Chapter 06: Ethics, Standards, and Nursing Frameworks

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Apply

Integrated Process: Nursing Process

Objective: 4

Page and Header: 60, Psychological Domain

1. When applying the biopsychosocial model to client care, the nurse integrates which psychological domain?

A) Behavior therapy

B) Family support

C) Nutritional therapy

D) Sleep hygiene measures

Page and Header: 63, The Challenges of Technology in Health Care

2. A nursing instructor is describing the impact of technology and electronic health records on psychiatric–mental health care. What would the instructor identify as a major challenge associated with technology?

A) Maintaining confidentiality

B) Establishing educational models

C) Decreasing fragmented care

D) Defining professional standards more clearly

Page and Header: 55–57, Ethics of Psychiatric Nursing

3. A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse’s opinion most closely reflects which ethical principle?

A) Nonmaleficence

B) Paternalism

C) Veracity

D) Justice

Page and Header: 55, Key Concepts

4. A nursing student is initiating a relationship with an assigned client. After meeting and spending approximately 20 minutes talking with the client, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of clients to play volleyball. The student starts to go with them but then remembers the promise to meet with the client. The student decides to forgo volleyball and talk with the client. The student’s decision reflects which ethical principle?

A) Autonomy

B) Beneficence

C) Fidelity

D) Veracity

Page and Header: 15, Clinical Judgment and Reflection

5. In a post-clinical conference, a group of students is engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. What are the students engaged in?

A) Therapeutic use of self

B) Critical thinking

C) Interdisciplinary care

D) Planning care

Page and Header: 59, Levels of Practice, Box 6.4

6. A group of students is reviewing the functions of psychiatric nurses. The students demonstrate understanding of the information when they identify which function as an advanced practice-level?

A) Milieu therapy

B) Promotion of self-care

C) Psychopharmacology interventions

D) Health promotion activities

Page and Header: 59, Levels of Practice, Box 6.4

7. A nursing instructor has prepared a lecture about the scope and standards of practice of psychiatric nurses. The instructor determines that the education was effective when the students identify what commonality of basic- and advanced-level practice of psychiatric nurses?

A) Case management

B) Program development

C) Clinical supervision

D) Community interventions

Page and Header: 62, Knowledge Development, Dissemination, and Application

8. A nurse is working on developing ways to meet the challenge of knowledge development. Which action would be most appropriate?

A) Access new information through continuing education programs.

B) Improve access to community psychiatric care for all populations.

C) Reduce the burden of mental illness by fighting stigma.

D) Provide culturally competent, high-quality nursing care.

Page and Header: 55, Key Concepts

9. A 22-year-old client diagnosed with schizophrenia is refusing antipsychotic medication. The client states, “I don’t like the dopey way it makes me feel. I feel like I’m walking underwater when I take it.” The nurse explains to the client, “Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better.” This conversation reflects a conflict between which two types of ethical principles?

A) Autonomy and justice

B) Paternalism and veracity

C) Justice and nonmaleficence

D) Autonomy and beneficence

Page and Header: 56, Box 6.2 Basic Questions for Ethical Decision-Making

10. A nurse is faced with an ethical dilemma involving a client. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision-making?

A) What are my own feelings about the situation?

B) What assumptions am I making that need more data?

C) What do I know about the situation?

D) What do I know about the client’s values?

Page and Header: 57–58, Standards of Practice

11. A psychiatric–mental health nurse is adhering to the standards of practice. When engaging in clinical decision-making, the nurse is integrating what as the foundation?

A) Developmental issues

B) Nursing process

C) Commitment

D) Accountability

Page and Header: 59, Table 6.1. Standards of Professional Performance

12. A group of nurses is reviewing the standards of professional performance. The nurses demonstrate understanding when they identify what as a standard of professional performance?

A) Prescriptive authority

B) Consultation

C) Planning

D) Collaboration

Page and Header: 59, Table 6.1. Standards of Professional Performance

13. A psychiatric–mental health nurse is providing care to clients diagnosed with a mental illness and is investigating factors related to client safety, delivery of care services, and cost-effectiveness. The nurse is involved with which area of professional performance?

A) Education

B) Quality of practice

C) Resource utilization

D) Collaboration

Page and Header: 60, Psychological Domain

14. When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?

A) Sleep patterns

B) Feelings

C) Family functioning

D) Cultural groups

Page and Header: 61, Social Domain

15. A nurse has developed a plan of care for a client diagnosed with depression. For problems related to the social domain, which issue would the nurse most likely identify?

A) Poor nutrition secondary to a loss of appetite

B) Powerlessness with feelings of loss of control

C) Inability to participate as family provider

D) Risk for self-harm from feeling like a failure

Page and Header: 14–15, Clinical Judgment and Reflection

16. A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?

A) Interdisciplinary care

B) Reflection

C) Plan of care

D) Clinical reasoning

Page and Header: 57–58, Standards of Practice

17. A nurse is looking for information about the parameters of professional psychiatric–mental health nursing practice that provide the framework for nursing practice. The nurse would most likely seek out which source?

A) Standards of Practice

B) Standards of Professional Performance

C) Code of Ethics for Nurses

D) State Board of Nursing

Page and Header: 55–57, Ethics of Psychiatric Nursing

18. A psychiatric–mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. The nurse is integrating which ethical principle?

A) Nonmaleficence

B) Justice

C) Veracity

D) Fidelity

Page and Header: 60, Biologic Domain

19. The plan of care for a client with schizophrenia identifies certain outcomes. Which outcomes would the nurse identify as addressing the biologic domain? Select all that apply.

A) Improving problem-solving skills

B) Promoting economic stability

C) Minimizing adverse effects of drug therapy

D) Improving nutritional status

E) Providing family education