(Test Bank) Neeb’s Mental Health Nursing

Gorman, 5

Nursing

Test Bank

5th Edition

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Test Bank for Neeb’s Mental Health Nursing, The downloadable file consists of 168 pages, and the total size of the file is 1.62 MB. Purchase now only for highly discounted price.

Author(s): Gorman

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Gorman Neebs Mental Health Nursing 5th Edition 2019 by Gorman and Anwar Table of Contents Chapter 01: History of Mental Health Nursing Chapter 02: Basics of Communications Chapter 03: Ethics and Law Chapter 04: Developmental Psychology Throughout the Life Span Chapter 05: Sociocultural Influences on Mental Health Chapter 06: Nursing Process in Mental Health Chapter 07: Coping and Defense Mechanisms Chapter 08: Mental Health Treatments Chapter 09: Complementary and Alternative Treatment Modalities Chapter 10: Anxiety, Anxiety -Related, and Somatic Symptom Disorders Chapter 11: Depressive Disorders Chapter 12: Bipolar Disorders Chapter 13: Suicide Chapter 14: Personality Disorders Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders Chapter 16: Neurocognitive Disorders: Delirium and Dementia Chapter 17: Substance Use and Addictive Disorders Chapter 18: Eating Disorders Chapter 19: Childhood and Adolescent Mental Health Issues Chapter 20: Postpartum Issues in Menta l Health Chapter 21: Aging Population Chapter 22: Victims of Abuse and Violence Chapter 01: History of Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. (Answers are at the end of each chapter) 1. The act of developing a clean environment is a factor in providing effective health care as demonstrated by: a. Nightingale. b. Benner. c. Swanson. d. King. 2. What is the name of the publication written by Florence Nightingale? a. Nursing Sanitation Notes b. Nursing 101 c. Notes on Nursing d. Nursi ng Notes 3. A long-term goal for in-patient mental health treatment is generally to: a. Return the patient to the community. b. Locate a facility for long term care. c. Be arrested and placed in prison. d. Be completely cured of the disorder. 4. The mentally ill were once housed in mental institutions known as: a. Hospitals. b. Long -term care facilities. c. Asylums. d. Free-standing treatment centers. 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient? a. Hildegard Peplau b. Hattie Bessen t c. Mary Mahoney d. Linda Richards Completion Complete each statement 6. Phenothiazines were discovered in what year? . 7. The first psychiatric program of study was established by which nursing leader? 8. Who was the nurse theorist who was the first American -trained nurse credited with teaching how to provide care for people with mental illness? 9. The greatest advance in the early years of mental health care was the introduction of 10. The legislation that provided funding for improving the care of the mentally ill is known as the National Mental Health Act of what year? . 11. Which nursing organization established the first certification of psychiatric nursing? 12. One of the goals of the American Nurses Association (ANA) is to promote of nursing care in the United States. 13. …………… ….has always been called the founder of nursing. 14. A schoolteacher by the name of established asylums and a psychiatric hospital for the mentally ill. 15. Special facilities designed to care for the mentally ill in the past were known as . 16. The first psychotropic drug category was known as . 17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules are known as the Practice Act. 18. The first major federal law to address mental illness was called the Act (Multiple Response s) Identify one or more choices that best complete the statement or answer the question. 19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (select all that apply): a. Cost of the facilities. b. The increased use of phenothiazines. c. Staff cost. d. Establishment of Outpatient clinics. Chapter 1: History of Mental Health Nursing Answer Section MULTIPLE CHOICE 1. ANS: A Florence Nightingales commitments to improved outcomes at a military hospital were directly relate d to introducing sanitation methods. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Community Health | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Safety and Infection Control 2. ANS: C Florence Ni ghtingale wrote the book Notes on Nursing, which specified the importance of a clean environment. PTS: 1 KEY: Integrated Processes: Teaching/Learning| Content Area: Nursing Trends| Cognitive Level: Knowledge| Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention 3. ANS: A To eventually return the patient to the community by creating a good support system and appropriate medication if needed is generally the long-term goal. PTS: 1 KEY: Integrated Processes: Nursing Process: Plan ning | Content Area: Mental Health | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Management of Care: Coordinated Care 4. ANS: C Asylums were known as a refuge for the mentally ill as well as the poor in the past. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Environment 5. ANS: A Dr. Peplau brought together theories from psychiatry and merged them with theories for nursing and communication. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care COMPLETION 6. ANS: 1955 Phenothiazine is a group of psychotropics that have a calming effect on patients with psychotic through processes. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected Actions/Outcomes 7. ANS: Effie Jane Taylor In 1913 the first psychiatric program for nurses was established. Ms. Taylor also believed in patient - centered care. PTS: 1 KEY: Integrated Processes: Teaching/Learning 8. ANS: Linda Richards Linda Richards wanted to upgrade the nursing education field and the Boston city hospital training school for nurses to teach the specialty of caring for the mentally ill. PTS: 1 KEY: Integra ted Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts 9. ANS: phenothiazines This medication controlled psychotic symptoms and led to reductions in the pop ulation in mental health institutions. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies 10. ANS: 1946 Money was provided by this legislation for research and training for the improvement of care for patients with mental health issues. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Treatment | Cognitive Level: Know ledge | Client Need: Psychosocial Integrity: Mental Health Concepts 11. ANS: ANA The American Nurses Association (ANA) developed the certification criteria for psychiatric nurses. The ANA has developed standards for professional nursing. PTS: 1 KEY: Integ rated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Coordinated Care 12. ANS: standardization The ANA has developed standards for a number of different specia lties. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Management: Management of care: establishing priorities 13. ANS: Florence Nightingale Florence Nigh tingale observed that a clean environment improved the health of the soldiers in the Crimean War. As a result, deaths from infection decreased. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledg e | Client Need: Safe and Effective Care Environment: Safety and Infection Control 14. ANS: Dorothea Dix Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and prisoners. PTS: 1 KEY: Integrated Processes: Teaching/Learnin g | Content Area: Nursing Trends | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Advocacy 15. ANS: asylums In the early days of health care asylums were special facilities designed for care of the needy i ncluding prisoners and the mentally ill. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts 16. ANS: phenothiazines Phenothiazine m edications were introduced in the 1950s. These drugs had a calming and tranquilizing effect and treated psychotic thought processes. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive Level: Knowle dge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected Actions/Outcomes 17. ANS: Nurse The Nurse Practice Act of each state is based on federal guidelines. Each state has its own Nurse Practice Act. PTS: 1 KEY: Integr ated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Legal Rights and Responsibilities 18. ANS: Hill-Burton The Hill -Burton Act of 1946 provided much neede d funding for psychiatric care in the United States. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care MULTIPLE RESPON SE 19. ANS: A, B, C, D All of the above led to the deinstitutionalization of mental health facilities. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Synthesis | Client Need: Safe and Effective Care Envir onment: Advocacy Chapter 02: Basics of Communications Multiple Choice Identify the choice that best completes the statement or answers the question. i. Which question by the nurse would gain the most information from a patient experiencing a marital crisis ? A. Do you hate your spouse? B. Do you get along with your in-laws? C. Do you talk out your problems with your spouse? D. What is it like at home with your spouse? ii. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She express es concern over her daughters behavior. Your best response to this woman is: A. What is it that concerns you the most, Mrs. R.? B. Well, you know, that is part of the illness. C. Here is a book on schizophrenia. This will help you. D. Are you afraid your daughter will always be like this? iii. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would be: A. How about watching a football game? B. Tell me how you are feeling today. C. What do you have to be upset about now? D. Ignore the client. iv. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them. What therapeutic communication would help this patient? A. Ask for what you need B. Silence C. Using general leads D. Giving information v. To practice effectively in mental health, the nurse should be able to: A. Solve his or her own personal problems without assistance from others. B. Comfortably point out the patient shortcomings and provide advice about how to improve. C. Bring patients and coworkers into compliance with societal rules and norms. D. Demonstrate therapeutic communication. Completion Complete each statement. vi. The nurse plans to have a therapeutic communication with th e client. To begin that therapeutic communication the nurse must first establish with the client. vii. Communication has three parts: the sender, the message, and the . viii. When appropriate, the nurse can use as part of an interaction when there is no talking. Th is can communicate support. ix. A theory of communication that emphasizes the three ways to communicatehearing, seeing, and touchingis called x. Expressive, receptive, and global are types of . xi. Advising, asking closed -ended questions, and changing the subject are examples of to therapeutic communication. Multiple Response Identify one or more choices that best complete the statement or answer the question. xii. A nurse is working with a patient and attempts to communicate effectively with him or her. Techniques the nurse can use to help communication include (select all that apply): A. Clarifying terms. B. Remaining silent. C. Asking open -ended questions. D. Offering false reassurance E. Discouraging the person from expressing feelings that are unacceptable. xiii. The nurse may find that patients from other countries use different terminology than the nurse born in the United States. The difference in terminology may seem harmless to us but offensive to the foreign patient. Differences noted between different cultures are (select all that apply): A. Eye contact. B. Slang terms. C. Hand gestures. D. Gender references. xiv. The three components of communication are (select all that apply): A. Impairment. B. Message. C. Sender. D. Receiver. xv. Nurses understand that when caring for patients with mental illnesses, a nurses communication is (select all that apply): A. An active process that includes participating and listening and speaking. B. A complex activity. C. Exchanging information. D. Verbal and nonverbal. E. A one way path from nurse to patient. F. Advising. xvi. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on the side of the bed in deep thought. The nurse comes into the room and the patient begins to tell her his concerns about a n ew order. The nurse advises the patient, If I were you, I would find another doctor. How does this statement by the nurse block communication (select all that apply)? A. It tells the patient that his concerns are not valid. B. It gives the idea that the nurse s values are the correct ones. C. It puts words in the patients mouth. D. It hurts the nurses credibility if the solution doesnt help the patient. E. It discourages yes or no answers. F. It inhibits the patient from telling you what his concerns are. xvii. The followin g types of patients require adaptive communication techniques (select all that apply): A. A patient who is blind. B. A patient who has dysphasia. C. A patient who is schizophrenic. D. A patient who is elderly. E. A patient with dysphagia. F. A patient who has language differences from the staff. xviii. Which of the following are characteristics of assertive communication (select all that apply)? A. Statements begin with the word you. B. Statements deal with thoughts and feelings. C. It is a form of blaming. D. It puts responsibility for the interaction on the other person. E. It is a technique of personal empowerment. F. It is self-responsible. Chapter 2: Basics of Communications Answer Section MULTIPLE CHOICE 1. ANS: D Encourages expression of feelings rather than a yes/no answer. Use o f open -ended questions facilitates more open communication. PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic communication 2. ANS: A The correct response is open ended to seek out more specifically why she is upset. Responses B and C shut down communication. Response D is making an assumption of why she is upset. PTS: 1 KEY: Integrated Processes: Nu rsing Process: Implementation | Content Area: Mental Health: Psychotic disorders: Therapeutic nursing process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication 3. ANS: B To keep open communication with the pati ent, the nurse should ask open -ended questions. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Mental Health: Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity: Stress Management 4. ANS: D Giving information can incr ease rapport, reduce patient anxiety, and suggest patient collaboration. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Ther apeutic Communication/Health Promotion and Maintenance: Principles of Teaching/Learning 5. ANS: A Good communication skills are essential for working in mental health. Good communication skills center around being able to promote open communication with suc h techniques as good listening, use of open -ended questions, and appropriate use of silence to be therapeutic. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Nursing Process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication COMPLETION 6. ANS: rapport Rapport implies there is mutual understanding and trust. The communication can be both verbal and nonverbal PTS: 1 KEY: Integrated Processes: Communi cation and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity: Therapeutic Communication 7. ANS: receiver Communication is not just about getting your message out, it also includes how the message is received. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 8. ANS: silence Silence allows the nurse and the patient time to collect their thoughts. It is a therapeutic technique of communication and demonstrates support and acceptance. PTS: 1 KEY: Integrated Processes: Caring/Communication and documentation | Content Area : Mental Health: Therapeutic Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication 9. ANS: neurolinguistic programming Neurolinguistic programming (NLP) was developed by Milton Erickson, John Grind er, and Richard Bandler. NLP can be used in conjunction with hypnosis and other treatment modalities giving insight into how one views the world. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 10. ANS: aphasia Patients with speech difficulties or challenges have an aphasic disorder. Expressive is difficulty in verbal expression, receptive is difficulty with interpretation of written or verbal communication, and global is a combination of receptive and expressive. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Co gnitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 11. ANS: blocks or barriers These blocks to communication interfere with patient -nurse interaction to inhibit good communication. PTS: 1 KEY: Integrated Processes: Com munication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication MULTIPLE RESPONSE 12. ANS: A, B, C Effective communication between the nu rse and the patient includes approaches that give the patient opportunities to express himself or herself. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Appli cation | Client Need: Psychosocial Integrity: Therapeutic Communication 13. ANS: A, B, C, D Verbal and nonverbal communication doesnt always have the same meaning in other cultures. The same communication can be understood by another culture as offensive. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication 14. ANS: B, C, D Communication with others requires these three components. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 15. ANS: A, B, C, D Communic ation is important when determining the patients needs. It is not a passive process but an active, two - way activity between patient and nurse. Generally the nurses role is not to advise patients but to listen and support. PTS: 1 KEY: Integrated Processe s: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application 16. ANS: B, C, D, F Communication with patients should be purposeful and unbiased. Giving advice when the patient has not fully express ed his concerns inhibits and distracts the patient from what he is trying to communicate. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Communication | Cognitive Level: Evaluation 17. ANS: A, B, F Although communication can be challenging, there may be temporary or permanent techniques to assist with communication. Patients with challenges to sight, sound, and speech require adaptive techniques. Those who speak a different language than the provider also ne ed adaptive techniques. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Comprehension 18. ANS: B, E, F Assertive communication begins with the word I. Other chara cteristics include speaking up for oneself in a respectful manner, verbalizing ones thoughts and feelings, and being honest. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Communication | Cogn itive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication Chapter 03: Ethics and Law Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient is expressing anger when the nu rse attempts to make him take a medication that he is refusing. If the nurse pushes to give the medication against his will, the nurse is: A. Violating the patients rights. B. Achieving a treatment goal to get the medication in the patient any way possible. C. Supporting the familys demand that he take the medication. D. Following orders from the charge nurse. 2. A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists? The nurses response is: A. The HIPAA law prevents me from disclosing any information about any patient. B. All I can say is she is seeing Dr. Leone. C. Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling extremely depressed other times. D. Rachael was only there to renew her medication. 3. You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your respon se? A. You are in America now. B. You can go back to your regular time for praying when you are discharged. C. How can I accommodate you with your prayer time? D. Would you like to learn another prayer? 4. The nursing student uses the clients full name on the assign ed care plan during her recent clinical rotation. What is the instructors priority intervention? A. Express the importance of factual documentation and that it should include the patients name. B. Remind the student of the importance of maintaining patient confidentiality. C. Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue. D. Explain to the student because the patient was committed involuntary, confidentiality is not an issue. 5. While shopping in the local supermarket, a mental health nurse encounters an individual who recently was a patient on her unit. Which is the proper response by the nurse? A. Stop the perso n and ask how they are doing since discharge. B. The closer you get to the patient, look in another direction. C. Speak to the patient, but not by name. D. If eye contact is made and the patient responds, then you should respond back. 6. The telephone rings at the nurses station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patients rights and confidentiality? A. I cannot confirm or deny that Ms. Honey was admitted here. B. Ms. Honey is in group thera py at present. C. Hold on, Ill go see if she is in her room. D. Are you a family member? Ms. Honey can only receive calls from family members. Completion Complete each statement. 7. In the group therapy session, the nurse speaks up to remind a patient of a recent improvement in his coping. The nurses action is an example of . 8. Another term to describe the ethical principle of veracity is . 9. The name of a law that provides immunity to a citizen who offers medical aid is . 10. The patient is upset because her docto r has not been to see her today. The nurse tells the patient the doctor will be in by 3 p.m., even though the nurse does not know this to be true. This nurse has violated the ethical principle of . 11. The basic concepts and fundamental moral principles that govern conduct are known as . 12. Another term for accepting responsibility is . 13. relates to space, time, and waiting and is influenced by culture. 14. The National Federation of Licensed Nurse organization adopted the standards of practice that include ethics for the LPN/LVN. 15. The American Nurse Association has written guidelines for minimum of care. 16. The Nurse Practice indicates the acceptable scope of nursing practice for the different levels of nursing. 17. addresses the security and privacy involved with medica l records and how that information is identified and passed between care providers. 18. The is the leading national accreditation body of health care organizations. 19. Immunity for citizens who stop to assist someone in need of medical help is protected by the Good Act. 20. This document protects patients who are receiving care in a facility: Patient Bill of . 21. Abuse should be reported by . 22. Nurses are expected to be respectful of the beliefs of their patients and coworkers and not to force their personal beliefs o n others at work. This is a demonstration of the trait of , which is required to be nurse. 23. The Commission is the leading accrediting body of health care organizations. Multiple Response Identify one or more choices that best complete the statement or an swer the question. 24. Patients Bill of Rights includes the right(s) to (select all that apply): A. Open mail and make personal phone calls. B. Have privacy and visitors. C. Treat staff in a disrespectful manner. D. Be identified as a client. E. Choose ones own nurse. 25. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information. Which of the following are true about HIPAA (select all that apply)? A. Only applies to electronic chart, not the paper one B. Provides national standards relating to the electronic transmission and communication of medical information between patients, providers, employers, and ins urers C. Allows less control on the part of the patient as to what part of health information is disclosed D. Gives the patient immediate access to his/her medical record at any time it is requested E. Eliminates the need for patients to sign informed consents F. HIPAA was implemented in 2003 26. The goals and objectives of the Joint Commission (JC) include (select all that apply): A. Committing to quality on a daily basis within the entire facility. B. Reducing risk of undesirable patient outcomes. C. Encouraging continuo us improvement. D. Reducing health care costs. E. Promoting nursing education through scholarships and financial aid. 27. The LPNs/LVNs will use the Nurse Practice Act as a guide in their practice. The Nurse Practice Act (select all that apply): A. Is a federal doc ument that all states must follow. B. Is established by each state to define the scope of nursing practice in that state. C. Protects nurses from lawsuits for violating rules about patients confidentiality. D. Established fair compensation and benefits for nurse s. E. Dictates the acceptable scope of practice for the different levels of nursing. Chapter 3: Ethics and Law Answer Section MULTIPLE CHOICE 1. ANS: A The Patient Bill of Rights provides the patients right to refuse medications and treatments. The nurse has a responsibility to advocate for the patients and assure them of their rights. In addition, patients have the right to be educated about medications and treatment, which allows them to make an informed decision. PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Client Rights 2. ANS: A HIPAA (Health Insurance Portability and Accountability Act) states what can be disclosed about a patient and emphasizes patient privacy. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information 3. ANS: C It is within the nurses sco pe of practice to advocate for the patient. The nurse is the voice for the patient when needed. The nurse defends the patients rights to their beliefs and values. PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Content Area: Cultural Divers ity | Cognitive Level: Analysis | Client Need: Psychosocial Integrity: Religious and Spiritual Influences on Health 4. ANS: B All patient information is confidential, and only initials should be used during the student clinical rotation. PTS: 1 KEY: Integra ted Processes: Communication and Documentation | Content Area: Mental Health: Confidentiality | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security 5. ANS: D Confidentiality is maintained, whether in a facility or out in public. If the patient initiates contact, then responding back is appropriate. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security 6. ANS: A Patient information is confidential this includes even acknowledging the presence of that person in the facility. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Legal | Cogni tive Level: Synthesis | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security COMPLETION 7. ANS: patient advocacy The nurse understands that patients learn from their peers and can help others. The nurse is providing infor mation in the group to help this patient acknowledge a recent success. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Synthesis | Client Need: Safe and Effective Care Environment: Mana gement of Care: Advocacy 8. ANS: honesty Veracity is telling the truth. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Ethical Practice 9. ANS: Good Samaritan law The basis for all Good Samaritan laws is that a third party cannot be charged with negligence unless help is given recklessly or that person makes the situation significantly worse, according to the guidelines for that particular state. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Legal Rights and Responsibilities 10. ANS: honesty, or veracity The professional choice is to tell the truth. Even though giving false information to the patient reassured the patient, it is not ethical. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Nursing Ethics | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Ethical Practice 11. ANS: ethics Ethics provide a framework of action to address conflicting principles. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Ethics | Cognitive Leve l: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Ethical Practice 12. ANS: accountability Accountability is accepting responsibility for any actions performed while caring for a patient. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Concepts of Management and Supervision 13. ANS: Proxemics Study of spatial relationships including space, time, and waiting, which are all influenced by ones culture. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Communication 14. ANS: Practical Ethical guidelines and practice standards for the LPN/LVN have been developed by NFLPN. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordi nated Care 15. ANS: standards The standards of care are written at a minimum level and for each discipline of nursing. A nurse below the minimum competency is unsafe. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Coordinated Care 16. ANS: Act The Nurse Practice Act defines the level of practice for the nurse. A nurse can consult with the Nurse Practice Act when unsure about a specific skill. The Nurse Practice Acts varies from state to state. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care and Legal Rights and Responsibilities 17. ANS: HIPAA The Health Insurance Portability and Accountability Act (HIPAA) was developed by the U.S. Department of Health and Human Services to provide national standards pertaining to the electronic transmission and communic ation of medical information between patients, providers, employers, and insurers. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Confidentiality/ Information Security 18. ANS: Joint Commission The Joint Commission ensures that standards in the hospital and other health care organizations are met and maintained. Their goal is to reduce the risk of undesirable patient outcomes and encourage continuous improvement. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Management of Care | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Concepts of Management 19. ANS: Samaritan The Good Samaritan Act protects individuals who attempt to provide medical treatment. The Good Samaritan Act does not always protect nurses, physicians, and other medically trained persons. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Legal Rights and Responsibilities 20. ANS: Rights In many cases, this document was adopted to protect the rights of patients while in the facility; thus the Bill of Rights may va ry from state to state, even though they are based on federal guidelines. These rights are to be listed in the facility and placed in a prominent area of the facility or the patients room. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Legal Rights and Responsibilities 21. ANS: everyone Everyone should report any form of abuse and negligence toward those considered as vulnerable. Nurses and health care workers have a moral, legal, and ethical responsibility to report known or suspected abuse of people who cannot care for themselves. By law nurses are mandated to report child abuse throughout the United States. PTS: 1 KEY: Integra ted Processes: Nursing Process: Implementation | Content Area: Mental Health: Abuse | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Abuse/Neglect 22. ANS: professionalism Being a professional means we respect others and are committed to providing safe care to our patients. PTS: 1 KEY: Integrated Processes: Caring | Content Area: Nursing Ethics | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Ethical Practice 23. ANS: Joint Earning accreditation by Joint Commission indicates commitment to quality on a daily basis within the entire institution. The commissions goal is to reduce the risk of undesirable patient outcomes and encourage continuous improvement. PTS: 1 KEY: Integrated Processes: Nursing Process : Evaluation | Content Area: Management of Care | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care MULTIPLE RESPONSE 24. ANS: A, B, D It is a legal right that advocates for the patient. Facilities are required to post the Patients Bill of Rights. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Patient Advocacy/Legal | Cognitive Level: Analysis 25. ANS: B, F HIPAA was established to maintain confidentiality to anyone receiving healthcare. HIPAA provides guidelines on how confidential health care information is handled, including with the use of technology. HIPAA does not impact other patient rights such as giving informed consent. The patient has a right to access to his or her medical record, but there is a specific process to be followed to achieve this for each health care institution so immediate access is usually not available. PTS: 1 KEY: Integrated Processes: Communication and Documentation | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Management of Care: Confidentiality/Information Security 26. ANS: A, B, C The Joint Commission is the leading national accreditation body of health care organizations that monitors quali ty outcomes. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Management of Care | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: Management of Care: Concepts of Management 27. ANS: B, E A nurse will c onsult the Nurse Practice Act in his ro her state to determine if the nurse is performing at the appropriate level based on ones preparation. PTS: 1 KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment: CoLegal Rights and Responsibility Chapter 04: Developmental Psychology Throughout the Life Span Multiple Choice Identify the choice that best completes the statement or answers the question . 1. Nurse Tonis assignment included a 41 -year-old male client. Per Erikson, which developmental stage is the patient at? A. Focus on having a family B. Does not assume responsibility for his actions C. Unable to solve problems D. Perceptions are based on illusions 2. A nursing intervention for the initial phase of grief should focus on: A. Ignoring the patient until your presence is requested. B. Staying available to provide support when the person demonstrates distress. C. Insisting the person face reality of the loss. D. Organizing a support group to provide a support system. 3. Joy is occupied exclusively with thoughts of her fathers death. Although Joy is preoccupied with his death, she is still planning to purchase a gift for his birthday, which would have been in two more weeks. Dr. Leone advises the nurse to assist Joy through this stage of grief, which is known as: A. Denial. B. Anger. C. Bargaining. D. Acceptance. 4. Freud defines the ego as: A. Helping to determine what is right and what is wrong. B. Being concerned with self-gratif ication. C. Focusing on reality. D. The part where a person is only concerned with ones individual needs. 5. A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task? A. Industry vs. inferiority B. Integrity vs. despair C. Identity vs. role confusion D. Trust vs. mistrust 6. Which level of Maslows hierarchy of need pyramid is necessary for survival? A. Love and belonging B. Physiological needs C. Self-actualization D. Safety and security 7. This theorist supported the theory of moral reasoning. The theory of moral reasoning demonstrates how a person justifies right or wrong. A. Freud B. Erikson C. Kohlberg D. Peters 8. Jean Piagets cognitive theory elaborates on the way a person thinks and how these thoughts are us ed to adapt to the surrounding environment. The age group for the formal operation is: A. Birth to 2 years of age. B. 2 to 7 years of age. C. 8 to 12 years of age. D. 12 years of age to adulthood. 9. Karen Horney was a follower of Sigmund Freud. Dr. Horney believed that the abnormal behavior experienced by her patient was the result of ineffective: A. Parenting. B. Mother -child bonding. C. Environmental stressors. D. Genetic markers. 10. Jean Piagets theory focuses on a persons ability to reason. The stage of a person between 12 years of age and an adult according to Piaget would be: A. Sensorimotor. B. Preoperational. C. Concrete operational. D. Formal operations. 11. The id, the ego, and the superego theory was established by: A. Freud. B. Horney. C. Skinner. D. Pavlov. 12. When caring for a young child, Nurse Andrea realizes that trust is a normal part of growth and further development. Trust is primary in which age group according to Erikson? A. 36 years old B. Over 65 C. Birth 18 months D. 1218 Completion Complete each statement. 13. The treatment metho d known as behavior modification is based on the theory of the behavioral theorists Skinner and . 14. The theorist believed that a persons behavior is related to ineffective personality development in childhood. 15. The eight stages of development with each one having contradictory developmental tasks was identified by . 16. Cognitive Development is the central thesis of the theorist . 17. According to Freud, is the part of the personality that is concerned with the gratification of self. 18. The humanistic theorist developed the hierarchy of needs. 19. In Abraham Maslows hierarchy of needs, the level for survival is also known as the level of . 20. According the Maslow, the highest level of need is . 21. Dr. Elisabeth Kbler -Rosss theory about facing death consists of a process of (number) stages. 22. This theorist identified eight developmental tasks or stages that are expressed as opposites or contraindications of each other. Multiple Response Identify one or more choices that best complete the statement or answer the question. 23. The physiological needs components in Maslows Hierarchy of Needs are (select all that apply): A. Water B. Oxygen C. Elimination D. Safety E. Freedom from fear F. Giving and receiving 24. The love and belonging needs components in Maslows Hierarchy of Needs are (select all that apply): A. Companionship B. Physical safety C. Elimination D. Caring E. Freedom from fear F. Giving and receiving of affection 25. Self-esteem components in Maslows Hierarchy of Needs are (select all that apply): A. Companionship B. Self-respect C. Achieve success D. Love E. Recognition F. Giving and receiving of affection 26. The components of self-actualization in Maslows Hierarchy of Needs are (select all that apply): A. Achievement B. Working to ones potential C. Achieve success D. Love E. Self-fulfillment F. Giving and receiving of affection 27. Which of the following are components of Freuds theory of personality (select all that apply): A. Personality is fully developed by age 12. B. The personality is not fully developed until after adolescence. C. Developmental behaviors can happen at any age. D. Failure to progress in a particular manner will lead to dysfunction. E. Behaviors resulting from ineffective personality development are unconscious. F. Ineffective personality development was in some way related to the relationship of the child to the parent and is called psychosexual development. 28. Toni T is a 5 -year-old girl who has a broken pelvis as a result of falling out of her tree house. Toni was ordered to stay in bed for 3 weeks. What would be the most appropriate activities for this child (select all that apply)?