Mental health review CAPSTONE questions and answers latest top score.

Mental health review CAPSTONE questions and answers latest top score. beneficience - correct answers.- the quality of doing good; can be described as charity beneficence example - correct answers.a nurse helps a newly admitted client who has psychosis feel safe in the environment of the mental health facility autonomy - correct client's right to make their own decisions. However, the client must accept the consequences of those decisions. The client must also respect the decisions of others. autonomy example - correct r than giving advice to a client who has difficulty making decisions, a nurse helps the client explore all alternatives and arrive at a choice justice - correct and equal treatment for all justice example - correct g a treatment team meeting, a nurse leads a discussion regarding whether or not two clients who broke the same facility rule were treated equally fidelity - correct ty and faithfulness to the client and to one's duty fidelity example - correct answers.a client asks a nurse to be present when he talks to his mother for the first time in a year. The nurse remains with the client during this interaction. veracity - correct ty when dealing with a client veracity example - correct answers.a client states, "You and that other staff member were talking about me, weren't you?" The nurse truthfully replies, "We were discussing ways to help you relate to the other clients in a more positive way." resources for solving ethical client issues - correct answers.- Code of Ethics for Nurses - Patient Care Partnership - The nurse practice act of a specific state - Legal advise from attorneys - Facility policies - Other members of the health care team, including facility bioethics committee (if available) - Members of the clergy and other spiritual or ethical counselors informal admission - correct answers.- the least restrictive form of admission for treatment - client does not pose a substantial threat to self or others - client is free to leave the facility at any time, even AMA voluntary admission - correct answers.- The client or client's guardian chooses admission to a mental health facility in order to obtain treatment. - has the right to apply for release at any time. - This client is considered competent, and so has the right to refuse medication and treatment. Temporary emergency admission - correct answers.- The client is admitted for emergent mental health care due to the inability to make decisions regarding care. - The medical healthcare provider may initiate the admission which is then evaluated by a mental healthcare provider. - The length of the temporary admission varies by the client's need and state laws but often is not to exceed 15 days. involuntary admission - correct answers.- The client enters the mental health facility against her will for an indefinite period of time. - The admission is based on the client's need for psychiatric treatment, the risk of harm to self or others, or the inability to provide self-care. - number of HCP to certify that client needs to be admitted varies by state but is usually 2 - client can request a legal review of admission at any time - limited to 60 days and then legal review of admission is required - still considered competent and have right to refuse treatment, including medication - client judged incompetent has temporary or permanent guardian by court that can sign consent criteria for involuntary admission - correct answers.- presence of mental illness - poses a danger to self or others - demonstrates a severe disability or inability to meet basic needs including food, clothing, and shelter - requires treatment but unable to seek it voluntarily Long-term involuntary admission - correct answers.- similar to temporary commitment but must be imposed by court - time varies but is usually 60-180 days - sometimes there's no set date client's rights regarding seclusion and restraint - correct answers.- nurse must know and follow federal, state, and facility policies - use of seclusion rooms/restraints can be warranted/authorized for clients in some cases - physical or chemical restraints - client can voluntarily request a timeout in cases which the environment seems disturbing or seem too stimulating - timeout is different from prescribed seclusion bc timeout is by request of client - use shortest duration necessary and least restrictive least restrictive measures - correct answers.- verbal interventions - diversion or redirection - providing a calm/quiet environment - offering PRN medication never use restraint or seclusion for - correct answers.- convenience of staff - punishing client - clients who are extremely physically or mentally unstable - client's who can't tolerate the decreased stimulation must occur in order to use seclusion or restraints - correct answers.- provider must prescribe in writing - time limits for seclusion based upon age (18 and older = 4 hours) - HCP must reassess and write prescription renewal every 24 hours - facility protocol IDs protocol for restraints (assessment, toileting, food, vitals, time it began, precipitating events, pain assess, medication times, time released) can the nurse use restraints w/o a prescription? - correct answers.- only when in an emergency situation - must obtain written prescription within 15-30 minutes of time started intentional torts - correct answers.- false imprisonment - assault - battery False Imprisonment - correct answers.- confining a client to a specific area physically, verbally, or using a chemical restraint when its not a part of the treatment assault - correct answers.- making a threat to a client such as approaching them threateningly w/ syringe in hand battery - correct answers.- touching a client in a harmful or offensive way - nurse is threatening the client with a syringe and actually grabbed the client and gave injection against will unintentional torts - correct answers.- negligence - malpractice negligence - correct answers.- failing to provide adequate care in a personal or professional situation when one has an obligation to do so - to be liable for this, it must be proven that the professional had a duty to protect, breached the duty, that the action or failure to act caused injury and that the injury would not have happened anyway, and that damages occurred malpractice - correct answers.- a type of professional negligence nurses role in acute care mental facilities - correct answers.- overall managers of the unit including client activities and therapeutic milieu - ensuring safe administration and monitoring of all client medications - implementations of individual client treatment plans, including client teaching - documentation of the nursing process for each client - managing crisis as they arise primary prevention - correct answers.- promotes health and emphasizes efforts on preventing mental health problems for occurring