Order Nursing Legal Considerations

Order Nursing Legal Considerations
Order 5909003
Order Nursing Legal Considerations
1. Which action should the clinician take when there is
reasonable certainty that a client is going to harm
someone? Select all that apply.
1. Assess the threat of violence toward another.
2. Identify the person being threatened.
3. Notify the identified victim.
4. Notify only law enforcement authorities to protect
confidentiality.
5. Consider petitioning the court for continued
commitment.
2. A nurse is attempting to administer antianxiety
medication to an involuntarily committed client. The
client refuses the medication, curses, and states,
“I’m going to kill you.” Which nursing action is
most appropriate at this time?
1. The nurse decides not to administer the
medication.
2. The nurse initiates the ordered, forced medication
protocol.
3. The nurse initiates legal action to get the client
declared incompetent.
4. The nurse teaches the client the pros and cons
of medication compliance.
3. A client has been deemed a danger to self by an
emergency commitment court ruling. Which might
the court mandate for this client?
1. Voluntary commitment to a locked psychiatric
facility.
2. Involuntary commitment to an outpatient mental
health clinic.
3. Declaration of incompetence with mandatory
medication administration.
4. Declaration of emergency seclusion.
14. A group of inpatient psychiatric clients on a public
elevator begin discussing an out-of-control client
who is now in seclusion. Which is the appropriate
nursing response?
1. “I know you are upset by the conflict on the unit.
I’m glad you can talk about it.”
2. “Now you know what happens when you can’t
control your temper.”
3. “It is inappropriate to discuss another client’s
situation in public.”
4. “Let’s just not talk about this now.”
15. A newly employed psychiatric nurse answers the
desk phone and tells the caller that he or she will be
connected to the unit phone to speak to the requested client. With which legal action may the
nurse be charged?
1. Breach of confidentiality
2. Battery
3. Assault
4. Defamation of character
Order Nursing Legal Considerations
16. The Joint Commission has established specific standards regarding the use of seclusion and restraint.
Which of the following are accurate examples of
these current standards? Select all that apply.
1. A client who is both restrained and secluded is
continuously monitored by trained staff.
2. A physician calls in a restraint order renewal for
an 18-year-old client every 6 hours.
3. A physician calls in a restraint order renewal for a
12-year-old client every 2 hours.
4. A physician calls in a restraint order renewal for a
6-year-old client every 1 hour.
5. Seclusion is discontinued for an 18-year-old client
at the earliest possible time regardless of when the
order was scheduled to expire.
17. It has been determined that a newly admitted client
is “gravely disabled.” Which of the following statutes
that specifically define the “gravely disabled” client
would have led to this determination? Select all that
apply.
1. The client who, because of mental illness, cannot
fulfill his or her activities of daily living.
2. The client who, because of mental illness, is unable
to provide resources to meet basic needs.
3. The client who, because of mental illness, has been
deemed a danger to self and/or others.
4. The client who, because of mental illness, lacks the
ability to make use of available resources that are
needed to meet daily living requirements.
5. The client, who because of mental illness, is having
paranoid delusions about being on the FBI’s most
wanted list.
18. The legal “duty to warn” for protection of a third
party refers to which of the following nursing
obligations? Select all that apply.
1. The nurse is obligated to assess a client’s threat of
violence toward another individual.
2. The nurse is obligated to inform family members
of the client’s intent to do harm.
3. The nurse is obligated to find out the identity of
the intended victim.
4. The nurse is obligated to report the client’s intention to harm another to the psychiatrist or to other
team members.
5. The nurse is obligated to protect an intended
victim in a feasible, meaningful way.
19. States have enacted laws that grant psychiatrists and
attorneys the ability to refuse to reveal information
about or communications with clients. This is called
the doctrine of .
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