liz warren Flashcards

psych exam 2

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1
Q

which statement describes an unintentional tort?

A

an unplanned act that causes injury or arm to another person.

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2
Q

when questioned by the nurse, a client admitted to a mental health facility after an unsuccessful suicide attempt states: “ I wasn’t attempting to kill myself, it was just an accidental overdose.” which would the nurse determine that this statement best reflects?

A

the clients private self.

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3
Q

which statement describes an ethical dilemma?

A

there are only two treatment choices; both are very painful and neither has a high rate of success.

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4
Q

which statements accurately describe the relationship between cultural filters and communications?

A

1) The stronger the cultural filters, the higher the likelihood for bias.
2) Cultural filters are developed through the process of socialization.
3) Cultural filters determine what we notice and what we ignore when we interact.
4) Cultural filters are necessary to provide structure and to help interpret and interact with the world.

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5
Q

which message would be considered a tactile message?

A

Nurse hugs a client needing comfort.

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6
Q

which message would be considered a visual message?

A

Nurse sits at eye level with client to talk.

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7
Q

which message would be considered a silence message?

A

Nurse silently waits for a crying client to stop.

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8
Q

which technology holds strong promise for treatment of mental health for psychiatric?

A

Mobile apps.

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9
Q

according to Berlo’s communication model, the use of a hug by the nurse to convey the message that the nurse is concerned about the client’s current issue would be considered which of the following?

A

A) Media ——————Answer( rationale: the nurse is using touch as the medium to convey the message of caring)
B) Stimulus
C) Receiver
D) Interpretation

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10
Q

what is the primary factor considered when determining the need for an involuntary mental health commitment?

A

The danger posed by the behaviors.

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11
Q

during a conversation with a client, which behavior demonstrated by the nurse is a characteristic of effective body language?

A

1) maintaining eye contact with the client to confirm interest in the conversation. 2) while maintaining personal space boundaries, leaning in slightly to show attentiveness. 3) mimicking the clients facial expression, especially those of happiness and sadness.

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12
Q

transference example

A

occurs subconsciously in clients as they associate the nurse with their relatives.

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13
Q

counter transference?

A

is a phenomenon in which the nurse associates the client with previous experience. occurs when nurse displaces the feelings onto the client and identifies with the nurse’s past experience.

not categorized at positive or negative.

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14
Q

negative transference?

A

clients avoid interaction with the nurse and get aggressive. this may happen when clients associate the nurse with a tragic event or person.

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15
Q

a nurse assess a new patient whose chief concern is “daily crying spells” which comment from the patient would prompt the nurse to suspect a medical reason is causing the problem rather than depression.

A

Years ago i had thyroid problems but they cleared up and I stopped the medicine.

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16
Q

on an inpatient unit, on patients assaults another patient resulting in a small laceration. considering the patient’s right to confidentiality, how will the nurse effectively document this event.

A

Document in each patients medical record the events and actions taken.
Using initials of other patients involved

17
Q

the nurse plans care a a newly hospitalized patient experiencing panic level anxiety after a MVA. The patient has no physical injuries. when selecting goals from the NOC (nursing outcomes classification), the nurse will…

A

Individualize outcomes based on the patients needs

18
Q

Bioethics, what are they.

A

more specific terms that refers to the ethical (right or wrong philosophical beliefs in society) questions that arise in health care.
Beneficence, autonomy, justice, fidelity, veracity.

19
Q

autonomy?

A

respecting the rights of others to make their own decisions.

20
Q

Justice?

A

the duty to distribute resources of care equally, regardless of personal attributes.

21
Q

Fidelity?

A

maintaining loyalty and commitment to the patient and doing no wrong to the patient.

22
Q

Beneficence?

A

the duty to act as to benefit or promote the good of others. spending extra time to help calm and extremely anxious pt is a beneficent act.

23
Q

veracity?

A

ones duty to communicate truthfully.

24
Q

Federal District Court. Case : Rogers vs. Okin what was the outcome decision.

A

ruled that involuntary hospitalized patients with mental illness are competent and have the right to make treatment decision.
forcible administration of medication is justified in an emergency if needed to prevent violence and if other alternatives have been ruled out.
A guardian may make treatment decision for an incompetent patient.

25
Q

U.S supreme court. Case: Mills vs. Rogers what was the outcome decision

A

set aside the judgment of the court of appeals with instructions to consider the effect of an intervening state court case.

26
Q

Massachusetts Supreme Judicial court. Case: Rogers vs. commissioners of the department of mental health. what was the outcome decision.

A

Ruled that involuntary hospitalized patients are competent and have the right to make treatment decisions unless they are judicially determined to be incompetent.