NR548 Final Exam Questions With Complete Solutions
_________________ theory regarding human needs may also
inform the PMHNP's approach to psychiatric interviewing.
Correct Answer Abraham Maslow's
______________________, or __________________, are
treated differently than other types of mental health information
and receive special protections under HIPAA Correct Answer
Psychotherapy notes, or process notes
-HIPAA Privacy Rule requires that clients provide authorization,
using a HIPAA-compliant authorization form, before the
disclosure of the notes for any reason
-Providers are not required to provide their psychotherapy notes
to the client.
A client who is alert and oriented declines the PMHNP's
treatment recommendation for an antipsychotic in a non-
emergent situation:
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 options.
,A client with depression is unhappy about the performance of
the anti-depressant that has been prescribed and would like to
discuss alternate treatment options with the PMHNP.
Rationale: Clients have a right to information about treatment
options with associated risks and benefits.
A very anxious client is seeking treatment for anxiety
symptoms. When the PMHNP begins to explain the treatment
options, the client says she is too anxious to hear them and asks
that the PMHNP select the best option.
Informed consent required
Exception to informed consent Correct Answer Exception to
informed consent
Rationale: clients may choose to waive their right to informed
consent.
Abraham Maslow's Hierarchy of Needs Correct Answer
motivational theory that examines people's behavior as it relates
to five categories of needs
-Needs arranged in a pyramid, most basic needs at the
foundation:
• self-actualization (top of pyramid)
• esteem
• love/social needs
, • safety
• physiological (bottom of pyramid)
An agitated, hallucinating client with a diagnosis of
schizophrenia and no designated decision-maker threatens to
shoot his neighbors. The client acts out violently towards the
security guard in the emergency department. The PMHNP
orders haloperidol and lorazepam for the client.
Informed consent required
Exception to informed consent Correct Answer Exception to
informed consent
Rationale: The client does not have the capacity to provide
consent.
Benefits of telepsychiatry services: Correct Answer • improved
access to care
• reduced costs
• improved efficiency
• improved integration of care
• decreased emergency department visits
• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barriers
Best practices for determining the appropriateness of
telepsychiatry services include consideration of the following:
Correct Answer -cognitive capacity of the client
-client history and medical status
-geographic distance to emergency facilities
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