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Varcarolis Ch 6 - Legal & Ethical Verified Solutions
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Varcarolis Ch 6 - Legal & Ethical Verified Solutions Question 1: Which action by a psychiatric nurse best applies the ethical principle of autonomy? - a. Exploring alternative solutions with the patient, who then makes a choice. - b. Suggesting that two patients who were fighting be restricted ...

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  • August 16, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • varcarolis ch 6 legal ethical verified soluti

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Varcarolis Ch 6 - Legal & Ethical Verified Solutions


Question 1:

Which action by a psychiatric nurse best applies the ethical principle of autonomy?

- a. Exploring alternative solutions with the patient, who then makes a choice.

- b. Suggesting that two patients who were fighting be restricted to the unit.

- c. Intervening when a self-mutilating patient attempts to harm self.

- d. Staying with a patient demonstrating a high level of anxiety.



Answer: a. Exploring alternative solutions with the patient, who then makes a choice.

Feedback: Autonomy refers to the patient's right to make their own decisions. When the nurse
encourages the patient to explore alternatives and make a choice, it supports their autonomy.



---



Question 2:

A nurse finds a psychiatric advance directive in the medical record of a patient currently experiencing
psychosis. The directive was executed during a period when the patient was stable and competent. The
nurse should:

- a. Review the directive with the patient to ensure it is current.

- b. Ensure that the directive is respected in treatment planning.

- c. Consider the directive only if there is a cardiac or respiratory arrest.

- d. Encourage the patient to revise the directive in light of the current health problem.



Answer: b. Ensure that the directive is respected in treatment planning.

Feedback: The advance psychiatric directive reflects the patient's wishes when they were competent.
The nurse must honor this directive even though the patient is currently psychotic.



---

, Question 3:

Two hospitalized patients fight whenever they are together. During a team meeting, a nurse asserts that
safety is of paramount importance, so treatment plans should call for both patients to be secluded to
keep them from injuring each other. This assertion:

- a. Reinforces the autonomy of the two patients.

- b. Violates the civil rights of both patients.

- c. Represents the intentional tort of battery.

- d. Correctly places emphasis on safety.



Answer: b. Violates the civil rights of both patients.

Feedback: This action of unnecessary seclusion may violate the patients' civil rights and principles of
autonomy. The least restrictive measures should be attempted before resorting to seclusion.



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Question 4:

In a team meeting, a nurse says, "I'm concerned about whether we are behaving ethically by using
restraint to prevent one patient from self-mutilation while the care plan for another self-mutilating
patient requires one-on-one supervision." Which ethical principle most clearly applies to this situation?

- a. Beneficence

- b. Autonomy

- c. Fidelity

- d. Justice



Answer: d. Justice.

Feedback: The nurse's concern focuses on fairness and equal treatment for both patients, which relates
to the principle of justice in healthcare.



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