NURSING 5 EVOLVE CH 6 QUESTIONS

NURSING 5 EVOLVE CH 6 QUESTIONS

NURSING 5 EVOLVE CH 6 QUESTIONS

1. You are working on an inpatient psychiatric unit and caring for Elizabeth, who is becoming agitated. You speak with Elizabeth one to one in a private setting, find out the reason for the agitation, and then assist Elizabeth with ways to calm down, possibly including prn medication to prevent further escalation of Elizabeth’s agitation, which could lead to seclusion and/or restraints. You are making care decisions based on:
   1. writ of habeas
   2. least restrictive alternative doctrine. Correct

Rationale: Least restrictive alternative doctrine is described as using the least drastic means of achieving a specific goal. By doing the actions described you are possibly preventing the more restrictive setting of seclusion and/or restraints. Writ of habeas corpus is a legal term meaning a written order “to free the person.” Veracity is one of the five ethical principles or guidelines. Bioethics refers to ethics in a health care setting.

2. Which of the following patients may be an appropriate candidate for a release from hospitalization known as against medical advice (AMA)?
   1. 37-year-old patient hospitalized for 6 days; the provider feels one more day would benefit the patient, but the patient doesn’t agree and wishes to be discharged
   2. 75-year-old patient with dementia who demands to be allowed to go back to his own home
   3. 21-year-old actively suicidal patient on the psychiatric unit who wants to be discharged to home and do outpatient counseling
   4. 32-year-old female patient who wishes to stay in the hospital but whose husband demands that she be discharged into his care

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3. Sophie, aged 27 years, has a diagnosis of paranoid schizophrenia. She stopped taking her medications and believes that she is to be taken by the aliens to live with them on another planet. She was observed walking through traffic on a busy road, and then was found climbing the railing on a bridge, to “be ready for them to take me in their ship.” Sophie is During your shift she begins running up and down the halls, banging her head on the walls, and yelling, “Get them out of my head!” On what basis can Sophie be medicated against her will?
   1. If Sophie has taken the medication in the past and has had no adverse effects
   2. If Sophie may cause imminent harm to herself or others
   3. If Sophie still has the capacity to make an informed decision regarding medication
   4. If Sophie is provided education regarding the medication before administration of the

4. Jonas is a 29-year-old patient with anxiety and a history of alcohol abuse who is an inpatient on the psychiatric unit. He becomes angry and aggressive, strikes another patient, and then attacks a staff member. He is taken to seclusion and medicated with haloperidol and lorazepam. In this case, the haloperidol and lorazepam may be considered:
   1. a restraint.
   2. a medication time-out.

5. Which of the following scenarios describe a HIPAA violation?
   1. Janie, the ED nurse, gives report to Amanda, a nurse on the intensive care unit, regarding Joel, who is being admitted.
   2. Mark, a nurse on the medical-surgical floor, calls his patient’s primary care provider to obtain a list of current medications.
   3. Lyla, a nurse on the cardiac unit, gives report to Chloe, the nurse on the step-down unit, regarding the patient Lyla, who will be transferring, while they are walking in the hospital hallway.
   4. Tony, a nurse on the psychiatric unit, gives discharge information to the counseling office where his patient will be going to outpatient treatment after