ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 6 Questions
Question 1 of 5
How does a psychiatric nurse best implement the ethical principle of autonomy?
Correct Answer: D
Rationale: Exploring options with the patient supports autonomy by enabling informed, self-determined decisions. Intervening with self-mutilation or staying with an anxious patient reflects beneficence and fidelity, while restricting fighting patients aligns with fidelity and justice.
Question 2 of 5
Which action by a psychiatric nurse best supports a patient's right to be treated with dignity and respect?
Correct Answer: A
Rationale: Addressing a patient by title and surname shows respect. Discussing a patient's condition in an elevator breaches confidentiality, informing the team about drowsiness violates autonomy, and encouraging participation reflects beneficence and fidelity.
Question 3 of 5
Two hospitalized patients resort to physical fighting when they are in the same room. During a team meeting, a nurse asserts that safety is of paramount importance and therefore the treatment plans should call for both patients to be secluded to prevent them from injuring each other. Which does this assertion indicate about the nurse who presented it?
Correct Answer: C
Rationale: The nurse's suggestion of seclusion ignores the right to the least restrictive treatment, indicating a poor understanding of civil rights. Seclusion removes autonomy, is motivated by beneficence, not justice, and risks false imprisonment, not battery.
Question 4 of 5
In a team meeting, a nurse says, 'I'm concerned whether we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated calls for one-on-one supervision.' Which ethical principle most clearly applies to this situation?
Correct Answer: D
Rationale: The nurse's concern about differing treatments for similar behaviors reflects justice, ensuring fair and equitable care. Beneficence promotes good, autonomy supports self-determination, and fidelity upholds loyalty.
Question 5 of 5
Which scenario is an example of a tort?
Correct Answer: D
Rationale: Giving unnecessary medication for staff convenience is a tort, akin to false imprisonment, violating patient rights. The other scenarios do not involve rights violations.