ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. If I were in that position, Id want a caring nurse also. From which ethical framework is the charge nurse operating?
Correct Answer: A
Rationale: The charge nurse's statement aligns with the principles of Kantianism, which is based on the philosophy of Immanuel Kant. Kantianism emphasizes the importance of treating individuals with respect and dignity, viewing them as ends in themselves rather than means to an end. In this case, the charge nurse is demonstrating a sense of duty and compassion towards mentally ill clients, highlighting the belief that everyone deserves caring and empathetic treatment, regardless of the situation. Kant would support the idea that individuals should be treated with kindness and empathy, based on the principle of treating others as you would want to be treated in a similar situation.
Question 2 of 5
An inpatient psychiatric physician refuses to treat clients without insurance and prematurely discharges those whose insurance benefits have expired. Which violation of an ethical principle should a nurse recognize in this situation?
Correct Answer: D
Rationale: The violation of an ethical principle in this scenario is justice. Justice in healthcare refers to the fair and equal treatment of individuals. When the inpatient psychiatric physician refuses to treat clients without insurance and prematurely discharges those whose insurance benefits have expired, they are not upholding the principles of justice. This behavior results in unequal treatment based on insurance status, which goes against the ethical principle of justice. All individuals should have access to healthcare services regardless of their insurance status to ensure fairness and equity in healthcare delivery.
Question 3 of 5
A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects him to the community phone and the sister is summoned. Later the nurse realizes that the brother was not on the clients approved call list. What law has the nurse broken?
Correct Answer: C
Rationale: The nurse in this scenario has potentially violated the Health Insurance Portability and Accountability Act (HIPAA) by disclosing protected health information (the sister's admission to the psychiatric unit and the phone call) to someone not authorized to receive it, which in this case is the brother who was not on the client's approved call list. HIPAA is a federal law that protects the privacy and security of individuals' medical information, and healthcare providers are required to maintain the confidentiality of patient information unless authorized by the patient or required by law to disclose it. The nurse should have verified the brother's authorization to receive such information before connecting the call to ensure compliance with HIPAA regulations.
Question 4 of 5
Which is an accurate description of a common law?
Correct Answer: C
Rationale: Common law refers to laws that have been established through court decisions rather than through statutory laws passed by legislatures. The scenario described in choice C involving a hospital employee stealing drugs or hospital equipment falls under the category of criminal law. Common law principles can be applied to address such actions, as court decisions and precedents would guide how such cases are handled legally. Choices A, B, and D involve situations that may relate more to issues of negligence, assault, or breach of professional duty which may be handled under other legal frameworks rather than common law.
Question 5 of 5
After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department by police. The client threatens suicide. Which criteria would enable a physician to consider involuntary commitment? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.