Chapter 5, Legal and Ethical Aspects Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

When caring for psychiatric-mental health clients whose ability to give informed consent depends on their degree of psychiatric impairment, the nurse's priority obligation is to
a. assess the client's mental capacity when that client is asked to give consent.
b. prevent the client from revoking consent.
c. obtain informed consent when the primary provider cannot be present.
d. persuade the client to consent.

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Problem 2

A client with a history of depression is admitted voluntarily to the psychiatric hospital, having been transferred from a medical hospital where he was treated for a self-inflicted gunshot wound to the chest. After a few days of treatment, the client decides he would like to leave the hospital. The treatment team, believing he is still a danger to himself, discusses initiating legal proceedings to have the client's admission status changed to involuntary. Which ethical concepts are in conflict? Select all that apply.
a. Beneficence
b. Fidelity
c. Paternalism
d. Autonomy
e. Veracity

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Problem 3

A client has developed a therapeutic relationship with the nurse. Upon discharge, she asks for the nurse's home phone number so she can "keep in touch." The nurse likes the client very much but tells her that a friendship would violate the boundaries of the therapeutic relationship. The nurse's response best reflects which ethical concept?
a. Veracity
b. Beneficence
c. Autonomy
d. Fidelity

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Problem 4

A 35-year-old man was hospitalized 2 weeks ago for acute mania. Upon admission, he made many lewd and offensive comments to the nurse. The nurse finds it hard to have a conversation with the client now, even though his offensive remarks have ceased. The nurse's ethical dilemma involves which principle?
a. Justice
b. Veracity
c. Beneficence
d. Paternalism

Dennis Howard

Numerade Educator

Problem 5

After discussing "everyday ethics" with a group of nursing students, which description would lead the nursing instructor to determine that the students have understood the concept?
a. The focus is interpersonal relationships, respect, caring with unconditional positive regard, and fostering of human dignity.
b. The primary focus of everyday ethics is promoting and maintaining the client's autonomy.
c. It reflects the practice of the principles of beneficence and paternalism in all nurse-client interactions.
d. The ultimate outcome is the assurance that health care is provided justly.

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