Ethics & Legal

Question 1

False imprisonment

Answer 1

Deliberate and unauthorized confinement of a person within fixed limits by the use of verbal or physical means. May be charged for restraining or secluding—against the wishes of the client—anyone having been admitted to the hospital voluntarily.

Question 2

Assault

Answer 2

Fear that person will be touched without consent

Question 3

Battery

Answer 3

Unconsented touching; harm does not need to occur

Question 4

Frontal Lobes

Answer 4

Control voluntary body movement through impulses and may also play a role in emotional experiences.

Question 5

Parietal Lobes

Think parent= touch/sensory

Answer 5

Manage sensory input including touch, pain, taste, etc.

Question 6

Temporal Lobes

Answer 6

Manages auditory functions, smell, and plays a role in expression of emotions.

Question 7

Occipital Lobes

Answer 7

Primary area of visual reception and interpretation.

Question 8

Hypothalamus

Answer 8

1. Direct neural control over the actions of the autonomic nervous system
2. Regulation of appetite, temperature, blood pressure, thirst, and circadian rhythms
3. Regulation of temperature

Question 9

Limbic System

Answer 9

Includes the thalamus and hypothalamus, as well as other minor structures
•Called the “emotional brain”
•Associated with feelings of fear and anxiety; anger, rage, and aggression; love, joy, and hope

Question 10

Sympathetic division NS

Answer 10

Dominant in stressful situations and prepares the body for fight or flight. Results in an increase in heart rate and respirations. Blood is shunted to vital organs and to muscles.

Question 11

Parasympathetic division

Answer 11

Dominant in relaxed situations. Results in a normal heart rate and promotes elimination functions. Rest and digest

Question 12

Major categories of neurotransmitters for psychiatry

Answer 12

Cholinergics
Monoamines
Amino acids
Neuropeptides

Question 13

reuptake inhibitors

Answer 13

block reuptake of the neurotransmitters resulting in elevated levels of the extracellular neurotransmitter.

Question 14

Drugs that inhibit catabolic (breakdown) enzymes

Answer 14

promote excess buildup or the neurotransmitter at the synaptic site

Question 15

antagonists

Answer 15

cause receptor blockade resulting in a reduction of transmission and ⬇️ neurotransmitter activity

Question 16

agonists

Answer 16

⬆️ neurotransmitter activity by direct stimulation of the specific receptors

Question 17

Characteristics of useful feedback

Answer 17

Descriptive rather than evaluative and focused on the behavior rather than on the client
•Specific rather than general
•Directed toward behavior the client has the capacity to modify
•Imparts information rather than offers advice
•Is well-timed

Question 18

Role of the nurse as a milieu manager and how to prioritize interventions.

Answer 18

Focus on the client’s ideas, feelings and experiences
Identify the client needs and problems
Encourage positive behavior
Discuss problem solving alternatives
Assess client to develop autonomy and self-reliance
Practice empathy and be non-judgmental

Question 19

Pt Rights

Answer 19

The right to treatment
Anyone admitted to the hospital has the right to treatment.
The right to refuse treatment (including medication)
Patients have the right to refuse treatment unless immediate intervention is required to prevent death or serious harm to the patient or another person.
The right to the least restrictive treatment alternative
If a client can be adequately treated in an outpatient setting, they should not be hospitalized.
If hospitalized, the patient should not be sedated, restrained, or secluded unless less restrictive steps were unsuccessful.

Question 20

HIPPA

Answer 20

protects client confidentiality on the federal level and gives individuals the rights to access their medical records, to have corrections made to their medical records, and to decide with whom their medical information may be shared.

Question 21

Professional Bounderies

Answer 21

Self-disclosure
Gift-giving
Touch
Friendship or romantic association

Question 22

stress

Answer 22

(1) Stress is a biological response, (2) Stress is an environmental event, and (3) Stress is a transaction between an individual and their environment.

Question 23

Environmental event

Answer 23

Stress is defined as: “Change from an already steady state to another, either positive (like a personal achievement) or negative (like getting fired), that triggers an individual to respond physiologically and psychologically; usually starting with major lifestyle changes. Use the Recent Life Changes Questionnaire (RLCQ) to assess stress levels.”