is receiving informed consent from a client who has been scheduled for a knee-replacement surgery. What should the nurse check before receiving the consent? Select all that apply.
A. Whether the client has received adequate information about the procedure
B. Whether the client is properly able to make decisions
C. Whether the client is giving consent voluntarily
D. Whether the client has a caregiver at home
E. Whether the client has received proper nutritional counseling
A, B, C
81
Which is the appropriate nursing intervention when taking care of a mechanically restrained client?
A. Arranging video equipment near the client
B. Changing the leather straps frequently
C. Monitoring the client's respiratory rate but not heart rate
D. Performing in-person evaluation within 15 minutes of restraint
D. Performing in-person evaluation within 15 minutes of restraint
82
A client with severe and persistent bipolar disorder is scheduled for emergency neurosurgery. Which action would the nurse take in this situation?
A. Explain the entire treatment procedure to the client.
B. Secure informed consent from the client's family member.
C. Give ample time for the client to decide about the treatment.
D. Instruct the client to sign the consent form
B. Secure informed consent from the client's family member.
83
During evaluation, the registered nurse concludes that a new trainee nurse is implementing the ethical principle of justice effectively. Which action of the trainee nurse supports the registered nurse's conclusion?
A. Avoiding harm to the client intentionally or unintentionally
B. Avoiding secrecy about the client's condition
C. Ensuring that the client fulfills his or her needs without any help
D. Treating both married and unmarried clients equally
D. Treating both married and unmarried clients equally
84
Which law provides protection from conduct deemed injurious to the public welfare?
A. Civil law
B. Criminal law
C. Common law
D. Statutory law
B. Criminal law
85
The primary health-care provider instructs the nurse to seclude a psychotic client showing aggressive behaviors. Which action should the nurse take in this situation?
A. Take the client for shock therapy
B. Administer tranquilizers to the client
C. Restrain the client's extremities with leather straps
D. Place the client alone in a closed, minimally furnished room
D. Place the client alone in a closed, minimally furnished room
86
The nurse tells a client who is psychotic, "If you don't keep quiet, I am going to give you your medication with a needle." The nurse can be charged with which legal action?
A. Assault
B. Battery
C. False imprisonment
D. Breach of confidentiality
A. Assault
87
Which action may place a nurse at risk of being charged with slander?
A. Discussing the client's condition with another nurse
B. Spreading false information about a client by word of mouth
C. Providing information to others about the client's condition without his or her consent
D. Writing malicious and false information about the client during assessment
B. Spreading false information about a client by word of mouth
88
Which steps should the nurse follow while making an ethical decision? Arrange the steps in order of their priority.
Implement the decision made and communicate the same to others
Explore the benefits and consequences of each alternative
Identify the conflict between two or more alternative actions
Evaluate the outcomes of the decision
Gather objective and subjective information about the situation
1. Gather objective and subjective information about the situation
2. Identify the conflict between two or more alternative actions
3. Explore the benefits and consequences of each alternative
4. Implement the decision made and communicate the same to others
5. Evaluate the outcomes of the decision
89
Which statement made by the student nurse indicates effective learning about restraints? Select all that apply.
A. "Restraints are straps that should be made only of leather."
B. "Restraints will help promote the psychological well-being of the client."
C. "Restraints can be used for the staff's convenience during a medical procedure."
D. "Restraints should only be used if the client's behavior poses a risk to his or her physical safety."
E. "Restraints can include a medication that causes sedation and controls the client's behavior."
D, E
90
A client with a psychotic disorder shows symptoms of agitation and psychotic behavior. What is the priority nursing intervention to reduce agitation in the client?
A. Administer tranquilizers to the client
B. Speak with the client in a simplified fashion
C. Restrict the client's freedom of movement by using mechanical restraints
D. Restrain the client by confining him or her to a room from which he or she is unable to leave
B. Speak with the client in a simplified fashion
91
Which theory of ethical decision making states that ethical decisions that are "right" are determined by the decision's tendency to bring happiness to the client?
A. Kantianism
B. Utilitarianism
C. Ethical egoism
D. Christian ethics
B. Utilitarianism
92
What provisions are included in a state's nursing practice act? Select all that apply.
A. The ethical issues pertaining to nursing practice
B. The scope of practice for various levels of nursing
C. The general powers and authority of the state board of nursing
D. The rights of the clients pertaining to medical treatment
E. The educational and training requirements for nursing licensure
B, C, E
93
A representative of a client with bipolar disorder asks the nurse to show him or her the client's medical records. What should the nurse do in this situation?
A. Report it to the primary health-care provider immediately
B. Tell the client's representative that this is not allowed according to the health-care facility's policies.
C. Ignore the representative's words and continue to work.
D. Respect the representative's wish and allow him or her to access the medical records.
D. Respect the representative's wish and allow him or her to access the medical records.
94
Under the supervision of the registered nurse (RN), a group of student nurses is discussing the Patient Self-Determination Act. Which statements by the group demonstrate effective learning? Select all that apply.
A. "We should include the client in periodic revision of his or her care plan."
B. "We should allow inpatient clients access to phones and mail while caring for them."
C. "We should get consent from the client's representative during a life-threatening condition."
D. "We should send the client's blood specimen for analysis after getting consent."
E. "We should use restraint techniques to medicate the client."
A, B, D
95
The registered nurse is teaching about the ethical principle of advocacy that has to be followed while caring for a client on the psychiatric unit. Which actions taken by the student nurse indicate teaching has been effective? Select all that apply.
A. Educating the client's family about legal rights
B. Encouraging the client to fulfill his or her own needs without assistance
C. Being honest with the client's family about the client's condition
D. Avoiding harming the client
E. Speaking about the client's condition on his or her behalf to secure necessary health care services
A, B, D, E
96
What is the priority nursing intervention for a newly admitted client in a psychiatric unit?
A. Scheduling follow-up visits for the client
B. Notifying the psychiatrist before assessing the client.
C. Providing notice of privacy policies to the client and the client's representative
D. Explaining the entire treatment procedure to the client's representative
C. Providing notice of privacy policies to the client and the client's representative
97
Which actions in nursing practice can result in the nurse being accused of false imprisonment? Select all that apply.
A. Keeping an aggressive client alone in a room
B. Taking the clothes of a depressed client against his or her wishes
C. Restraining the extremities of a voluntary competent client demanding release
D. Locking the client in a room for the nurse's convenience
E. Administering tranquilizers to the client who attempts to harm others
B, C, D
98
After undergoing an abortion, an adolescent client asks the nurse, "Can you provide me with some information regarding birth control pills?" Which response from the nurse indicates ethical egoism?
A. "You can ask the primary health-care provider about birth control pills."
B. "I will provide you the information if it is really helpful to avoid pregnancy."
C. "It is my moral duty not to provide information about birth control pills to teenagers."
D. "I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."
D. "I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."
99
The nurse is caring for a critically ill client who is often complains about treatment and is uncooperative. During an unfavorable event, the nurse becomes very defensive in his or her approach to the client. Which outcome may be expected due to the nurse's approach to the client?
A. Increased likelihood of a lawsuit from the client against the nurse
B. Improved interpersonal communication between the nurse and the client
C. Increased chances of avoiding nursing malpractice
D. Improved chances of fulfilling the emotional needs of the client
A. Increased likelihood of a lawsuit from the client against the nurse
100
Which term is used to refer to the personal beliefs of the nurse about what is important and desirable in a given situation?
A. Rights
B. Moral behavior
C. Ethics
D. Values
D. Values
101
The nursing instructor is teaching a group of student nurses about clients' rights that were established by the American Hospital Association (AHA). Which statement made by a student nurse demonstrates effective learning?
A. "The guidelines about clients' rights are legal documents."
B. "The health-care facility can make changes to the clients' rights if required."
C. "The nurses and health-care facility are responsible for upholding the clients' rights."
D. "The guidelines drafted by the AHA are different from those drafted by the National League for Nursing (NLN)."
C. "The nurses and health-care facility are responsible for upholding the clients' rights."
102
While caring for an elderly client with a mental disorder, the nurse finds that the family feels the client is a burden for them and does not provide proper home care. What is the best nursing intervention in this situation?
A. The nurse does not get involved in the issue.
B. The nurse advocates on behalf of the client.
C. The nurse suggests the client contact a long-term care facility.
D. The nurse arranges for the client to be transferred to a permanent room in the hospital.
B. The nurse advocates on behalf of the client.
103
During a follow-up visit, the legal representative of a client with mental illness has withdrawn consent for treatment after it was given. What should the nurse expect the primary health-care provider to do in this situation?
A. Launch a court case against the client's representative
B. Discuss this with the client's insurance agents
C. Continue the treatment upon rejecting the representative's wish
D. Stop the treatment and inform the client's representative of risks associated with the interrupted treatment
D. Stop the treatment and inform the client's representative of risks associated with the interrupted treatment
104
A police officer brought a client who is dangerous to himself and others to a community hospital. The health-care professionals made an emergency commitment for the client. When is the client scheduled for a court hearing?
A. Within 3 days
B. Within 7 days
C. Within 1 hour
D. Within 24 hours
A. Within 3 days
