NR 607 | NR607 Diagnosis & Management in Psychiatric Mental Health III Complete Review Final Exam 2025 Guide | Chamberlain
NR 607 | NR607 Diagnosis & Management in Psychiatric Mental Health III Complete Review Final Exam 2025 Guide | Chamberlain
NR 607 | NR607 Diagnosis &
Management in Psychiatric Mental
Health III Complete Review Final Exam
2025 Guide | Chamberlain
Six key core skills that are critical to ethical decision-making in mental
health care
- Correct Answer –
1. Ability to identify ethical issues
2. Ability to understand how one's values, beliefs, & sense of self,
including implicit biases, impact client care
3. Ability to recognize personal limits to knowledge & expertise &
willingness to practice within limits
4. Ability to recognize situations that present a high risk for ethical
dilemmas
5. Willingness to seek information & consultation in difficult ethical or
clinical situations
6. Ability to build ethical safeguards into one's practice
Unrepresented clients
- Correct Answer - clients without advance directives and available
family or friends to make decisions
-State laws and institutional policies typically take one of three
approaches in choosing a decision-maker
• the physician or provider
• an ethics committee
,• court-appointed guardian
Yolanda is a 20-year-old client who was referred to the PMHNP by her
college health clinic for symptoms consistent with bipolar II disorder. She
initiates the interview by stating that she is not willing to take any
medications but is willing to engage in counseling or other therapies.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - provide additional education
Rationale: The client should receive education about the risks, benefits,
and appropriateness of pharmacological treatment. If, after receiving
education, the client still refuses medication therapy, it is important to
document the education provided and the client's refusal of treatment.
Kevin is a 48-year-old with a 20-year history of schizophrenia. He has
decided to stop pharmacological treatment due to the intolerable
adverse effects of his medications. Kevin and the provider have
discussed the benefits and drawbacks of ceasing treatment, and he has
agreed to weekly telephone check-ins to ensure his well-being.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - document refusal of treatment
,Rationale: The client has the capacity to consent, and the situation is not
emergent. The ethic of autonomy provides for the client to refuse
treatment.
Ashlei is a 19-year-old who presents to the clinic with severe anxiety
symptoms. As the PMHNP begins reviewing treatment options, Ashlei
interrupts and states, "Hearing about these medications increases my
anxiety. Please prescribe what you think is best for me, and I will take it."
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - initiate treatment without informed consent
Rationale: Clients may choose to waive their right to informed consent.
The PMHNP should clearly document the client's waiver.
Geoff is a 32-year-old who presents to the clinic with anhedonia, fatigue,
feelings of worthlessness, and a lack of focus. He admits to thinking
about death but denies suicidal ideations or a plan. He has been taking
sertraline 50 mg daily and wishes to stop taking the medication as it
does not seem to be helping.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - provide additional education
Rationale: The client has the capacity to provide consent and the
situation is not emergent; however, the client should receive education
, about the risks, benefits, and appropriateness of pharmacological
treatment. At this time, the dose should be increased to achieve efficacy.
If, after receiving education, the client still refuses medication therapy,
the PMHNP should document the education provided and the client's
refusal of treatment.
Fritz is a 25-year-old who has been brought to the emergency
department by the police after threatening a server at a restaurant. The
PMHNP on call has treated Fritz for schizophrenia in the past. He has a
history of poor treatment adherence. While in the emergency
department, he admits to auditory hallucinations. He becomes agitated
and begins throwing items around the examination room.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - initiate treatment without informed consent
Rationale: The client does not have the capacity to provide consent at
this time due to active hallucinations and agitation. For the safety of the
client and staff, treatment should be initiated without obtaining informed
consent.
Acute inpatient care
- Correct Answer - short-term treatment to provide care for acutely ill
clients who are unable to meet basic needs due to a mental health
condition or are at risk of harming themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nursehailey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
